RN New Grad - Emergency Department FT Nights

Staff RN

The Staff RN uses the nursing process to deliver nursing care to a given patient care population as it relates to the care setting. Nursing care is based on the interpretation and execution of the medical and nursing plan of treatment utilizing established procedures standards and protocols of individuals within the assigned work shift. The Staff RN provides nursing care to the population served in the unit.

Core Competencies

• Adheres to infection prevention guidelines
• Adheres to policies, procedures, and standards of practice to deliver safe and optimal care
• Assesses patient history, physiological, and psychosocial status
• Communicates with the patient, family, medical staff and others during the continuum of care
• Complies with Joint Commission's national patient safety goals
• Complies with organizational quality dashboard/benchmarking goals
• Interprets common variables affecting patient care and follows reporting process
• Maintains regulatory compliance consistent with quality standards and ethical obligations of the profession
• Participates in activities in alignment with the Magnet Model
• Participates in organizational activities
• Participates in Peer Review
• Participates in professional development activities
• Performs as a preceptor in an active and engaged manner
• Provides age-specific individualized care that supports protection from harm and complies with patient safety centered interventions/bundles
• Provides patient and family education throughout the care of patient
• Uses critical thinking to formulate and carry out a care plan according to patient needs
• Utilizes resources in an economical manner
• Utilizes safe administration of medications
• Utilizes Safe Patient Handling

Department Specific Competencies

• Complies with all ED standards of care as outlined in policy and procedure numbers ER-D-03: Emergency Department - Guidelines for Care, and ER-D-04: Care for Pediatric Patients in the Emergency Department.
• Establishes priorities of patient care for treatment in accordance with policy and procedure #ER-E-50: Emergency Department Triage.
• Performs accurate 1-5 (Emergency Severity Index) Triage assessment based on patient presentations
• Electrolyte Monitoring, Acid-Base Monitoring and Fluid Monitoring. Collects and analyses the patient data to regulate fluid and electrolyte balance. Intervenes appropriately to correct imbalances.
• Bleeding: Intervention - Applies pressure to bleeding/potential bleeding areas to limit blood loss from a wound that may be the result of trauma, incisions, or placements of tubes or catheters.
• Artificial Airway Management - Maintains ET and Trach tubes and prevents complications associated with their use.
• Manages adjunctive airway devices effectively, including assisting with intubations. Suctions airway passages effectively and manages use of mechanical ventilation to ensure adequate gas exchange.
• Obtains a 12 Lead EKG within 10 minutes of presentation for all patients with a chief complaint of chest pain and presents EKG to Attending MD for signature and evaluations.
• Acts to reduce complications for patients experiencing chest pain suggestive of myocardial ischemia.
• Acts to re-establish and maintain hemodynamic stability in patients experiencing hypovolemic, septic or cardiogenic shock.
• Orthopedic Management: Cares for patients with musculoskeletal injuries, including use of immobilization and ambulatory assistive devices.
• Pediatric patient- Identifies norms for vital signs and fluid management for size of child.
• Identifies cognitive and psychosocial growth and development stages for infants through adolescent.
• Implements interventions that support developmental stage for pediatric patient e.g doesnt give choices to young child when there are none, involves adolescent in decision making.
• Manages the care of patients experiencing an acute psychiatric crisis with emphasis upon safety to the patient, self and others in the environment.
• Identifies and provides care for victims of abuse, neglect or domestic violence.
• Demonstrates ability to recognize the signs of physical and/or emotional abuse or neglect to help identify victims. Follows appropriate policy and procedures for reporting of abuse.
• Ensures safety of infant and child.
• Interviews adolescent privately to assess high risk behaviors e.g illicit drug use, sexual activity.
• Discusses California Car seat safety law
• Reports law enforcement and reportable cases to the appropriate agencies as required by policy and procedure #ER-E-32: Law Enforcement and Reportable Cases.
• Ensures that all transfers of patients from the Emergency Department comply with all state and federal laws and JCAHO standards, per policy and procedure #ER-E-49: Transfer of Adult and Pediatric Patients.
• Discusses immunization history with parents and provides resources.
• Allows time for parents/caregiver to ask questions.
• Attends 16 hours of BRN approved pediatric education every 4 years.

Education

Associates, Bachelors or Master Degree in Nursing

Additional Information

BSN/MSN Degree or Associate degree in Nursing - Bachelors or Masters program with completion within 3 years.

License / Certification Requirements

Registered Nurse License

ACLS Certification from the American Heart Association

PALS Certification.

Compensation Range:$56.12 - $56.63 / Hour