Registered Nurse RN - Emergency Room

Registered Nurse

The RN functions primarily in direct patient care, and demonstrates "competent" clinical practice. This position triages patients, obtains patient history and vital signs and assesses patients. Acts independently to initiate immediate care in the absence of a physician in life threatening situations. Provides care for the acutely ill as well as the non-acute patient. Performs multiple procedures utilizing both complex and simple nursing skills and assists the physician with their procedures. Provides comfort, both physical and psychological, to the patient, their family and visitors. Provides discharge and follow-up instructions to the patient and family. Answers the ambulance radios and, without assistance, gives appropriate orders for pre-hospital care. Works with multiple types of sophisticated equipment and handles various types of patients in a frequently stressful environment.

Responsibilities:

(25%) Performs nursing assessments, intervenes appropriately and promptly, and participates in care planning.

(25%) Regularly assesses patient's/client's needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice.

(20%) Processes physician/provider orders accurately, completely, and in a timely manner, and does follow up regarding medication changes and order clarifications.

(15%) Evaluates effectiveness of treatment plan and makes suggestions or facilitates changes in plan to improve patient care.

(15%) Actively participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information.

Other duties and responsibilities:

Uses physical assessment techniques (auscultation, percussion, palpation, observation) to identify patients physical problems and their patient care needs.

Recognizes self-limitations and seeks out appropriate resources. Possess clinical competence in airway management, cardiac monitoring, IV therapy, blood gas analysis, venipuncture and physical assessment.

Reassesses patient health status and identifies significant changes in conditions.

Individualizes plan of care.

Coordinates the prescribed plans with orders on healthcare team.

Communicates pertinent aspects of care to patient, family, or other healthcare workers. Initiates home health referrals when appropriate. Sets priorities and implements nursing measures which correlate with identified plan and standard of care.

Recognizes change in patient's condition and takes action to manage, reduce, or eliminate symptoms and promote comfort.

Demonstrates respect for patient's dignity and privacy.

Documents nursing intervention and patients response.

Maintains a safe patient environment and takes actions to prevent risk situations. Provides for patient/family education explains about all procedures, utilizes available educational materials, documents any instructions given to family.

Has effective interpersonal skills with customers.

Assists peers in patient care activities.

Recognizes stress in others and uses positive coping techniques. Sets goals and prioritizes Emergency Department care to patients according to acuity.

Is accountable in following medical center policy and procedures and work attendance.

Participates in continuing education program, medical center modules, and ED In-services and ED Skills Day.

Active participation in Relationship Based Care.

Certifications and Licensures:

Credential: RN: Registered Nurse Equivalent Experience: MI

Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer AHA

Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer

Credential: TNCC: Trauma Nurse Core Course or ATCN Equivalent Experience: Within 12 months of hire or transfer

Credential: PALS: Ped Advance Life Support Equivalent Experience: Within 12 months of hire or transfer

Credential: ENPC: Emerg Nurse Pediatric Course Equivalent Experience: Within 12 months of hire or transfer

Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification)

Credential: NIMS IS 100: NIMS IS 100 Introduction Incident Command System Equivalent Experience: Within 6 months of hire or transfer

Credential: NIMS IS 700: NIMS IS 700 Introduction National Incident Mgt System Equivalent Experience: Within 6 months of hire or transfer

Required Education:

Education: Associates Degree Equivalent Experience: Knowledge of nursing skills as normally acquired through 2 years experience working in the medical center or similar setting. Bachelors is preferred

Education Specialization: NRG

Other Information:

EXPERIENCE, TRAINING AND SKILLS:

Knowledge of nursing skills as normally acquired through 2 years experience working in the medical center or similar setting.

Weekend RN positions require a minimum of two years experience.

Mandatory tuberculosis (TB) testing as required Mandatory Occupational Safety and Health Administration (OSHA) training must also be completed annually according to the Exposure Control Plan

Completion of ESI triage class when appropriate, before being assigned as triage nurse.

Telemetry Class as assigned.

NRP preferred if not then recommended to obtain within first 1.5 years of hire or transfer to this position

CEN preferred if not then recommended to obtain

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

Overall vision and hearing is necessary with or without assisted device(s).

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.