Registered Nurse - Emergency Department-Day

POSITION SUMMARY

Accountable for the observation, assessment, intervention, evaluation, rehabilitation, or health teachings of a person who is ill, injured, infirm, or experiencing a change in normal health processes; the maintenance of health or prevention of illness; the administration of a medication or treatment as ordered by a physician, the supervision or teaching of nursing; the administration, supervision, and evaluation of nursing practices, policies, and procedures; the performance of an act delegated by a physician and the development of the nursing care plan.

JOB DETAILS

PRN Day Shift. May rotate weekends.

PRINCIPAL DUTIES AND RESPONSIBILITIES

Triages, assesses, and prioritizes patients upon arrival according to the ESI Level 5 Triage System. (Only nurses with at a minimum of 1 year ED experience, completion of the ESI course, and documented competency in triage will be assigned to triage). Performs primary and secondary assessments on patients with traumatic injuries and initiates immediate nursing care and therapy for patients presenting with cardiac symptoms. Assesses and manages patients with rapidly changing andor life‑threatening conditions in accordance with Emergency Care Center guidelines, order sets, and Advanced Cardiac and Pediatric Life Support protocols. Manages pain control needs for all patients. Provides care and education congruent with age‑related needs for the infant, child, adolescent, young adult, and elderly populations. Educates patient or caregiver on appropriate home care, including safe and effective use of medications, pain management and comfort, needed referrals and resources, and when to seek further care and follow‑up after emergency care. Maintains eight (8) hours of stroke specific education yearly.

DUTIES AND RESPONSIBILITIES

Service Consistently supports and communicates the Mission, Vision, and Values of St. Joseph Medical Center. Upholds the Standards of Conduct and Corporate Compliance. Adheres to all Steward Healthcare policies on Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI). People Incorporates the patient's physiological, psychological, cultural, developmental and spiritual needs into the plan of care. Consistently follows patient care, and facility guidelines and procedures in performance. Directs support personnel in implementing patient's plan of care, provides supervision and guidance, and evaluates effectiveness of the delegated tasks. Collaborates with inter and intra professional colleagues to ensure quality outcomes. Completes annual education requirements. Maintains competency, as evidenced by completion of competency validation requirements. Promotes a culture of patient safety which results in the identification and reduction of unsafe practices. Uses nursing process to provide all levels of patient care, uses professional judgment and critical thinking to prepare, prioritize, and execute the patient's plan of care consistent with patient assessment data, physicians' treatment plans, and professional standards of care. Implements measures to prevent exposure to infectious pathogens and communicable conditions. Identifies risks and hazards to patients through various risk assessments, with actions taken to mitigate patient harm. Listen to and honor patient and family perspectives and choices. Acknowledge the patient's and family's knowledge, values, beliefs, and cultural backgrounds to ensure they are incorporated into the planning and delivery of care. Communicate and share complete and unbiased information with the patients and families in ways that are affirming and useful. Ensure that patients and families receive timely, complete, and accurate information to effectively participate in care and decision making. Encourage and support patients and families in participating in care and decision making at the level they choose. Collaborate with patients, families, healthcare practitioners, and healthcare leaders in policy and program development, implementation and evaluation in facility design, in professional education, as well as delivery of care. Understands that a solution may create a "new way of doing things" that is not how it has always been done but is the right thing to do. Takes ownership of a patient safety related issue and openly, acknowledges an ongoing problem requiring attention. Affirms that decisions made that will impact families and direct patient care requires patient and family representation as part of the multidisciplinary approach. Encourage the concept that "just culture" should prevail. Other duties as assigned.

POSITION QUALIFICATIONS

Licensed as a Registered Nurse accepted by the Texas State Board of Nursing to engage in professional nursing. Technical, clerical, critical thinking and interpersonal skills relevant to patient care/area. Certification requirements as defined by the certification policy. BLS, ACLS, PALS & TNCC certification required. Able to communicate effectively in English, both verbally and in writing.

PREFERRED

Emergency Room experience. Baccalaureate degree or progression to this degree. National Certification as recognized by the American Nurses Credentialing Center. Bilingual or Multilingual. #J-18808-Ljbffr St. Josephs Medical Center