Registered Nurse - Emergency

RN - Emergency Department

30-bed Emergency Care Unit

Rapid paced, high acuity unit with 155 visits per day; > 55,000 annual visits

ACLS, PALS, and EKG provided

An orientation program facilitated by a Clinical Educator, focused on Emergency Nursing especially for the novice nurse

Emergency Nursing Association (ENA) orientation curriculum offered (online)

Part time (40 hours biweekly)

Shift: 12 hour Evening/Night rotation

Every third weekend

Eligible for shift and weekend differential

The Registered Nurse is responsible and accountable for implementing, directing and coordinating the care of patients through the use of the nursing process: assessment, planning implementation and evaluation. Included is recognition and treatment of the physical and psychosocial changes unique to the age/population group served on the specific unit.

Essential Functions and Responsibilities Job Class Specifics

1. Demonstrates safe medication practice.

2. Maintains a professional image that reflects the employee's role in health care, with confidence and a positive impression.

3. Completes chart check to ensure no missed orders.

4. Accurately transcribes physician's orders.

5. Demonstrates therapeutic communication skills.

6. Demonstrates ability to assess patient education needs and use of patient education resources.

7. Demonstrates involvement in unit by attending 50% of staff/committee meetings and in-services for area.

8. Demonstrates leadership through the nursing process and supervision while maintaining accountability for treatment and patient outcomes.

9. Acts as a resource person regarding patient care, specialty area, orientation and teaching of staff.

10. Responds to delays in a calm manner. Apologizes for inconveniences and gives alternatives.

11. Analyzes assessment data, identifies priority problems and documents on Plan of Care in PCS for patients and families and significant others.

12. Uses effective problem-solving skills to plan patient care.

13. Identifies critical factors evidencing changes in patient condition and responds appropriately.

14. Completes and documents discharge assessment against plan of care goals.

15. Initiates and maintains Intravenous Therapy according to IV standards.

16. Responds appropriately to emergency situations.

17. Utilizes proper body mechanics to prevent injury to self and others. Safely positions, transfers and transports patients.

18. Functions as a virtual nurse as assigned which includes, but is not limited to, admissions, discharges, education, documentation through a virtual platform and working collaboratively with the bedside nursing staff.

Department: Emergency Department

1. Completes accurate initial triage to ESI and department standards.

2. Performs thorough and accurate chief complaint specific assessments on all age groups.

3. Assesses and identifies patients for indications of physical, sexual, or psychological abuse and initiates appropriate follow-up.

4. Implements advanced emergency skills to ED patients.

5. Collaboratively coordinates with other departments and disciplines in order to meet patient's needs.

6. Achieves credentialing in conscious sedation annually and demonstrates appropriate clinical performance as evidenced by successful observation and chart review.

7. Attends annual skills day for all other unit specific competencies and reviews.

8. Early identification and expedient processing of AMI patients to cath lab to meet benchmark door to balloon times.

9. Demonstrates appropriate technique of accessing, maintaining, and de-accessing indwelling ports.

10. Accurately completes and transmits 12 lead EKG's.

11. Able to demonstrate proper set up and verbalize proper nursing care during and after insertion of chest tube.

12. Demonstrates proficient phlebotomy skills on all age groups and follows procedures for patient identification and specimen labeling.

13. Demonstrates proper use of Lifepak in all functions.

14. Properly identifies patients by chief complaint and initiates department protocols in collaboration with ED Physician.

15. Demonstrates proper application of restraints in the ED setting and completes required documentation timely and accurately.

16. Documentation thorough and complete as evidenced by random chart audits.

Qualifications

Education: Graduate of an accredited School of Nursing required; Bachelor of Science in Nursing is preferred. Evidence of participation in educational programs to update and maintain current knowledge and clinical skills.

Experience: Experience applying customer service behaviors and communication skills required. Previous nursing experience in specialty area preferred.

Certifications/Licensure: Eligible for or currently licensed as a Registered Professional Nurse in Pennsylvania. Certification in specialty preferred. CPR certification required. ACLS required for Cardiovascular Services, CCU, Device Clinic, Emergency, IMCU, FBS, Tele Observation, PACU/SDS, or achieved within one year of start date. ACLS required for Cardiac Rehab or achieved within 3 months of hire/transfer. Proficiency in cardiac monitor interpretation, conscious sedation, and ACLS required for Cath Lab or achieved within 6 months of hire/transfer. PALS required for Emergency, PACU, and Pediatric trained staff within one year from start date. PALS and Conscious Sedation is required for SDS, or must be achieved within four months of hire/transfer. NRP required for Level II NICU. NRP and Fetal Monitoring education required for Family Birthing Services within one year from start date. Proficiency in cardiac monitor interpretation required for PACU/SDS, IMCU, Tele Observation, CCU, Cardiac Rehab, Cardiovascular Services, Cath Lab, and Emergency. WOCNCB or CWCN preferred for Wound Care Center.