Registered Nurse - Emergency Medicine

Job Description Job Description REGISTERED NURSE - EMERGENCY SITE OF SERVICE: Naval Hospital Guam POSITION QUALIFICATION/REQUIREMENTS: · Degree: Associates or Bachelors of Science in Nursing. · Education: Be graduate of a school of nursing by the Accreditation Commission for Education in Nursing (ACEN), formerly known as the National League for Nursing Accrediting Commission (NLNAC), or the Commission on Collegiate Nursing Education (CCNE) · Cardiac Certification: Must hold current certifications through American Heart or American Red Cross: o Basic Life Support Certification (BLS) o Advanced Cardiac Life Support (ACLS) o Pediatric Advanced Life Support (PALS) o Neonatal Resuscitation Program (NRP) · Experience: Possess a minimum of three years of experience within the last five years as a Registered Nurse in an Emergency Room setting. · Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse. · U.S. Citizenship: Worker performing under this contract shall be U.S. citizens. · English Language: Able to read, write, and speak English well enough to effectively communicate. · Physical: Shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required under the contract and TO. DUTIES: · Shall provide services within the scope of their competencies and the applicable duties provided in the basic contract as well as the following: · Ensure patient care is carried out in accordance with the Standards of Nursing Care and the policies and procedures of the Hospital and/or Clinic. · Check patients into the clinic and triage using clinic guidelines. Inform the nurse, physician extender, or physician of the patient’s condition and potential problems. · Obtain and document patient and pertinent family history. · Perform a full range of diagnostic support duties which include taking vital signs, collecting specimens, obtaining, recording, and tracking results of diagnostics tools. · Assist the physician in a variety of diagnostic examinations such as lumber punctures, colposcopies, and sigmoidoscopies, by preparing, positioning, and monitoring patients, and setting out and handling instruments and equipment. · Perform, record, and report results for laboratory tests such as checking urine for sugar and stool for blood and record and report results. · Perform a range of treatment procedures that include sterile dressing changes, applying compresses, monitoring IV fluids, inserting catheters and suctions, inserting nasogastric tubes, administering medications, giving enemas, setting up and giving treatment that requires auxiliary equipment such as oxygen and suction. Ambulate patients to other areas to include Radiology, various clinics, and physical therapy. · Prepare patients to test, examinations, treatments, and/or surgery. Collect specimens such as urine sputum, and stool. Label specimens for laboratory examination and follow up by using MHS Genesis or by calling the laboratory for reports. Alert provider to conditions which deviate from expected findings. · Prepare, start, monitor, and discontinue intravenous fluids with accuracy and in accordance with established procedures. · Observe, report, and document all observed symptoms, reactions, treatments, and changes in the patient condition to the registered nurse, physician extender or physician. Make careful observations to assess that nursing procedures and treatment do not cause additional distress. · Perform routine nursing care activities such as taking blood pressures, temperatures, baths, and hygiene care, passing and removal of trays, changing linen, and otherwise assist in the care of the physical need of the patient. · Operate basic equipment required in delivery of patient care such as pumps, IV pumps, oxygen administration apparatus, and incentive spirometers. · Execute physician’s orders within the guidelines of standard nursing practice. Ensure accurate medication is administered in correct form and dosage to the proper patient as directed by the physician. · Maintain records of nursing care, dose, and time of medication administered, and indicate if the medication was not administered and the reason. · Recognize conditions which require isolation. Ensure universal precautions are used in all patients encounters. · Recognize emergency situations and assist with, or institute emergency measures for sudden adverse developments in patients such as cardiac arrest. · Perform preoperative procedures for minor surgery and fill out pre-op checklist. · Assist patients in admission, transfer, and perform discharge planning follows up and documentation. · Support the patient and/or family members toward the achievement of treatment plan goals. Provide instructions to the patient on invasive procedures, surgical procedures, and post-surgical conditions which were previously provided to the patient by a nurse, physician extender, or physician. HOURS: Services shall be provided Sunday through Saturday between 0630 -1900 hours and/or 1830-0700 hours for three 12.5 hour shifts each week and one 8.5-hour shift within the two-week work period. Each shift includes a 30-minute meal break SPECIAL REQUIREMENTS/SKILLS Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment. LUKE is an Equal Opportunity Employer. Links: To learn more about Luke, please visit our website at: