Registered Nurse, RN - Emergency Department

Registered Nurse, RN - ED Position/Job Title: Prof RN - Day/Night Rotating Shift - 36 hours per week Home Department: Emergency Department Job Overview This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. The position involves assessing, planning, implementing, and evaluating patient care, and providing nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. It is a professional individual‑contributor role that may direct the work of other lower‑level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation, or delivery of processes, programs, and policies using specialized knowledge and skills typically acquired through advanced education. The professional registered nurse is responsible for the planning, delivery, and management of patient/family‑centered care utilizing the nursing process and adhering to the standards of nursing practice embedded in research, evidence‑based practice, and best practices. Minimum Qualifications Registered Nurse (RN) license. Basic Life Support (BLS) certification. Certifications (e.g., ACLS, PALS) relevant to the department and type of care being provided may be required. Preferred Qualifications Bachelor of Science in Nursing (BSN) Specialty Nursing certifications. Duties and Responsibilities Utilizes theoretical and evidence‑based knowledge in partnering with patients and families to assess, plan, implement, and evaluate age‑appropriate care. Assesses and collaborates with patient, family/significant others, and other disciplines to identify expected outcomes based on synthesis of data and diagnosis and to identify cultural needs to develop a care plan that enhances the health care experience. Plans and develops individualized outcomes‑based care plans incorporating the patient and family’s readiness and barriers to learning, orchestrates and validates a plan of care for each shift, initiates interdisciplinary patient/family meetings to facilitate communication regarding the plan of care, communicates and coordinates the patient’s discharge plan utilizing unit‑based and community resources to ensure a seamless transition, and ensures the plan of care utilizes principles and concepts of project, organizational, or systems management. Implements the plan safely and timely, documents the implementation and any modifications, collaborates with nursing colleagues and others to implement the plan, utilizes evidence‑based interventions and treatments specific to the diagnosis or problem, provides and coordinates health teaching required by individuals, families, and groups to maintain an optimal level of health, and documents all aspects of care per hospital and regulatory requirements. Evaluates the effectiveness of planned strategies in relation to patient responses and the attainment of expected outcomes and knowledge, and uses the evaluation process to update the plan of care as dictated by the patient response or if desired outcomes have not been achieved. Demonstrates and applies the skill and judgement necessary to implement the nursing plan of care, nursing interventions, and procedures required for the care of the patient and family based upon critical thinking skills and a spirit of inquiry. The plan of care is evidence‑based, utilizes research when appropriate, incorporates new knowledge and strategies to initiate change in nursing care practices, and demonstrates the knowledge and skills necessary to provide age‑appropriate, culturally and ethnically sensitive care to all patients and families. Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards. Safely administers and assesses the patient response to medication utilizing essential knowledge of pharmacology and Hospital and Department Standards of Care. Maintains clinical competency with respect to technology and utilizes equipment safely. Performs as an advocate and educator for patients and families. Provides high‑quality care in an efficient and safe manner, utilizing data trends to support and improve clinical practice. Participates in hospital and/or unit‑based patient safety and quality activities, and uses principles to support and improve patient outcomes (unit‑based, hospital‑wide, The Joint Commission, NPSGs, NDNQI, Patient First and other local, state, and federal patient safety initiatives). Participates in performance improvement activities through data collection, analysis, and evaluation, and champions quality, safety, regulatory, and patient‑family satisfaction. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery and to create a positive and professional work environment; supports collaboration with nursing colleagues and other disciplines by participating in nursing, physician, and case management reporting rounds. Delegates responsibilities to others with an understanding of their roles, knowledge, and capabilities. Influences others to achieve Service Excellence by establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development; treating both internal and external customers with courtesy, respect, and caring behavior; promoting a safe, clean, therapeutic environment for patients, families, and staff; acknowledging cultural differences that exist among staff and patients; identifying customer service needs on the unit; presenting oneself in a professional and calm manner; and providing responsible and efficient use of resources. Participates in professional development and lifelong learning activities that assist in developing and maintaining continuing competence, enhancing professional practice, and supporting achievement of career goals, including maintaining current licensure and adhering to the Massachusetts Nurse Practice Act, participating in educational opportunities to meet clinical competency requirements, seeking advanced certification opportunities and ongoing education, precepting and mentoring newly hired staff and nursing students, investigating available technology and resources to apply evidence‑based practice and research into daily professional activities, promoting leadership at the bedside, and promoting unit and organizational growth through a shared governance model. May assume charge nurse functions in collaboration with unit leadership. Facilitates communication by seeking and sharing job‑related information that supports a culture of respect and responsibility, assuming responsibility and ownership for professional conduct, accepting responsibility for positive and productive communication skills, attending and actively participating in staff meetings, and, when unable to attend, reading staff meeting minutes and emails to stay current with unit and hospital information. Physical Requirements Prolonged, extensive, or considerable standing/walking. Lifts, positions, pushes, and/or transfers patients and equipment. Considerable reaching, stooping, bending, kneeling, crouching. Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise, and possible exposure to radiation, lasers, electric shock, and other hazards. Regularly exposed to the risk of bloodborne diseases and other transmissible infections. Contact with patients under a wide variety of circumstances. Subject to varying and unpredictable situations. Handle emergency and crisis situations. Subjected to irregular hours. May have contact with hazardous materials. Skills & Abilities Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages, and cultural patterns in each step of the care process. Ability to provide care for the designated group of patients according to unit guidelines and hospital policies, procedures, and protocols. Has the skills and knowledge to provide care to the age groups of the population served, including knowledge of growth and development, ability to interpret age‑specific data and response to care, and ability to provide age‑appropriate communication. Pay Range $43.01 - $70.95 #J-18808-Ljbffr Tufts Medicine