RN Emergency Department (7209)

ID: 54660549 Shift: Nights Description: Job Description Position DetailsER RNNO LOCAL CANDIDATES (no candidates within 50-mile radius)MUST pass EKG Exam at Orientation (Study Guide Available in Simplify Library)Minimum one year adult ER experience (required)Experience with conscious sedation (required)BLS, ACLS, PALS, NIHSS, CPI/De-escalation training (required)Scheduling: Every other weekend and every other major holiday required.36-Hr GTE, 12-Hr Nights, 7:30p-8aUnit Specific DetailsUnit Size: 30 beds, 14 Fast Track beds and additional hallway beds as needed.Patient Population: All ages and medical complaints. No trauma.MD on staff 24 hours with ACPs. Staff: PCTs, Charge RN, RRT, Phleb, ED tech, and secretary.120-130 patients per day averageScrubs: Navy blue, white or any combination of the two colors. Ratio*: 1:4
All listed ratios are subject to change based on staffing availability at the facility. Ratios are never guaranteed but are what the unit typically attempts to achieve with normal staffing.Job Profile Name RN Emergency Department (Harmonized) Job Code 740N3A Include Job Code in NameYes Job Profile Summary Job Description The Emergency Department (ED) Registered Nurse (RN) provides, coordinates,plans, and evaluates nursing care, and supervises licensed and unlicensed associate's in nursing care delivery withinestablished nursing procedures, professional standards, and organizational policies/philosophies. The ED RNdemonstrates the ability to care for a group of patients in a fast-paced, high intensity setting as part of aninterprofessional team focused on achieving the best individual patient and population outcomes. The ED RN isresponsible for modeling core cultural and safety behaviors to eliminate preventable harm, ensure worker safety and asafe, high quality experience of care. Essential Job Functions In collaboration with the interdisciplinary care team,conducts initial and ongoing patient assessment, analyzes assessment data, creates a plan of care, implements treatmentand evaluates treatment effectiveness. Administers medications in a safe manner consistent with the State of Practiceand Bon Secours Mercy Health policies and procedures. Serves as point of contact for patient's care coordinationthroughout hospital departments. Acts as a patient safety advocate by participating in ongoing quality improvement inthe department. Manages and meets the physical and emotional demands of emergency nursing care. Applies knowledge ofcontemporary emergency nursing practice and future innovations. Applies nursing practice to the care of individualsacross the lifespan with perceived or actual physical or emotional alterations, ranging from non-urgent to lifethreatening that are undiagnosed or require further interventions; care practices include, but are not limited to,medical illness, trauma care, pediatric care, gerontologic care, injury prevention, women s health, mental healthissues, and life and limb saving measures. Collaborates with outside agencies in coordinating care (e.g. protectiveagencies and law enforcement, Local Crisis, Forensics, EMS, transfer centers, pharmacies). Understands and considerswhile providing care that emergency nursing care is episodic, primary, typically short-term, and occurs in a variety ofsettings. BSMH nurses are expected to practice and deliver care in accordance with the core concepts and intention ofthe BSMH Nursing Professional Practice Model. This document is not an exhaustive list of all responsibilities, skills,duties, requirements, or working conditions associated with the job. Employees may be required to perform otherjob-related duties as required by their supervisor, subject to reasonable accommodation. Licensing/CertificationCurrent RN License in the state in which they are working or covered by compact (required) BLS Basic Life Support(preferred upon hire, must obtain from approved source prior to direct patient care) ACLS Advanced Cardiac LifeSupport (preferred) PALS Pediatric Advanced Life Support (preferred) NPR Neonatal Resuscitation Program(preferred) TNCCTrauma Nursing Core Course (preferred) Education Bachelor of Science Nursing (preferred) Work Experience 1 year of RNexperience (required) Recent Emergency Department or Critical Care experience (preferred) Training EPIC ElectronicHealth Record (EHR) training (preferred) Skills Assigns patient care according to the nursing skill, knowledge, andscope of practice of staff. Orients, facilitates learning experience, and provides education (based upon qualityimprovement indicators, outcomes, and implementation) to nursing staff and others. Possesses clinical knowledge,skills, and competency to provide evidence-based patient care in accordance with the current standards of practice,policy and procedure, and BSMH mission. Performs comprehensive assessment of patient's clinical condition andpsychosocial needs of the patient and their supportive resources. Safely and efficiently develops, implements, andprioritizes plan of care. Application of the nursing process in patient care delivery. Assesses patient's physicaland emotional responses to treatment to evaluate effectiveness of intervention and patient outcomes; revises plan ofcare accordingly. Assists patient and family in coping with patient's illness. Collaborates with others in thedelivery of coordinated patient care. Strong interpersonal and verbal/written communication skills. Applies culturaldiversity and inclusion principles when caring for patients and their support resources. Recognizes own limitations andseeks assistance and acquires information to perform safely. Advances personal and professional growth throughparticipation in educational programs, current literature, in-services, and workshops. Exhibits professionalism throughaccountability for own and delegated actions. Integrates cost-effective measures into practice and models effectivestewardship of available resources. Practices self-care and cultivates resilience in conflict and difficultcircumstances. Protects the safety and privacy of all persons. Understanding and utilization of office and clinicaltechnologies. Ability to communicate with patients in a manner they can understand considering their personalpreferences. Compassionate, relationship-based approach to help find meaning in illness, suffering, pain, andexistence. Remains calm, adaptive, and collective during an emergency. Applies the nursing process with patients in avariety of illness or injury in all ages and populations requiring triage and prioritization, stabilization,resuscitation, crisis intervention, disaster preparedness/emergency management. Can pivot focus quickly using criticaldecisions to match the most crucial needs at any moment. Lifesaving equipment (i.e., hypothermia devices, Hand free CPR, rapid infusers, invasive monitoring, etc.) Working Conditions Periods of high stress and fluctuating workloads mayoccur May be exposed to physical altercations and verbal abuse May be required to use physical restraints May beexposed to high noise levels and bright lights May be exposed to limited hazardous substances or body fluids May beexposed to human blood and other potentially infectious materials• May have periods of constant interruptions *Individuals in this position are required to exercise universal precautions, use personal protective equipment anddevices, and learn the policies concerning infection control. Physical Requirements Lifting/Carrying (0-50 lbs.):34-66% Lifting/Carrying (50-100 lbs.) 34-66% Push/Pull (0-50 lbs.) 34-66% Push/Pull (50-100 lbs.) 34-66% Stoop/Kneel1-33% Crawling 1-33% Climbing 1-33% Balance 1-33% Bending 34-66% Sitting 34-66% Walking 34-66% Standing 34-66%Additional Physical Requirements/Hazards Manual dexterity (eye/hand coordination) Perform shift work Maneuver weight ofpatients Hear alarms/telephone/audio recorder Reach above shoulder Repetitive arm/hand movements Finger Dexterity ColorVision Acuity - far Acuity - near Depth perception Use of latex products Exposure to toxic/caustic/chemicals/detergentsExposure to moving mechanical parts Exposure to dust/fumes Exposure to potential electrical shock Exposure to xray/electromagnetic energy Exposure to high pitched noises Gaseous risk exposure Patient Population Demonstrates theknowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assignedunit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability toassess data reflective of the patient's status and interprets the appropriate information needed to identify eachpatient's requirements relative to his or her age, specific needs and to provide the care needed as described indepartmental policies and procedures. Neonates (0-4 weeks) Infant (1-12 months) Pediatrics (1-12 years) Adolescents(13-17 years) Notes 5/1 Market Approval, Replacing W. Long (6582) Guaranteed Hours: Contract Weeks:89