About The Position

The Emergency Department Registered Nurse manages individualized, outcome-oriented nursing care using the nursing process. The role provides care, treatment, and services through coordinated processes that include assessment, care planning, and care delivery in accordance with departmental and hospital policies and procedures. The nurse administers and documents medications, develops and updates individualized plans of care, assesses and reassesses patients, documents outcomes, supports patient- and family-centered care, and facilitates discharge or transfer. The position promotes safety and quality, contributes to professional development and evidence-based practice, uses required technology, and follows legal, regulatory, ethical, privacy, and security requirements. The nurse also considers patients’ age, culture, individual needs, and preferences when delivering care. This is a part-time night-shift position working 11:00 p.m.–7:30 a.m., 24 hours weekly, with rotating weekends and holidays. The compensation pay range is $39.50–$84.02.

Requirements

  • Massachusetts Registered Nurse (RN) license.
  • Previous acute-care RN experience is preferred, but not stated as a requirement.
  • Depending on department, certifications may be required, including BLS, ACLS, Emergency Response Training, NRP, PALS, TNCC, or TCAR.
  • Practice within the legal boundaries of the Massachusetts Nurse Practice Act.

Nice To Haves

  • Graduate of an accredited School of Nursing.
  • Previous acute-care RN experience.

Responsibilities

  • Administer, transcribe, and record medications according to hospital policies; complete medication reconciliation and follow procedures for narcotic documentation, counts, waste, and discrepancies.
  • Develop, communicate, evaluate, and update prioritized, individualized patient plans of care, documenting care and outcomes.
  • Initiate admission assessments within eight hours; identify and document patient and family teaching needs; continue assessments and reassessments to identify care needs.
  • Document patient care according to nursing policies, unit standards, disease processes, and nurse-sensitive indicators.
  • Assess and document comfort and pain, and document responses to pharmacological and non-pharmacological interventions.
  • Advocate for patients and families, seek support when they cannot represent themselves, and raise ethical concerns with the clinical team.
  • Communicate and update the plan of the day on the whiteboard each shift; facilitate discharge or transfer and communicate barriers through the chain of command.
  • Promote a culture of safety, including use of two patient identifiers, time-outs, hand hygiene, universal precautions, personal protective equipment, and proper hazardous-material disposal.
  • Maintain awareness of safety data sheets, regulatory requirements, and individual responsibilities during hospital codes and emergency preparedness events.
  • Pursue professional development by incorporating evidence-based practice, research, and performance-improvement initiatives; obtain at least five contact hours annually in the practice area.
  • Practice within the Massachusetts Nurse Practice Act; direct licensed and non-licensed personnel as assigned; respond constructively to feedback and maintain professional relationships.
  • Use critical thinking to analyze problems, evaluate solutions, select an appropriate response, and communicate through the chain of command.
  • Stay informed about hospital policy and procedure changes and use required technology and software, including Lotus Notes and downtime procedures.
  • Comply with legal, regulatory, ethical, privacy, security, and other applicable policies; safeguard patient information and report potential compliance issues to appropriate leadership.
  • Respect patient and family values, preferences, and needs; collaborate with them in planning, implementing, and evaluating care, and welcome family participation according to patient preferences.
  • Apply age and cultural awareness, respond sensitively to diverse populations, and use resources such as interpreter services and online sources.
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