Emergency RN - Per Diem

WASHOE BARTON MEDICAL CLINIC•Gardnerville, NV

About The Position

Provides professional nursing care to patients in the Emergency Department, following established policies and procedures to ensure safe, effective, and timely care. Delivers age-appropriate care to patients across the lifespan, from infants to geriatric patients. Assesses, plans, implements, and evaluates care in a fast-paced, high-acuity environment while collaborating with the multidisciplinary care team. Identifies and addresses patients’ unique and urgent needs in the emergency setting. This per diem position is offered on an as-needed basis, with no guaranteed hours or set schedule. The nurse fills in for employees taking planned or unplanned time off. In lieu of benefits associated with per diem status, 15% is added to the hourly rate. The role includes assessing and diagnosing patient and family needs; providing and evaluating care; implementing medical plans and nursing interventions; administering medications and blood products; maintaining IV access; educating patients and families; planning for discharge; and completing accurate documentation in the patient EMR. The nurse also performs emergency nursing interventions, manages emergency situations, and uses specialized equipment, while following unit standards and hospital policies.

Requirements

Associate degree in nursing or higher.
Current Nevada RN license.
Basic Life Support (BLS) certification.
Advanced Cardiac Life Support (ACLS) certification.
Pediatric Advanced Life Support (PALS) certification.
Trauma Nursing Core Course (TNCC) certification within six months of hire.
Professional customer service skills.
Ability to read and communicate in English.

Nice To Haves

Previous emergency department experience.
Emergency Nursing Pediatric Course (ENPC) certification is recommended.
Bilingual abilities.

Responsibilities

Assess and diagnose patient and family needs to provide high-quality care.
Provide patient care, evaluate outcomes, consult with others as needed, and adjust care plans.
Perform system assessments at appropriate intervals, recognizing abnormal parameters and changes in physiology.
Identify patient and family discharge-planning needs on admission.
Collaborate with patients, families, and significant others to develop and discuss realistic plans of care.
Create and communicate patient and family education and discharge plans according to unit standards.
Implement medical plans of care, nursing interventions, and procedures using appropriate skills and judgment.
Follow hospital policies for administering, transcribing, and recording medications, including observing the ten rights of medication administration.
Administer blood and blood products according to hospital policy and procedure.
Initiate and maintain IV access and assess and document IV sites according to unit standards.
Continuously evaluate patient problems, care provided, and patient responses; modify the plan of care as needed.
Assess patient learning needs, abilities, preferences, and readiness to learn, and evaluate the effectiveness of teaching plans.
Carry out nursing interventions and teaching for emergency department patients, including age-specific considerations.
Demonstrate nursing management skills in emergency situations and use specialized equipment such as IV pumps, Hotline, vital-signs monitors, and cardiac monitors.
Maintain a sterile field for minor OR procedures, including central-line and chest-tube insertions.
Follow policies and procedures for patient vaccination and documentation of related teaching.
Maintain accurate, up-to-date documentation of nursing care, assessments, reassessments, medication administration, and discharge planning in the patient EMR.
Complete and accurately document COBRA forms and narcotic administration, and acknowledge physician orders in the EMR.