RN - 19403758

Baptist Medical Center South•Montgomery, AL

About The Position

The Emergency Room Registered Nurse works in a 71-bed, high-acuity emergency room that functions as a Level I Trauma center. The department treats patients with multi-system trauma, STEMI, stroke, CHF, COPD, gastrointestinal and genitourinary issues, OB/GYN conditions, pediatric needs, and psychiatric cases. Patient ratios are 1:4 in the ER, 1:5 for medical-surgical holds, and 1:3 for ICU holds. The role requires a range of acute-care nursing skills, including tracheostomy care, ventilator management, ICU drip care and maintenance, chest tube insertion and care, arterial and central venous line management, and access and care for PICC lines, midlines, and ports. Nurses also provide Foley catheter care, apply and care for splints and orthopedic devices, manage BiPAP and high-flow oxygen therapy, and perform continuous bladder irrigation. Unit support includes a CNA, receptionist/HUC, charge nurse, phlebotomy services until 3:00 AM, IV/VAT team, and hospitalist. There is no telemetry monitoring technician. The EMR is Cerner; equipment includes Plum 360 IV pumps, Omnicell medication dispensing, and Spacelabs monitors. Travelers new to the facility or away for more than one year receive 24 hours of classroom orientation followed by 24 hours of on-unit training. Rehires may have varying orientation requirements based on their last employment date. Scheduling follows a four-week cycle, with shifts of 7 AM–7 PM, 7 PM–7 AM, 11 AM–11 PM, or 3 PM–3 AM. Weekend rotation is every other weekend, or four weekend days per month for a block schedule. There are no on-call requirements. Holiday expectations are one major and one minor seasonal holiday, as per policy. Any solid-color scrubs are acceptable, and parking is available in a parking garage.

Requirements

At least 2 years of nursing experience.
Experience with Cerner or EPIC.
Level II Trauma experience or higher.
BLS certification.
ACLS certification.
PALS certification.
Secure/CPI certification accepted nationally or by JACHO.
NIHSS certification.
TNCC certification.
Skills in tracheostomy care, ventilator management, ICU drip care and maintenance, chest tube insertion and care, arterial line management, central venous line management, PICC/midline/port access, Foley catheter care, splint and orthopedic device care, BiPAP and high-flow oxygen therapy, and continuous bladder irrigation.

Responsibilities

Provide emergency nursing care in a high-acuity, 71-bed Level I Trauma center.
Care for patients with multi-system trauma, STEMI, stroke, CHF, COPD, gastrointestinal and genitourinary issues, OB/GYN conditions, pediatric needs, and psychiatric cases.
Perform tracheostomy care and ventilator management.
Provide ICU drip care and maintenance.
Insert and care for chest tubes.
Manage arterial lines and central venous lines.
Access and care for PICC lines, midlines, and ports.
Provide Foley catheter care and continuous bladder irrigation.
Apply and care for splints and orthopedic devices.
Provide BiPAP and high-flow oxygen therapy.
Follow the applicable patient ratios and scheduled weekend and holiday rotations.