Emergency Room RN- Night Shift 7pm-7am

Ray County Hospital & Healthcare•Richmond, MO

61d

About The Position

JOB SUMMARY: Provides professional nursing care within the Emergency Department; coordinates care planning with other disciplines; Provides care that meets the psychosocial, physical, and general aspects of care; Determines priorities of care based on physical and psychosocial needs of patients, as well as factors influencing patient flow through the system; Communicates with ED physicians regarding changes in patient's status, symptomatology, and results of diagnostic studies; Responds quickly and accurately to changes in condition or response to treatment. COMPETENCIES: Provide direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure optimal patient care. Able to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes neonate, pediatric, adolescent, and geriatric patients and the general patient population. Use triage process to ensure timely and appropriate care to patients; accurately assigns triage categories. Able to adequately assess and reassess pain; Utilize appropriate pain management techniques; Educate the patient and family regarding same. Able to monitor hemodynamic status of patient and correctly interpret the results. Demonstrate knowledge of cardiac monitoring, identify dysrhythmias and treat appropriately. Able to perform waived testing (point-of-care testing) per Clinical Laboratory and the patient care unit's policies and procedures. Able to interpret the results of waived tests; Take appropriate action on waived test results. Maintain current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition. Follow the seven (7) medication rights and reduces the potential for medication errors. Prepares, hangs, monitors, and discontinues IV fluids. Maintains accurate and continued nursing documentation including patient histories, conditions, treatments, responses, and assessment of changes. Perform all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Supports and maintains a culture of safety and quality. Treat patients and their families with respect and dignity. Identify and address psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Function as liaison between administration, patients, physicians, and other healthcare providers. Demonstrate knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patients served. Able to interpret data about the patient's status in order to identify each patient's age specific needs and provide care needed by the patient group. Interact professionally with patient and family and involve patient and family in the formation of the plan of care. Formulate a teaching plan based on identified learning needs and evaluate effectiveness of learning; Include family in teaching as appropriate. Maintain a safe, comfortable, and therapeutic environment for patients and families in accordance with hospital standards. Assist in cost containment through the appropriate ordering and conserving of supplies and equipment. Cooperates with other staff to achiever departmental objectives; Maintains good employee relations and interdepartmental objectives. Responds promptly to changes in workload, adjusting assignments as necessary to achieve optimal productivity and efficiency. Provide resource information to other staff. Demonstrate the ability to assist physicians with procedures in the Emergency Department. Supervise temporary employees and employees who do not supervise; Allocate and monitor work of others; Lead one or more employee performing similar work. Orient new employees to the Emergency Department. Assist the Emergency Department Nurse Manager in the development, implementation, and evaluation of performance improvement indicators to improve patient outcomes and the work environment. Participate in problem solving with other healthcare team members related to management of clinical care are. Enhance professional growth and development through participation in educational programs, current literature, in service meetings and workshops; Show responsibility for own professional practice and ongoing education. Work at maintaining a good rapport and a cooperative working relationship with physicians, other departments, and staff. Perform other related duties as assigned.

Requirements

Adhere to dress code; Keep appearance neat and clean.
Complete annual education requirements.
Maintain regulatory requirements.
Maintain patient confidentiality at al times.
Report to work on time and as scheduled; Complete work within designated time.
Wear identification while on duty, use computerized punch time system correctly.
Complete in-services and return in a timely fashion.
Attend annual review and department in-services as scheduled.
Attend at least 50% staff meetings annually, read and return all monthly staff meeting minutes.
Represent the organization in a positive and professional manner in the community.
Actively participate in performance improvement and continuous quality improvement.
Complies with all organizational policies regarding ethical business practices.
Communicate the mission, ethics, and goals of the facility, as well as the focus statement of the department.
Graduate of an accredited school of nursing with three (3) years' registered nurse experience within the last 48 months.
Current Registered Nurse Missouri license required.
Current BCLS certification required.
Current ACLS certification required.
Must obtain PALS within six (6) months of hire.
Must be able to communicate effectively in English, both verbally and in writing; Additional languages preferred.
Must possess basic computer knowledge.
Must be proficient in interpreting EKG.

Nice To Haves

Experience as Charge Nurse of other leadership role preferred.
One to two years' emergency room experience preferred.

Responsibilities

Provide direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure optimal patient care.
Able to perform a head-to-toe assessment on all patients and reassessments as per policy.
Use triage process to ensure timely and appropriate care to patients; accurately assigns triage categories.
Able to adequately assess and reassess pain; Utilize appropriate pain management techniques; Educate the patient and family regarding same.
Able to monitor hemodynamic status of patient and correctly interpret the results.
Demonstrate knowledge of cardiac monitoring, identify dysrhythmias and treat appropriately.
Able to perform waived testing (point-of-care testing) per Clinical Laboratory and the patient care unit's policies and procedures.
Able to interpret the results of waived tests; Take appropriate action on waived test results.
Maintain current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition.
Follow the seven (7) medication rights and reduces the potential for medication errors.
Prepares, hangs, monitors, and discontinues IV fluids.
Maintains accurate and continued nursing documentation including patient histories, conditions, treatments, responses, and assessment of changes.
Perform all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
Supports and maintains a culture of safety and quality.
Treat patients and their families with respect and dignity.
Identify and address psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families.
Function as liaison between administration, patients, physicians, and other healthcare providers.
Demonstrate knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patients served.
Able to interpret data about the patient's status in order to identify each patient's age specific needs and provide care needed by the patient group.
Interact professionally with patient and family and involve patient and family in the formation of the plan of care.
Formulate a teaching plan based on identified learning needs and evaluate effectiveness of learning; Include family in teaching as appropriate.
Maintain a safe, comfortable, and therapeutic environment for patients and families in accordance with hospital standards.
Assist in cost containment through the appropriate ordering and conserving of supplies and equipment.
Cooperates with other staff to achiever departmental objectives; Maintains good employee relations and interdepartmental objectives.
Responds promptly to changes in workload, adjusting assignments as necessary to achieve optimal productivity and efficiency.
Provide resource information to other staff.
Demonstrate the ability to assist physicians with procedures in the Emergency Department.
Supervise temporary employees and employees who do not supervise; Allocate and monitor work of others; Lead one or more employee performing similar work.
Orient new employees to the Emergency Department.
Assist the Emergency Department Nurse Manager in the development, implementation, and evaluation of performance improvement indicators to improve patient outcomes and the work environment.
Participate in problem solving with other healthcare team members related to management of clinical care are.
Enhance professional growth and development through participation in educational programs, current literature, in service meetings and workshops; Show responsibility for own professional practice and ongoing education.
Work at maintaining a good rapport and a cooperative working relationship with physicians, other departments, and staff.
Perform other related duties as assigned.