ER Registered Nurse

Nitelines Usa•Cleveland, OH

21h•$80•Onsite

About The Position

Established in 1994, Nite Lines USA has successfully delivered contract support services to more than 144 government institutions and medical treatment facilities across the country. They are a dynamic and growing health care organization, offering a wide range of employment opportunities. They are seeking professionals and dedicated individuals to be part of their team, where integrity, respect, accountability, and collaboration are among their core principles. The Registered Nurse (RN) assigned to these areas provides direct and indirect nursing care by contributing to the patient's assessment, determining priorities, identifying nursing measures and therapeutic objectives, and evaluating outcomes. The position requires independent judgment and nursing actions, flexibility, organizational skills, and the ability to utilize an interdisciplinary approach in the provision of nursing care. The Emergency Department (ED) has 28 rooms (24 medical and 4 Psychiatric) and is open 24/7 to provide immediate, unscheduled medical care for acute illnesses and injuries. Patients are seen based on the severity of their condition through a triage system, which prioritizes those with life-threatening issues. The ED handles a wide range of medical emergencies, from broken bones and allergic reactions to critical events like heart attacks, strokes, and severe trauma. RNs perform critical duties including triage to prioritize patients, administering medications and performing procedures, monitoring vital signs, and providing patient and family support. RNs must make quick, informed decisions, collaborate with other healthcare professionals, and maintain patient records in a fast-paced environment to provide immediate care for a wide range of injuries and illnesses.

Requirements

Graduation from a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE)
A current license from the Ohio Board of Nursing or a current multi-state license from a Nurse Licensure Compact (NLC) state
Current certification in CPR by an American Health Association Vendor
Current Basic Life Support certification (BLS)
Current ACLS certification (If assigned to Intensive Care Unit/Step Down or Emergency Department)
A minimum of two (2) years direct patient care experience within the last three (3) years
A current CV which identifies the provider's education and professional qualifications commensurate with the position or specialty for which they are being offered to perform
NPI (National Provider Identifier)
Annual Office of Inspector General (OIG) Statement
Indemnification and Medical Liability Insurance

Nice To Haves

VA experience is desirable
Specialty certification preferred

Responsibilities

Provide direct and indirect nursing care, by contributing to the patient's assessment, determining priorities, identifying nursing measures and therapeutic objectives and evaluating outcomes
Utilize independent judgment and nursing actions
Utilize an interdisciplinary approach in the provision of nursing care
Report through the Charge Nurse to the Nursing Supervisor/Nursing Officer of the Day (NOD) on evenings, nights, holidays and weekends
Float among various units within the service area which they are hired, based on operational needs
Perform critical duties including triage to prioritize patients
Administer medications and perform procedures
Monitor vital signs
Provide patient and family support
Make quick, informed decisions
Collaborate with other healthcare professionals
Maintain patient records in a fast-paced environment
Perform critical care nursing to Intensive Care Unit patients
Perform scrub and circulating duties in the Emergency Department
Obtain patient history and pertinent family history
Assess patients and plan appropriate nursing care
Document plan of care and care given in patient's medical record
Verify transcription of physician's orders, no verbal orders are to be accepted (May accept a verbal order in compliance with the facility policy)
Carry out prescribed physician's orders and document in patient's medical record
Communicate pertinent patient data to charge nurse and/or physician as appropriate
Re-assess patient's condition and revise plans of care based on identified nursing problem
Administer medications and Intravenous (IV) therapies
Possess knowledge of actions and usual dosages of most commonly used emergency drugs and their location on crash cart
Assess and document patient response to medication that have been administered
Be able to interpret cardiac rhythms and their implications
Recognize and initiate appropriate measures in emergencies/therapies and surgical/diagnostic procedures that shall be accomplished
Instruct patient/family regarding prescribed medications/therapies and surgical/diagnostic procedures that shall be accomplished
Assess patient/family knowledge level, implement plan of instructions and record patient/family demonstrated level of understanding
Operate defibrillator, EKG machines and cardiac monitor and other emergency technical equipment
Participate in discharge planning, as appropriate
Be able to initiate life saving measures in the absence of physicians
Assure content and correctness of a prepared report and sign the document to validate its content
Maintain neat, personal appearance and maintain professional decorum
Consistently, apply VA customer service standards, demonstrating helpful, courteous, and respectful conduct at all times
Respect patient's rights, including but not limited to visual and auditory privacy
Assess intake and output every shift, and more frequently if indicated by specific standard nursing drug care
Review all laboratory data, and electronic medical records
Perform central line and ventilator care in compliance with LSCVAMC policy
Perform skin assessment and initiate measures to prevent Hospital Acquired Pressure Ulcer (HAPU)
Ensure that medication orders from the previous shift have been noted and either carried out or transcribed onto the medical records appropriately
Care for patients with a variety of catheters and prostheses