Experienced Registered Nurse Emergency Department

Mount Sinai Medical Center•Aventura, FL

8d•Onsite

About The Position

The Experienced Registered Nurse Emergency Department provides nursing care in Mount Sinai Medical Center’s Emergency Room. The role involves age-specific triage and ongoing assessment, developing and implementing individualized plans of care, responding to diagnostic findings, administering treatments and medications, and evaluating and documenting patient outcomes. The nurse supports emergency services including trauma care, arrhythmia recognition and management, vasoactive medications, pacemaker management, mechanical ventilation, hemodynamic monitoring, crisis intervention, and patient transfer and discharge planning. The position also includes professional development and leadership responsibilities, including maintaining competencies, participating in quality improvement, delivering in-services, attending staff meetings, functioning as a charge nurse, and serving as a preceptor or clinical resource. The listed schedule is night shift, 7 p.m. to 7 a.m.

Requirements

Current license to practice in the State of Florida.
At least one year of RN experience for Level II.
BLS and ACLS certifications.
Complete the Workplace Violence Program within 90 days of employment.
Obtain PALS or ENPC within three months of hire.

Responsibilities

Understand EMTALA laws governing transfers into and out of the Emergency Room.
Assess age-specific safety issues and interpret age-specific responses for trauma patients.
Document discharge planning, including special discharge and aftercare needs.
Interpret EKG tracings and manage arrhythmia recognition and response.
Monitor, evaluate, and document patient responses to vasoactive drugs, pacemaker management, and mechanical ventilation.
Apply crisis intervention, verbal de-escalation, and physical intervention knowledge, including in Mental Health Baker Act situations.
Assess physical abuse and suicide risk factors.
Interpret and evaluate arterial blood gas results.
Monitor, evaluate, document, and troubleshoot patients’ hemodynamic responses to plans of care.
Perform age-specific Emergency Room triage, including vital signs and chief complaint assessment, and notify a physician within 15 minutes of arrival.
Obtain and document complete nursing admission assessments and ongoing systems assessments, and develop a plan of care.
Respond to diagnostic data and initiate appropriate actions or interventions.
Assess patient education and psychosocial needs based on age, growth, and development.
Implement plans of care and establish care priorities based on patient needs.
Safely initiate and document nursing interventions in emergencies.
Administer, observe, and document intravenous therapy according to hospital policy.
Administer medications, observe their effectiveness, and immediately recognize and report adverse reactions.
Provide patients and significant others with individualized instructions each shift regarding the plan of care.
Use unit-specific equipment safely and correctly and meet patients’ general hygiene needs.
Follow standard precaution guidelines and document and arrange appropriate storage for patient valuables.
Perform dressing changes using aseptic technique; collect and label ordered specimens; and perform bedside glucose monitoring according to policy.
Administer internal feedings via NG, G, or J tube.
Immediately report abnormal findings to a physician.
Initiate wound and skin care when wounds or skin breakdown are identified.
Insert intermittent or indwelling urinary catheters using aseptic technique and administer oxygen therapy according to physician orders.
Transfer patients into and out of the Emergency Room efficiently, obtain complete and correct physician orders, complete transfer summaries and referral forms, and give or receive report for intra-facility transfers.
Use restraints safely and correctly.
Document and report patient responses and outcomes from nursing interventions, treatments, procedures, interpersonal interactions, and patient or family education.
Evaluate and document progress toward established goals and discharge criteria.
Evaluate and document transfer and discharge planning needs based on anticipated problems, resources, and support systems.
Complete all mandatory hospital and unit-specific in-service training annually before the evaluation date; plan, present, and document unit in-services as required by level; and document clinical skills competency annually.
Use established communication channels to resolve problems and interpersonal conflict.
Present at least one in-service and two patient care conferences, and attend 75% of staff meetings.
Function as a charge nurse by maintaining clinical knowledge of unit patients, conducting triage, and assigning beds to promote patient flow; attend a Charge Nurse course.
Serve as a preceptor or clinical resource and actively participate in unit-based performance improvement.