Experienced Registered Nurse Emergency Department

Mount Sinai Medical Center of Florida•Aventura, FL

About The Position

The Experienced Registered Nurse works in Mount Sinai Medical Center’s Emergency Department, providing age-specific assessment, planning, implementation, and evaluation of nursing care. The role includes emergency triage, ongoing assessment, responding to diagnostic data, administering and monitoring treatments, documenting care and patient outcomes, and coordinating transfers and discharge planning. The nurse also contributes to unit education, staff development, leadership, and performance improvement.

Requirements

Current license to practice in the State of Florida.
At least 1 year of RN experience for Level II.
BLS certification.
ACLS certification.
Complete the Workplace Violence Program within 90 days of employment.
Obtain PALS or ENPC within 3 months of hire.

Responsibilities

Apply knowledge of EMTALA laws governing transfers into and out of the Emergency Room.
Assess age-specific safety issues and trauma responses, and assess for physical abuse and suicide risk factors.
Perform age-specific Emergency Room triage, including vital signs and chief-complaint assessment, and notify a physician within 15 minutes of arrival.
Complete and document nursing admission and ongoing systems assessments, including physiological, psychological, educational, and psychosocial needs.
Respond to diagnostic data and initiate appropriate actions or interventions, including interpreting EKG tracings and arterial blood gas results.
Monitor, evaluate, document, and troubleshoot responses to vasoactive drugs, pacemaker management, mechanical ventilation, and hemodynamic care.
Develop and implement plans of care, establish priorities, and evaluate progress toward goals and discharge criteria.
Safely initiate, administer, observe, and document nursing interventions, intravenous therapy, medications, oxygen therapy, and enteral feedings.
Recognize and promptly report adverse reactions and abnormal findings to physicians.
Provide patient and significant-other instructions about the plan of care and meet patients’ general hygiene needs.
Use unit-specific equipment and restraints safely and correctly, and follow standard precautions.
Document patient valuables and arrange appropriate storage; perform aseptic dressing changes and urinary catheter insertion; collect and label specimens; perform bedside glucose monitoring; and initiate wound and skin care.
Coordinate patient transfers into and out of the Emergency Room, obtain complete physician orders, complete transfer summaries and referral forms, and give or receive reports.
Document and report patient responses to interventions, treatments, procedures, interpersonal interactions, and education.
Evaluate and document transfer and discharge needs, including anticipated problems, community or internal resources, and support systems.
Complete mandatory hospital and unit in-service training, document annual clinical competency, and plan, present, and document unit in-services as required.
Use established communication channels to resolve problems and interpersonal conflicts.
Present at least one in-service and two patient care conferences, attend 75% of staff meetings, and attend a Charge Nurse course.
Function as a Charge Nurse by maintaining clinical knowledge of unit patients, triaging and assigning beds to promote patient flow.
Serve as a preceptor or clinical resource and actively participate in unit-based performance improvement.