Registered Nurse - Emergency Department - Night

WellSpan Health•Chambersburg, PA

22h•Onsite

About The Position

This is a part-time Registered Nurse position in a 30-bed Emergency Care Unit. The unit is fast-paced and high acuity, handling approximately 155 visits per day and over 55,000 annual visits. The role includes ACLS, PALS, and EKG training. A Clinical Educator facilitates an orientation program focused on Emergency Nursing, especially for novice nurses, and offers the Emergency Nursing Association (ENA) orientation curriculum online. The position is 40 hours biweekly, with a 12-hour Evening/Night rotation, requiring every third weekend. Eligible for shift and weekend differential. The Registered Nurse is responsible and accountable for implementing, directing, and coordinating patient care through the nursing process: assessment, planning, implementation, and evaluation. This includes recognizing and treating physical and psychosocial changes unique to the age/population group served on the specific unit.

Requirements

Graduate of an accredited School of Nursing required
Evidence of participation in educational programs to update and maintain current knowledge and clinical skills.
Experience applying customer service behaviors and communication skills required.
Successful completion of EKG course required.
At least two years of acute care nursing required (Tele-Observation, IMCU, CCU, Cath Lab, ED).
For Emergency Department, at least one year of RN experience in ED or Critical Care required.
Child Abuse Recognition and Reporting Training in accordance with Act31 of 2014 required.
Federal Bureau of Investigation (FBI) Clearance and finger printing required.
Eligible for or currently licensed as a Registered Professional Nurse in Pennsylvania.
CPR certification required.
Proficiency in cardiac monitor interpretation required for Emergency.

Nice To Haves

Bachelor of Science in Nursing is preferred.
Previous nursing experience in specialty area preferred.
Certification in specialty preferred.
ACLS required for Emergency, or achieved within one year of start date.
PALS required for Emergency, or achieved within one year from start date.

Responsibilities

Demonstrates safe medication practice.
Maintains a professional image that reflects the employee’s role in health care, with confidence and a positive impression.
Completes chart check to ensure no missed orders.
Accurately transcribes physician’s orders.
Demonstrates therapeutic communication skills.
Demonstrates ability to assess patient education needs and use of patient education resources.
Demonstrates involvement in unit by attending 50% of staff/committee meetings and in-services for area.
Demonstrates leadership through the nursing process and supervision while maintaining accountability for treatment and patient outcomes.
Acts as a resource person regarding patient care, specialty area, orientation and teaching of staff.
Responds to delays in a calm manner. Apologizes for inconveniences and gives alternatives.
Analyzes assessment data, identifies priority problems and documents on Plan of Care in PCS for patients and families and significant others.
Uses effective problem-solving skills to plan patient care.
Identifies critical factors evidencing changes in patient condition and responds appropriately.
Completes and documents discharge assessment against plan of care goals.
Initiates and maintains Intravenous Therapy according to IV standards.
Responds appropriately to emergency situations.
Utilizes proper body mechanics to prevent injury to self and others. Safely positions, transfers and transports patients.
Functions as a virtual nurse as assigned which includes, but is not limited to, admissions, discharges, education, documentation through a virtual platform and working collaboratively with the bedside nursing staff.
Completes accurate initial triage to ESI and department standards.
Performs thorough and accurate chief complaint specific assessments on all age groups.
Assesses and identifies patients for indications of physical, sexual, or psychological abuse and initiates appropriate follow-up.
Implements advanced emergency skills to ED patients.
Collaboratively coordinates with other departments and disciplines in order to meet patient’s needs.
Achieves credentialing in conscious sedation annually and demonstrates appropriate clinical performance as evidenced by successful observation and chart review.
Attends annual skills day for all other unit specific competencies and reviews.
Early identification and expedient processing of AMI patients to cath lab to meet benchmark door to balloon times.
Demonstrates appropriate technique of accessing, maintaining, and de-accessing indwelling ports.
Accurately completes and transmits 12 lead EKG’s.
Able to demonstrate proper set up and verbalize proper nursing care during and after insertion of chest tube.
Demonstrates proficient phlebotomy skills on all age groups and follows procedures for patient identification and specimen labeling.
Demonstrates proper use of Lifepak in all functions.
Properly identifies patients by chief complaint and initiates department protocols in collaboration with ED Physician.
Demonstrates proper application of restraints in the ED setting and completes required documentation timely and accurately.
Documentation thorough and complete as evidenced by random chart audits.