Registered Nurse Emergency Department - Night Shift - Temporary

Cherokee Indian Hospital Authority•Cherokee, NC

4d•Onsite

About The Position

The Emergency Department (ED) serves as the critical hub of the Cherokee Indian Hospital, delivering high-acuity, patient-centered care to individuals of all ages. Excellence in clinical skill and critical thinking is expected, as the ED demands rapid decision-making and expert execution under pressure. Nurses are expected to exemplify the highest standards of professionalism, consistently demonstrating a positive attitude, cultural sensitivity, and adherence to the hospital’s guiding principles. Each interaction reflects a commitment to treating patients and families with dignity, compassion, and the same level of care one would offer their own loved ones. The RN’s role directly impacts patient outcomes and supports the ED’s vital role as the core of the hospital’s mission.

Requirements

Associate Degree in nursing from accredited program required.
Applicant must have an unrestricted Registered Nurse license valid to practice within the state of North Carolina.
Basic Life Support (BLS) required within 90 days of hire.
Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) which can be acquired through the facility following appointment to position. ACLS and PALS must be acquired within 6 months of date entering on duty.
TNCC and ENPC within a year of hire date.

Nice To Haves

Graduated from an accredited Bachelor of Science in Nursing program, and critical care experience preferred.
Proficiency rated at 1 year for an RN with one-year clinical nursing experience.

Responsibilities

Provides nursing care per established standards.
Performs comprehensive, ongoing patient assessments using biological, psychological, social, and cultural data.
Recognizes patient needs for health promotion, prevention, maintenance, and restoration.
Develops and initiates individualized plans of care based on assessments and diagnoses.
Establishes expected outcomes that are measurable and time-bound.
Plans for basic patient needs: nutrition, hygiene, activity, rest, oxygenation, comfort, coping.
Implements nursing interventions aligned with care plans.
Revises care plans based on patient response and changing needs.
Provides health education and anticipatory guidance tailored to patient/family understanding.
Administers medications per protocol; documents per policy.
Monitors for side effects, allergies, and reports medication errors.
Documents assessments, interventions, outcomes, and communication accurately.
Provides guidance and training to nursing staff.
Leads team when assigned; delegates based on staff competency and patient needs.
Coordinates referrals to support, community, and tribal services.
Promotes patient advocacy and maintains confidentiality.
Maintains a safe, clean environment; follows universal precautions and OSHA standards.
Participates in quality improvement and risk management activities.
Ensures adequate supplies and proper equipment function.
Serves on committees as appointed.
Maintains current competency through education and training.
Participates in nursing quality assurance and performance evaluations.
Understands nursing principles, practices, and theories across all age groups—from infants to elderly.
Proficient in the nursing process and applying it to patient care.
Understands disease processes, signs of complications, and appropriate interventions.
Knowledgeable in medication effects, dosages, side effects, and complications.
Clear understanding of RN, LPN, and CNA roles.
Familiar with legal and ethical standards in nursing.
Experienced in documentation using problem-oriented medical records.
Skilled in teaching and counseling patients/families on health maintenance and disease prevention.
Culturally competent with awareness of patient population needs.
Knowledge of community health resources and programs.
Able to analyze medical data and apply appropriate interventions.
Skilled in using medical equipment (monitors, suction, oxygen, etc.).
Understands roles of the multidisciplinary team.
Capable of leading, organizing, and prioritizing work in high-pressure settings.
Experience in setting, evaluating, and revising nursing standards.
Demonstrate flexibility, emotional intelligence, and the ability to lead individuals with varied work styles and personalities.
Maintain professionalism, integrity, and composure in high-pressure and fast-paced environments.
Provide comprehensive nursing care, including: Patient assessment and care planning, Medication administration and therapeutic interventions, Use of specialized medical equipment, Evaluation of patient outcomes, Physical and psychosocial support, Patient and family education.
Recognize and respond promptly to changes in patient condition; identify, analyze, and report contributing factors.
Practice in accordance with the Nurse Practice Act, professional standards, organizational policies, and applicable regulations.
Deliver care through a trauma-informed, culturally responsive approach, honoring each patient’s unique background.
Exercise independent clinical judgment when guidelines do not fully address patient-specific situations, critical thinking skills are essential.
Collaborate with Nurse Manager, providers, and other clinical leaders when addressing complex or atypical scenarios.
Lead and support the GEDA team in developing and implementing geriatric-specific care processes.
Provide ongoing education to nursing staff on geriatric emergency care, utilizing resources such as the Geriatric Emergency Nursing Education (GENE) course or NICHE training.
Assist in protocol development to ensure best practices in geriatric patient care.
Implement and oversee geriatric-specific protocols, ensuring adherence to accreditation standards.
Coordinate interdisciplinary team efforts to optimize workflow for older adult care in the ED.
Track, document, and report on key geriatric care metrics, ensuring continuous improvement.
Participate in quality assurance initiatives focused on geriatric patient outcomes.
Ensure appropriate physical plant modifications to improve the geriatric patient experience.
Advocate for resources and policy changes that enhance geriatric care in the ED.
Maintain compliance with GEDA accreditation standards by documenting training, certifications, and ongoing education.
Act as a liaison between ED leadership and hospital administration to align geriatric initiatives with institutional goals.