RN-ED

Granville Health System•Oxford, NC

11h•Onsite

About The Position

Granville Health System is seeking a professional Registered Nurse to provide emergency department care in Oxford, North Carolina. The RN is accountable for the care of multiple patients and uses nursing and critical-thinking processes while collaborating with the Emergency Services team and allied health providers to support efficient, coordinated care. The position requires compliance with Granville Health System policies and applicable nursing, healthcare, and regulatory standards. The RN practices according to competencies established by the North Carolina Board of Nursing, the American Nurses Association, and the Emergency Nurses Association, uses the health system’s information and electronic documentation systems, and completes a discipline-specific, competency-based preceptorship with validation. Responsibilities include triage using the five-level ESI process; supporting patient throughput; conducting and documenting patient assessments and reassessments; carrying out ordered and protocol-based interventions; administering and monitoring medications and IV therapy; initiating appropriate laboratory and radiology studies; communicating clinical findings and completing handoffs using SBAR; responding to emergencies; educating patients; following infection-control practices; and providing safe care according to established protocols. The RN also maintains accurate patient records, including allergies, nursing actions, medication administration, changes in condition, and patient belongings.

Requirements

Graduate of an accredited school of nursing.
Current North Carolina registered nurse license.
BLS, ACLS, and PALS certifications, or obtain them within six months of hire.
Obtain the Handle with Care Certificate within six months of hire and maintain it as current.
Complete a discipline-specific, competency-based preceptorship with validation.

Nice To Haves

At least one year of recent clinical experience in a critical care setting, including Emergency Services and/or an Intensive Care Unit, mobile or facility-based, is preferred.
NRP certification preferred.
TNCC certification preferred.

Responsibilities

Use the five-level ESI triage process and applicable standing nursing interventions; monitor the waiting area for safety and service concerns and perform system rechecks when assigned to triage.
Facilitate patient flow through the emergency care system, communicate relevant information to the charge nurse and waiting family or significant others, and follow bed-assignment, transfer, admission, and throughput processes.
Perform and document initial and follow-up routine and focused head-to-toe assessments and reassess patients at appropriate intervals after interventions or as ordered by physicians.
Provide nursing interventions ordered by physicians or authorized through established protocols; administer, monitor, and document medications and IV therapy, and initiate appropriate laboratory and radiology studies.
Communicate significant clinical findings to physicians and maintain communication with ancillary staff involved in emergency department care.
Complete patient handoffs according to health system policy using the SBAR technique.
Document care in the EDM electronic documentation system, including allergies, nursing actions, medication administration, drug reactions, changes in condition, orders, and patient belongings; complete handwritten documentation when required according to policy.
Demonstrate understanding of the health system’s EOC Code structure and perform assigned duties during code calls; use emergency equipment and supplies safely and participate in code, trauma, and resuscitation responses.
Provide patient education and health information, complete discharge teaching documentation and obtain required signatures, and provide discharge instructions and teaching materials to patients.
Follow infection-control standards, including hand hygiene, appropriate sanitary wipe-downs, and universal precautions.
Plan and provide safe nursing care, implement patient-specific safety procedures, maintain appropriate bed and call-bell safety measures, and report unusual occurrences according to EOC protocols.