Registered Nurse - Emergency Room (PRN Days)

ERP International•San Diego, CA
•$78 - $88•Onsite

About The Position

ERP International, LLC is seeking an Emergency Room Registered Nurse for a PRN position supporting Naval Medical Center San Diego, California. The role provides emergency nursing care in a military treatment facility and requires coverage services 24 hours a day, 7 days a week, including federal holidays. Shifts are 12.5 hours; the listed day shift runs from 5:45 a.m. to 6:15 p.m. The nurse coordinates patient care with healthcare professionals, follows applicable standards and facility policies, performs assessments and triage, develops and carries out plans of care, administers medications and treatments, and responds to emergencies. The nurse also supports patient education, referrals, discharge planning, and the instruction and direction of other healthcare personnel. Required unit and command competencies must be completed during shadow orientation or within 90 days of assignment, as specified.

Requirements

  • Baccalaureate Degree in Nursing, Graduate Diploma in Nursing, or Associate Degree in Nursing from an accredited agency such as ACEN or CCNE.
  • At least three years of Emergency Room RN experience within the last four years; alternatively, with a break in employment, at least three years of extensive prior Emergency Room RN experience within the last six years; applicants with prior military experience as an Emergency Room Registered Nurse must have at least one year of experience.
  • Current, full, active, unrestricted Registered Nurse license.
  • Ability to pass a government background check/security clearance.
  • Current AHA or ARC BLS Healthcare Provider certification, ACLS, and PALS.

Responsibilities

  • Coordinate patient care with healthcare professionals to support clinical quality and cost-effective outcomes.
  • Comply with standards of care and practice and applicable policies, procedures, and guidelines at the military treatment facility.
  • Perform physical examinations, obtain health histories, and conduct ongoing assessments and data collection.
  • Provide health promotion, counseling, education, and individualized nursing interventions, including medication administration and wound care.
  • Direct care provided by other healthcare professionals and make patient-care assignments based on personnel scope of practice and skill level.
  • Recognize adverse signs and symptoms and respond quickly in emergency situations.
  • Communicate and collaborate with patients, families, and the healthcare team to coordinate care and provide education.
  • Make referral appointments and arrange specialty care as appropriate.
  • Perform nursing services identified in the task order and conduct research supporting improved practice and patient outcomes.
  • Assess patients and perform triage duties; receive calls and patients presenting to the Emergency Room and triage them to an appropriate level of care within the military treatment facility.
  • Formulate and implement goal-directed plans of care based on nursing diagnoses, patient outcomes, patient needs, and available resources.
  • Evaluate the effectiveness of care provided by health team members and the contribution of systems, environment, and instrumentation toward patient outcomes.
  • Provide treatment and discharge instructions when patients are released.
  • Provide a safe and clean environment for each patient.
  • Identify patient and significant-other learning needs and implement measures to address them.
  • Assist with planning, provide clinical direction, and instruct LPNs/LVNs, nursing assistants, and ancillary personnel.
  • Use Secure Messaging to communicate with patients and facilitate care through non-traditional means.
  • Complete annual training, including Command Respirator Fitness Testing Program requirements.
  • Complete unit and command competencies, including IV access and therapy, medication administration, environment of care, and ER nursing and equipment competencies, during shadow orientation before working independently.
  • Complete required Emergency Department and command competencies—including restraints, Massive Transfusion Protocol, blood product administration, triage, and IV conscious sedation—within 90 days of assignment at NHCP.
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