RN Emergency Department - Full Time, Night Shift

Adventist Health•Marysville, WA

About The Position

Adventist Health and Rideout is seeking a registered professional nurse for its Emergency Department. The nurse assumes responsibility and accountability for a group of patients during an assigned shift and prescribes nursing care based on the nursing process, the medical plan of care, and input from patients and significant others. The nurse collaborates with physicians and other members of the healthcare team and coordinates care for patients of any age, depending on the assigned unit. The role includes incorporating teaching and discharge planning into the care plan and delegating appropriate aspects of care to nursing staff in accordance with their clinical competence and legal scope of practice. This position is represented by CNA, with terms and conditions governed by the applicable collective bargaining agreement. Adventist Health requires associates to receive required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply.

Requirements

  • Current Registered Nurse (RN) licensure in the state of practice.
  • Basic Life Support (BLS) certification from an approved vendor per Adventist Health policy.
  • Advanced Cardiovascular Life Support (ACLS) certification from an approved vendor per Adventist Health policy.
  • Pediatric Advanced Life Support (PALS) certification from an approved vendor per Adventist Health policy.
  • Trauma Nursing Core Course (TNCC).
  • For Emergency Department: PALS certification at time of hire; TNCC certification within one year of hire; and demonstrated competency in IV sedation within six months of hire.
  • Receive required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply.

Nice To Haves

  • Bachelor’s Degree in Nursing (BSN).
  • Acute care facility experience.
  • MICN and CEN certifications for the Emergency Department.

Responsibilities

  • Use the nursing process to assess patients, develop and implement individualized care plans, evaluate outcomes and progress toward goals, and modify plans as needed.
  • Consider patients’ age-specific, cultural, and spiritual needs and collaborate with other disciplines on care plans.
  • Apply knowledge of illnesses, injuries, diseases, developmental stages, and pharmacology when providing care and administering medications and IV therapy.
  • Educate patients and families throughout care, adapting learning activities and materials to their needs and evaluating effectiveness through feedback.
  • Respond to patient emergencies and internal or external disasters according to established protocols.
  • Oversee patient care and address or correct errors to protect patient safety and wellbeing.
  • Report patient observations, reactions, and problems to appropriate personnel promptly.
  • Take responsibility for problem-solving and clinical decision-making during the assigned shift, set care priorities, and respond to workload changes.
  • Ensure continuity of care by processing and following through on physician orders and treatment plans.
  • Advocate for patients’ rights and intervene when necessary to preserve them.
  • Delegate appropriately to CNAs and student nurses based on competence and scope of practice.
  • Practice according to the California Nurse Practice Act and remain aware of professional responsibilities and legal scope of practice.
  • Communicate effectively with patients, families, staff, physicians, and coworkers using appropriate resources.
  • Document patient assessments, nursing interventions, and care provided.
  • Perform technical patient-care tasks according to established policies and procedures, adapting techniques to patient needs and comfort.
  • Prepare and administer medications and IVs with consideration for age-specific needs.
  • Perform emergency procedures such as CPR and assess patient response.
  • Use patient-care equipment safely, including electric beds, infusion pumps, mechanical lifts, suction devices, physiologic monitors, and traction equipment.
  • Perform other job-related duties as assigned.
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