REGISTERED NURSE EMERGENCY FT [0353]

A Team Solutions LLC•Phoenix, AZ

58d•$60 - $63•Onsite

About The Position

A-Team Solutions LLC is seeking a Registered Nurse for the ED department at the VA Phoenix, AZ. This is a full-time position with a night shift available, initially for a 1-year contract with possible extension. The role involves providing direct and indirect nursing care, contributing to patient assessment, determining priorities, identifying nursing measures, and evaluating outcomes. It requires independent judgment, flexibility, organizational skills, and the ability to use an interdisciplinary approach. Responsibilities include obtaining patient history, assessing and planning care, documenting care, verifying physician's orders, administering medications and IV therapies, interpreting cardiac rhythms, operating emergency equipment, caring for patients with advanced monitoring lines and ventilators, participating in discharge planning, and initiating life-saving measures. The nurse must maintain professional decorum, adhere to VA customer service standards, respect patient rights, and manage intake/output, laboratory data, and electronic medical records. The role also involves titrating medications and managing feeding tubes and urinary catheters.

Requirements

Unrestricted nursing license
BLS certification
ACLS certification
Minimum of 2 years ED experience
Authorized to work in U.S.

Responsibilities

Provides direct and indirect nursing care, contributing to the patient’s assessment, determining priorities, identifying nursing measures and therapeutic objectives and evaluating outcomes.
Obtain patient history and pertinent family history.
Assess patient and plan appropriate nursing care.
Document plan of care and care given in patient’s medical record.
Verify transcription of physician’s orders, no verbal orders are to be accepted.
Carry out prescribed physician’s orders and document inpatient medical record.
Communicate pertinent patient data to charge nurse and/or physician as appropriate.
Re-assess patient’s condition and revise plans of care based on identified nursing problem.
Administer medications and IV therapies.
Possess knowledge of actions and usual dosages of most commonly used emergency drugs and their location on crash cart.
Assess and document patient response to medication that have been administered.
Be able to interpret cardiac rhythms and their implications.
Reorganize and initiate appropriate measures in emergencies/therapies and surgical/diagnostic procedures that must be accomplished.
Instruct patient/family regarding prescribed medications/therapies and surgical/diagnostic procedures that must be accomplished.
Assess patient/family knowledge level, implement plan of instructions and record patient/family demonstrated level of understanding.
Operate defibrillator, EKG machines and cardiac monitor and other emergency technical equipment.
Care for patients with Swan-Ganz Catheters, Arterial lines and mechanical ventilators.
Participate in discharge planning, as appropriate.
Be able to initiate life saving measures in the absence of physicians.
Assure content and correctness of a prepared report and sign the document to validate its content.
Maintain neat, personal appearance and maintain professional decorum.
Consistently, apply VA customer service standards, demonstrating helpful, courteous, and respectful conduct at all times.
Respect patient’s rights, including but not limited to visual and auditory privacy.
May accept a verbal order in compliance with the facility policy.
Intake and output is assessed every shift, and more frequently if indicated by specific standard nursing drug care.
Must review all laboratory data, and electronic medical records.
Must have ability to titrate medications.
Be responsible for feeding tubes which are aspirated for gastric residual prior to every intermittent feed and every 4 hours for continuous tube feedings.
Must perform urinary catheter care by using soap and water cleaning technique every twelve hours or as required.