Registered Nurse Emergency Department 7p-7:30a Full Time

South Shore Health•Weymouth, MA
•$40 - $84•Onsite

About The Position

The Registered Nurse manages individualized, outcome-oriented nursing care using the nursing process. The role provides care, treatment, and services through assessment, care planning, and delivery in accordance with departmental and hospital policies and procedures. The position is in the Emergency Department and is scheduled 7:00 p.m. to 7:30 a.m., with rotating weekends and holidays. The nurse administers and documents medications according to policy, completes medication reconciliation, and follows required procedures for narcotic administration and discrepancy resolution. The nurse develops, communicates, evaluates, and updates patient-centered plans of care; assesses and reassesses patient needs; documents care and outcomes; supports patient and family education; and facilitates discharge or transfer. The role promotes a culture of safety, follows infection prevention and regulatory requirements, and participates in emergency response. The nurse maintains professional development and effective working relationships, uses department technology and downtime procedures, complies with legal and organizational requirements, safeguards patient information, and delivers care with respect for patient and family preferences, age, and cultural needs.

Requirements

  • Graduate of an accredited School of Nursing (listed as preferred minimum education).
  • Registered Nurse (RN) license; Massachusetts RN registration is listed among the license requirements.
  • Previous acute care RN experience is preferred.
  • Depending on department, certifications may be required, including BLS, ACLS, Emergency Response Training, NRP, PALS, TNCC, and TCAR.
  • Obtain at least five contact hours per year in the area of practice.
  • Practice within the legal boundaries of the Massachusetts Nurse Practice Act.

Nice To Haves

  • Previous acute care RN experience.
  • Graduation from an accredited School of Nursing.

Responsibilities

  • Administer, transcribe, and document medications in accordance with SSH policies and procedures; complete medication reconciliation and follow narcotic administration, counting, wasting, and discrepancy-resolution procedures.
  • Develop, discuss, communicate, evaluate, and update prioritized, individualized plans of care and document patient outcomes.
  • Initiate admission assessments within eight hours of admission; identify and document patient and family teaching needs, and continue assessment and reassessment of care needs.
  • Document patient care according to nursing policy, unit standards, disease processes, and nurse-sensitive indicators.
  • Assess and document comfort using the appropriate pain scale and record responses to pharmacological and non-pharmacological interventions.
  • Advocate for patients and families, seek assistance when they cannot represent themselves, and raise ethical questions or concerns with the clinical team.
  • Communicate the plan of the day using the whiteboard and update it each shift; facilitate discharge or transfer with a goal of 12:00 p.m. and communicate barriers through the chain of command.
  • Verify patient identity with two identifiers and confirm the correct patient, procedure, site, equipment, and consent before procedures and care; follow hand hygiene, universal precautions, PPE, and hazardous-material disposal requirements.
  • Maintain a regulatory-compliant environment and understand individual responsibilities during hospital codes and emergency preparedness.
  • Pursue professional development, incorporate evidence-based practice and improvement initiatives, practice within the Massachusetts Nurse Practice Act, and direct assigned licensed and non-licensed personnel.
  • Accept and respond to feedback, maintain professional working relationships, apply critical thinking, communicate effectively through the chain of command, and stay informed about policy and procedure changes.
  • Use Lotus Notes and department software applications, and understand how to operate during downtime.
  • Comply with applicable legal, regulatory, ethical, privacy, security, policy, and mandatory education requirements; report potential compliance issues to management.
  • Respect patient and family values, preferences, and needs; include them in care planning, implementation, and evaluation according to patient preferences.
  • Apply age and cultural awareness, interact sensitively with diverse populations, and use available resources such as interpreter services.
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