Registered Nurse - Emergency Department

St. Josephs Medical Center•Houston, TX

About The Position

The Registered Nurse is accountable for observing, assessing, intervening, evaluating, rehabilitating, and teaching people who are ill, injured, infirm, or experiencing a change in health. The role includes maintaining health and preventing illness; administering medications and treatments as ordered by a physician; supervising or teaching nursing; administering, supervising, and evaluating nursing practices, policies, and procedures; performing acts delegated by a physician; and developing nursing care plans. In the Emergency Department, the nurse triages and prioritizes patients, assesses and treats traumatic injuries and cardiac symptoms, and manages rapidly changing or life-threatening conditions in accordance with facility guidelines and advanced cardiac and pediatric life support protocols. The nurse also manages pain, provides age-appropriate care and education, and teaches patients or caregivers about home care, medications, pain management, referrals, and follow-up. The position is PRN on the day shift, 6:30 a.m.–7 p.m., with possible weekend rotation.

Requirements

  • Current licensure as a Registered Nurse accepted by the Texas State Board of Nursing to engage in professional nursing.
  • Technical, clerical, critical-thinking, and interpersonal skills relevant to patient care and the work area.
  • Certifications as required by the certification policy, including BLS, ACLS, PALS, and TNCC.
  • Ability to communicate effectively in English, verbally and in writing.

Nice To Haves

  • Emergency Room experience.
  • Baccalaureate degree or progression toward a baccalaureate degree.
  • National certification recognized by the American Nurses Credentialing Center.
  • Bilingual or multilingual ability.

Responsibilities

  • Triage, assess, and prioritize arriving patients using the ESI Level 5 Triage System; triage assignment requires at least one year of ED experience, completion of the ESI course, and documented triage competency.
  • Perform primary and secondary assessments for patients with traumatic injuries and initiate immediate nursing care and therapy for patients presenting with cardiac symptoms.
  • Assess and manage patients with rapidly changing or life-threatening conditions in accordance with Emergency Care Center guidelines, order sets, and Advanced Cardiac and Pediatric Life Support protocols.
  • Manage pain-control needs for all patients.
  • Provide care and education appropriate to the age-related needs of infants, children, adolescents, young adults, and elderly patients.
  • Educate patients or caregivers about home care, safe and effective medication use, pain management and comfort, referrals and resources, and when to seek further care and follow-up.
  • Maintain eight hours of stroke-specific education annually.
  • Incorporate patients’ physiological, psychological, cultural, developmental, and spiritual needs into care plans.
  • Direct, supervise, and guide support personnel implementing the patient’s plan of care, and evaluate delegated tasks.
  • Collaborate with interprofessional and intraprofessional colleagues to achieve quality outcomes.
  • Complete annual education and competency validation requirements, and maintain knowledge of current standards, trends, and developments.
  • Use the nursing process, professional judgment, and critical thinking to prepare, prioritize, and carry out care consistent with assessments, physician treatment plans, and professional standards.
  • Promote patient safety by identifying risks and hazards, mitigating potential harm, and preventing exposure to infectious pathogens and communicable conditions.
  • Listen to and honor patients’ and families’ perspectives, choices, knowledge, values, beliefs, and cultural backgrounds, and provide timely, complete, and unbiased information to support participation in care and decision-making.
  • Collaborate with patients, families, practitioners, and healthcare leaders in care delivery and in the development, implementation, and evaluation of policies and programs.
  • Support a just culture, take ownership of patient-safety issues, and acknowledge problems that require attention.
  • Support the Mission, Vision, and Values of St. Joseph Medical Center and comply with its Standards of Conduct, Corporate Compliance, and HIPAA policies.
  • Enhance the patient experience, contribute to improving HCAHPS results, and steward hospital resources while ensuring quality care.
  • Perform other duties as assigned.
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