Registered Nurse (RN - Hospital) - ED

Current Opening•Jamestown, ND

3d•Onsite

About The Position

Coordinates total nursing care for patients of all ages utilizing the nursing process; directs patient and family teaching; provides leadership by working cooperatively with ancillary nursing and other patient team personnel in maintaining standards for professional nursing practice in the clinical setting. This is a casual position working 16 hours per six-week schedule. Scheduled shifts will be a combination of 12-hour shifts on a variable Day/Night rotation. Weekend and holiday shifts will be as needed.

Requirements

Work requires a professional level of knowledge acquired by completing an accredited RN nursing education program.
Must hold RN licensure from the ND State Board of Nursing for the current year.
ED staff nurse position requires PALS/ACLS certification.
ICU staff nurse position requires completion of a basic cardiology class for nurses and ACLS certification.
Position requires completion of BLS CPR.
Position is required to attend Crisis Prevention Intervention (CPI) training in the appropriate timeframe according to department orientation checklist.
Previous work experience preferred but not required for staff RN positions in Patient Care Unit (PCU). (See exceptions indicated below).
Time to reach competency on the job: 3 weeks to 3 months for entry level staff RN.
ICU Staff RN, FBP Staff RN, ED Staff RN and PACU RN positions: Preference for a minimum of one year nursing experience following completion of RN nursing education program.
Time to reach competency on the job: 3 weeks to 3 months following orientation to the work area.
Punctual and regular attendance is an essential responsibility of each employee at JRMC.
Employees are expected to report to work as scheduled, on time and prepared to start working.
Employees are also expected to remain at work for their entire work schedule.
A high level of analytical ability is required in a variety of duties in order to gather and interpret complex data and to find solutions to difficult problems.
Independent nursing judgment is often required by the professional RN based on established policies and procedures.
Substandard performance in nursing skills or judgment may adversely affect patient care, patient welfare and hospital goodwill.
Very frequent contact with others. Must demonstrate social sensitivity and the ability to communicate effectively in a professional manner.
May be required to plan, assign work to and check the work of 1 to 5 nursing personnel doing related work on the shift. Supervision is provided to LPNs, Nurse Assistants, and Unit Clerks.
High frequency with which work performed by the staff RN may result in very serious physical or emotional harm to others. It is the responsibility of the professional RN to continuously uphold the highest degree of performance within currently defined and acceptable nursing practice standards.
Must be able to speak and write the English language in an understandable manner.
Must demonstrate physical and emotional ability to meet agreed upon work schedule and performance standards required by the position.
Required duties are such that concentrated attention must be applied on demand consistent with manual skill requirements in situations that may at times be stressful.
Visual acuity necessary for reading charts and working with medical devices; color perception necessary for interpreting testing procedures involving color comparisons.
Frequent standing or walking.
Lifts, positions, pushes and/or transfers patients and/or equipment.
Frequent reaching, stooping, bending, kneeling and crouching.
Needs finger dexterity when handling medication, specialized equipment and performing nursing assessments.
OSHA job classification: This position is defined as a Category I in which the employee does have exposure to bloodborne pathogens.
Position requires exposure to patients with infectious disease and odor.
Must practice aseptic techniques and observe Standard Precautions.
Participates in and complies with JRMC Safety Management program.
Position is subject to frequent interruptions.
Work may be on weekends and holidays; beyond normal working hours and/or temporarily in other positions when necessary.
A comprehensive background check and drug screening will be conducted as a condition of employment for this role.
A urine drug screening is required for all positions and must be completed within 30 days of the date of hire.
Continuously Standing - Frequently
Walking - Frequently
Sitting - Occasionally
Hands and Finger Dexterity - Continuously
Reaching with Hands and Arms - Continuously
Climbing - Rarely
Stooping/Kneeling/Crouching/Crawling - Frequently
Hearing/Listening - Continuously
Tasting or Smelling - Occasionally
Working Inside - Continuously
Working Outside - Rarely
Working in Extreme Heat - Never
Working in Extreme Cold - Never
Working with Hazardous Materials - Rarely
Noise - Occasionally
Working in Dirt/Dust - Rarely
Driving - Rarely
Lifting / Carrying / Pushing / Pulling: Up to 10 pounds - Continuously
Up to 25 pounds - Continuously
Up to 50 pounds - Continuously
Up to 75 pounds - Occasionally
Up to 100 pounds - Rarely
Over 100 pounds - Never

Nice To Haves

TNCC is highly encouraged.

Responsibilities

Maintains the standards of nursing care and implements the policies and procedures of the hospital and Clinical Services.
Provides direct patient care for assigned patients of all ages including pediatrics, adult and geriatrics, utilizing the nursing process including assessment, planning, intervention and evaluation.
Assesses the patient's condition considering age-specific developmental needs, educational needs of patient and family and discharge planning needs.
Develops a plan of care for the patient and prescribes appropriate nursing interventions to achieve expected patient outcomes.
Evaluates patient outcomes and modifies plan of care as patient’s needs or condition changes.
Directs and participates in discharge planning and patient and family/significant other education.
Reports pertinent observations and reactions regarding patients to the appropriate person (i.e., physicians, Unit Supervisor, and/or Nursing Manager) and records those observations accurately and concisely.
Delegates nursing care to other health care members in accordance with the patient's needs and the nursing personnel's capabilities and qualifications.
Administers medications, IV therapy and performs treatments for assigned patients as ordered by the physician.
Assists physicians with special tests and procedures such as thoracentesis, lumbar tap, etc.
Ensures that equipment is maintained in a clean and safe manner.
Participates in orientation of new personnel and performance evaluations of nursing staff.
Coordinates nursing care of patients when scheduled for therapy or procedures by other departments.
Establishes and maintains effective communications with patients, families and staff to contribute to the hospital mission.
Initiates and/or assists in emergency measures for sudden adverse developments in patients such as cardiac arrest.
Participates in the maintenance of a clean and safe environment.
Participates in staff development programs.
Performs other related duties as assigned or requested.