Registered Nurse (RN), Emergency Department, Full-time, Evenings

Samaritan•Moses Lake, WA

2d•$88,171 - $167,648

About The Position

The Registered Nurse (RN) in the Emergency Department functions as both a caregiver and care manager. As a caregiver, the RN is responsible for a group of patients during a designated period and implements the Nursing Process. As a care manager, the RN directs and oversees the work of nurses and non-nurse caregivers through delegation, coordination, supervision, and evaluation of patient care outcomes. The role requires understanding Patient Care Services and exercising sound judgment when circumstances require decisions. This is a full-time position of 40 hours per week, working 10-hour shifts from 5:00 p.m. to 3:30 a.m. on various days, including rotating weekends. The RN reports to the Nursing Department Director, House Supervisor, Charge Nurse, and other designated supervisory staff on duty, and works closely with patients, physicians, and other clinicians to support optimal patient care and outcomes. An additional sign-on incentive of up to $15,000 is available to external candidates, subject to a two-year Hospital Sign on Advance Agreement.

Requirements

Graduation from an accredited school of nursing.
Current Washington State RN licensure.
Healthcare Provider-level Basic Life Support certification (AHA or equivalent) within 30 days of hire.
Ability to assess, plan, implement, and evaluate care for assigned patients.
Critical-thinking skills, including seeking resources, independent problem solving, and logical, deliberate decision-making.
Accountability and practice within legal and ethical guidelines.
Crisis-management skills.
Competence caring for patients across the age continuum.
Competence with equipment listed on the department-specific checklist.
Ability to meet the physical demands of frequent standing, walking, lifting, reaching, kneeling, bending, stooping, pushing, and pulling; carrying up to 30 pounds; and lifting or pushing/pulling 60 to 300 pounds with assistance as often as 20 times per 8- to 12-hour period.
Manual dexterity and ability to ambulate for 8 to 12 hours per shift while managing multiple pieces of equipment, tubes, and invasive lines.
Ability to perform CPR at bedside or on the floor and to carry out the physical activities described for patient care and equipment use.
Mental faculties for assessment and decision-making in the management of acutely ill patients.
Good reading eyesight, ability to see clearly at 20 feet or more, judge distance and spatial relationships, see peripherally, and observe patient assessment data and documentation tools.
Emotional stability to manage high stress, fast-paced activity, changing patient conditions, emotional demands, and working relationships during 8- to 12-hour periods.
Verbal and/or written communication skills for accurate information exchange with healthcare professionals, patients, families, and the public.

Nice To Haves

Acute-care registered nurse experience.
At least one year of RN experience for specialty nursing departments.
Emergency Department-CEN certification.

Responsibilities

Assess and collect data regarding patients’ physiologic, psychosocial, and cognitive status.
Implement care knowledgeably, skillfully, consistently, and continuously in accordance with established procedures, policies, and care plans.
Identify patient and family learning needs and readiness, and provide teaching according to policy and care plans.
Document in patient charts using electronic medical records and/or paper processes in compliance with policies and regulatory requirements.
Respect patient, significant other, and family rights without discrimination, including regardless of ability to pay.
Delegate patient care activities appropriately and supervise assigned coworkers.
Organize work and set priorities using sound critical thinking.
Use lines of authority appropriately.
When functioning as Charge Nurse, delegate or reassign patient assignments, assist with or communicate about admissions, discharges, and transfers, coordinate staff break coverage, help staff resolve problems, and lead the unit.
Maintain professional growth and development through seminars, workshops, and professional affiliations.
Follow safety requirements, including security, MSDS, equipment, infection control, fire and disaster procedures, safe lifting, and body mechanics.
Comply with organizational policies, procedures, and labor agreements.
Interact courteously and efficiently with team members and support groups in keeping with organizational values.
Maintain professional conduct and appearance appropriate to the job and organization.
Handle additional accountabilities assigned by management in a manner that meets organizational standards.