Registered Nurse - Emergency Room

Grand Itasca Clinic & Hospital•Grand Rapids, MN

About The Position

Grand Itasca is a nonprofit organization focused on transforming rural health care through quality, access, and value. The Emergency Department Registered Nurse provides timely, accurate, professional critical care to patients and families using the nursing process of assessment, planning, intervention, implementation, and evaluation. The 10-bed emergency department treats patients from pediatric through geriatric ages and is staffed by emergency and critical-care personnel around the clock. The position is 0.6–0.75 FTE (48–60 hours per pay period), with day and night shifts, 12-hour shifts, and work every third weekend. The nurse must be willing to cross-train in the ICU and be scheduled there to maintain competency. A $10,000 sign-on bonus is offered.

Requirements

Registration with the Minnesota Board of Nursing.
Equivalent of one year of critical-care experience within the past five years; if no candidates meet the stated requirements, candidates with one year of RN experience may be considered.
Obtain ECG recognition and interpretation competency within six months of employment.
Current Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certifications, maintained throughout employment.
Pediatric Advanced Life Support (PALS) or Emergency Nursing Pediatric Course (ENPC) certification, or obtain certification within six months of employment and maintain it.
Trauma Nursing Core Course (TNCC) or Comprehensive Advanced Life Support (CALS) certification, or obtain certification within 12 months of employment and maintain it.
Ability to follow and adhere to Grand Itasca Clinic and Hospital policies, vision, mission, and values.
Reliable and consistent attendance.

Nice To Haves

Bachelor of Science in Nursing (BSN).
Emergency Department experience.
Certified Emergency Nurse (CEN) certification.
Paramedic, EMT, Emergency Department internship, or Emergency Department capstone experience.

Responsibilities

Manage multiple patient, family, staff, and physician priorities within short time frames; organize workload using critical thinking, delegation, and respectful communication.
Provide quality care and ensure patient safety throughout care, advocating for patients and respecting advance directives and patient decisions.
Complete admission assessments according to unit policy, using medical history, therapeutic communication, and physical assessment.
Identify nursing diagnoses and collaborative problems and determine appropriate interventions within accepted standards of care.
Assess adult, geriatric, adolescent, and pediatric patients and develop appropriate plans of care.
Maintain accurate, objective patient records and ensure orders are processed accurately and efficiently.
Organize workload effectively, assume patient-care responsibilities, and remain flexible as conditions change.
Use department equipment correctly and efficiently, including equipment and preparations required for department-specific procedures.
Perform nursing skills including IV access, ECG interpretation, hemodynamic monitoring and interpretation, airway management, pain management, neurological assessment, fluid management, infection control, respiratory management, and sedation/analgesia assessment and monitoring.
Communicate professionally and collaborate with patients, families, coworkers, health-care team members, and ancillary departments to coordinate patient-centered care.
Ensure plans of care comply with nursing standards and hospital policies and procedures.
Participate in performance-improvement activities.
Maintain knowledge of Joint Commission standards and incorporate them into critical-care nursing practice.
Collaborate with and delegate to ancillary and professional staff as appropriate, ensuring adherence to scopes of practice and considering licensure and certification.
Participate in professional growth and self-development and remain accountable for professional nursing practice.
Participate in staff meetings, committees, and projects, contributing to Critical Care Services quality and development.
Cross-train to the ICU and work there as scheduled to maintain competency.