Registered Nurse Emergency Department Day shift Per Diem

South Shore Health•Weymouth, MA

1d•$43 - $92•Onsite

About The Position

The Registered Nurse in the Emergency Department manages individualized, outcome-oriented nursing care using the nursing process. The nurse provides care, treatment, and services by coordinating and completing assessments, planning care, and delivering care in accordance with departmental and hospital policies and procedures. This per diem position requires a minimum commitment of 48 hours per four-week schedule, including at least 24 hours worked during nights and/or weekends, and two major holidays (one summer and one winter). The posting also describes a Tier 2 per diem schedule of four 8-hour shifts from 7:00 a.m. to 3:30 p.m. (32 hours per four-week schedule), two weekend shifts, and one summer or winter holiday.

Requirements

Registered Nurse (RN) license from the Massachusetts Board of Registration in Nursing.
Graduate of an accredited School of Nursing is listed as preferred minimum education.
Previous acute-care RN experience is preferred.
Depending on department, may require Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Emergency Response Training (ERT), Neonatal Resuscitation Program (NRP), Pediatric Advanced Life Support (PALS), Trauma Nurse Core Course (TNCC), or Trauma Care After Resuscitation (TCAR) certification.
Commit to the per diem schedule described in the posting, including required weekend and holiday shifts.

Nice To Haves

Previous acute-care RN experience.
Graduate of an accredited School of Nursing.

Responsibilities

Administer, transcribe, and document medications according to South Shore Health policies; complete medication reconciliation; and follow procedures for narcotic administration, counts, waste, and discrepancy resolution.
Develop, communicate, evaluate, and update prioritized, individualized patient plans of care and document outcomes.
Initiate admission assessments within eight hours of admission, identify and document patient and family teaching needs, and continue assessment and reassessment to identify care needs.
Document patient care in accordance with nursing policies, unit standards, disease processes, and nurse-sensitive indicators.
Assess and document patient comfort using appropriate pain scales and record responses to pharmacological and non-pharmacological interventions.
Advocate for patients and families, seek representation support when needed, raise ethical concerns with the clinical team, and use available resources to support ethical decisions.
Communicate the daily plan 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.
Promote a culture of safety by verifying patient identity and procedure details, following hand-hygiene and universal-precaution guidelines, using and disposing of protective equipment and hazardous materials appropriately, and maintaining regulatory compliance in the care environment.
Understand and demonstrate individual responsibilities during hospital codes and emergency preparedness situations.
Maintain professional development through evidence-based practice, research, performance improvement, required annual contact hours, receptiveness to feedback, collaboration, critical thinking, and awareness of policy and procedure changes.
Direct licensed and non-licensed personnel as assigned and practice within the legal boundaries of the Massachusetts Nurse Practice Act.
Use Lotus Notes and department-required software, and understand how to operate during downtime.
Comply with legal, regulatory, ethical, privacy, security, and other applicable policies; complete mandatory education and report potential compliance issues to appropriate leadership.
Provide patient- and family-centered care by respecting preferences and values, involving patients and families in care planning and evaluation according to patient preferences, and welcoming family participation accordingly.
Apply age and cultural awareness, respond sensitively to diverse populations, consider individual needs, and use resources such as interpreter services and online sources.