Registered Nurse - Emergency Department

Newport Hospital and Health Services Careers•Newport, WA

About The Position

The Registered Nurse provides skilled nursing care with initiative, flexibility, and professional responsibility, working with minimum supervision. The nurse prioritizes care according to patients’ physical and psychosocial needs and factors affecting patient flow, communicates with providers about changes in patient status and other needs, and responds promptly and accurately to changes in condition or treatment response. The role may require floating to or assisting in other areas, including Acute Care, Perinatal, Surgery, and Peri-Operative services. In the Emergency Department, duties include triaging patients using the Emergency Severity Index (ESI), cardiac monitoring and rapid identification of dysrhythmias, managing critical drips and intubated patients, and acting as a Rapid Response Nurse. The nurse applies high-level critical thinking and collaborates across disciplines and agencies while caring for critically ill patients experiencing cardiac emergencies, strokes, sepsis, trauma, and behavioral or mental health crises. The nurse provides direct, age-appropriate care across the lifespan; assesses and reassesses patients, including pain and hemodynamic status; documents care and reports abnormal findings; and works with patients, families, providers, and multidisciplinary teams to develop individualized care and teaching plans. The role also includes maintaining patient safety, confidentiality, regulatory requirements, and a clean, safe environment; participating in performance and quality improvement; and representing the District professionally.

Requirements

Graduate of an accredited school of nursing.
Active Washington State or accepted multistate Registered Nurse license.
BLS, ACLS, PALS, and NRP certifications within 90 days of hire.
ESI (Emergency Severity Index) certification within 90 days of hire.
TNCC (Trauma Nursing Core Course) within one year of hire.
ENPC (Emergency Nursing Pediatric Course) within 18 months of hire.
One year of Emergency Department or other First Responder experience, or two years as an RN in an Acute Care setting.
Effective communication and judgment skills.
Ability to work effectively within a team and adhere to policies, procedures, and regulatory standards.

Nice To Haves

Bachelor of Science in Nursing (BSN).
Certified Emergency Nurse (CEN).
Trauma Certified Registered Nurse (TCRN).
Certified Pediatric Emergency Nurse (CPEN).
Five years of experience as an RN in the Emergency Department or Intensive Care Unit.

Responsibilities

Prioritize nursing care based on patients’ physical and psychosocial needs and factors affecting patient flow.
Communicate with ordering providers about changes in patient status, clarification of orders, and other needs.
Respond quickly and accurately to changes in patients’ conditions or responses to treatment.
Float to or assist in other assigned areas, including Acute Care, Perinatal, Surgery, and Peri-Operative services.
Triage patients using the Emergency Severity Index (ESI).
Perform cardiac monitoring and rapidly identify dysrhythmias; manage critical drips and intubated patients.
Act as a Rapid Response Nurse and provide care to critically ill patients, including those experiencing cardiac emergencies, strokes, sepsis, trauma, and behavioral or mental health crises.
Provide direct patient care, evaluate outcomes, consult specialists as needed, and adjust care processes to support optimal outcomes.
Perform assessments and reassessments, including age-appropriate assessments for neonate, pediatric, adolescent, and geriatric patients.
Monitor hemodynamic status, interpret results, and intervene appropriately.
Assess and reassess pain, use appropriate pain-management techniques, and educate patients and families about pain management.
Provide care in a manner that promotes patient safety and reduces the likelihood of medical or healthcare errors.
Report abnormal findings and laboratory values to providers and document them appropriately.
Maintain accurate, ongoing nursing documentation, including histories, conditions, treatments, responses, and changes in assessment.
Respect patients and families and address their psychosocial, cultural, ethnic, and religious or spiritual needs.
Serve as a liaison among administration, patients, physicians, and other healthcare providers.
Develop individualized plans of care collaboratively with the multidisciplinary team, patient, and support network.
Create teaching plans based on identified learning needs and evaluate their effectiveness, including with the patient’s support network.
Complete required education and maintain regulatory requirements, attend staff meetings or review meeting minutes, and report to work as scheduled.
Maintain confidentiality, follow the dress code, wear identification while on duty, and represent the District professionally.
Participate in department performance improvement and continuous quality improvement activities.
Demonstrate the facility’s mission, ethics, goals, and departmental Scope of Service.
Communicate courteously and respectfully with patients, residents, guests, families, and staff, and maintain a clean, safe, accident-free environment.