Registered Nurse Emergency Department 3pm - 11:30pm Per Diem

South Shore Health•Weymouth, MA

7d•Onsite

About The Position

The Registered Nurse provides individualized, outcome-oriented nursing care in the Emergency Department using the nursing process. The role involves coordinating assessment, planning, and delivery of care in accordance with departmental and hospital policies and procedures. The position is per diem and requires at least 48 hours of work per four-week schedule, including at least 24 hours during nights and/or weekends, and two major holidays per year (one summer and one winter). The described schedule is six 8-hour evening shifts from 3:00 p.m. to 11:30 p.m. per four-week schedule, including two weekend shifts. The nurse administers and documents medications, maintains and updates individualized plans of care, assesses and reassesses patient needs, provides patient- and family-centered care, and supports safe transitions and discharge. The role also includes maintaining a safe and compliant environment, ongoing professional development, effective use of required technology, and care that is responsive to patients’ age, culture, values, and preferences.

Requirements

Registered Nurse (RN) license from the Massachusetts Board of Registration in Nursing.
Basic Life Support (BLS) certification; other certifications may be required depending on the department, including ACLS, Emergency Response Training, NRP, PALS, TNCC, or TCAR.
Ability to work the stated per-diem schedule and holiday requirements.

Nice To Haves

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

Responsibilities

Administer, transcribe, reconcile, and document medications according to SSH policies; manage narcotic counts, waste, withdrawal documentation, and discrepancies according to policy.
Develop, communicate, evaluate, and update prioritized problem lists and individualized plans of care, documenting outcomes and patient teaching needs.
Perform ongoing assessments and reassessments, identify care needs, and document care according to nursing policies, unit standards, disease processes, and nurse-sensitive indicators.
Assess and document comfort using appropriate pain scales and record responses to pharmacological and non-pharmacological interventions.
Advocate for patients and families, seek help when they cannot represent themselves, and raise ethical questions or concerns with the clinical team.
Communicate the plan of the day using the whiteboard and facilitate discharge or transfer, communicating barriers through the chain of command.
Promote a culture of safety, including use of two patient identifiers and time-outs, hand hygiene, universal precautions, appropriate personal protective equipment, and proper hazardous-material disposal.
Maintain an environment that meets regulatory requirements and understand individual responsibilities during hospital codes and emergency preparedness.
Maintain professional development through evidence-based practice, research, performance improvement, required contact hours, and response to feedback.
Work within the legal boundaries of the Massachusetts Nurse Practice Act and direct licensed and non-licensed personnel when assigned.
Use required technology and software, review applicable communications and learning resources, and understand downtime procedures.
Comply with legal, regulatory, ethical, privacy, security, education, and other applicable policies and procedures; report potential compliance issues to leadership.
Partner with patients and families according to patient preferences in planning, implementing, and evaluating care, and welcome family participation as appropriate.
Apply age and cultural awareness, interact sensitively with diverse populations, and use resources such as interpreter services when needed.
Work a minimum of 48 hours per four-week schedule, including at least 24 hours during nights and/or weekends, two weekend shifts, and two major holidays annually.