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 Registered Nurse position is in the Emergency Department, which has 10 beds and cares for patients from pediatric through geriatric age groups, including patients with abdominal pain, falls, strokes, chest pain, and headaches. The department staffing model includes emergency department nurses and a critical care unit coordinator around the clock, with additional emergency department nurses during daytime hours, a charge nurse, and emergency providers. Shifts are 12 hours, with every third weekend scheduled. The Registered Nurse is a clinically competent nurse with demonstrated critical care expertise who delivers care through assessment, planning, intervention, implementation, and evaluation. The role provides timely, accurate, professional nursing care to patients and families. The nurse must be willing to cross-train in the ICU and be scheduled there to maintain competency. The position is 0.6–0.75 FTE, or 48–60 hours per pay period, with an evening/night schedule. 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.
BLS and ACLS certifications, maintained throughout employment.
PALS or ENPC certification, or obtain certification within six months of employment and maintain it.
TNCC or 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.
If no candidates meet the listed requirements, one year of RN experience may be considered.
ECG recognition and interpretation within six months of employment.

Nice To Haves

BSN.
Emergency Department experience.
Certified Emergency Nurse (CEN) certification.
Paramedic, EMT, ED Internship, or ED 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 promote patient safety throughout the continuum of care, advocating for patients and respecting advance directives and patient decisions.
Complete admission assessments in accordance with 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 individual needs of adult, geriatric, adolescent, and pediatric patients and develop appropriate plans of care.
Maintain accurate, objective patient records and ensure orders are handled efficiently and accurately.
Organize workload effectively, remain flexible to environmental changes, and assume patient-care responsibilities as needed.
Use department equipment correctly and efficiently and demonstrate knowledge of preparations and equipment for department-specific procedures.
Apply nursing competencies 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 and incorporate The Joint Commission standards into critical care nursing practice.
Collaborate with and delegate to ancillary and professional staff as appropriate, ensuring adherence to their scopes of practice and considering licensure and certification.
Participate in professional growth and self-development activities and remain accountable for professional nursing practice.
Participate in staff meetings, committees, and projects and contribute to Critical Care Services quality and development.
Cross-train to the ICU and accept ICU scheduling to maintain competency.