RN (ER) Night Shift FT

Bunkie General Hospital•Bunkie, LA

About The Position

The Registered Nurse (RN) is responsible for assessing, planning, implementing, and evaluating patient care in accordance with hospital policies, professional nursing standards, and CMS Conditions of Participation for Critical Access Hospitals. The RN exercises independent clinical judgment, collaborates with the interdisciplinary team, and advocates for patient safety and quality care across the continuum. When assigned to or floating to the Emergency Department (ED), or employed primarily in the ED, the RN functions as the lead RN for Emergency Services. The RN coordinates and prioritizes emergency patient care, provides clinical oversight of ED nursing personnel, and ensures timely assessment, treatment, stabilization, and disposition of emergency patients. The ED RN is the primary point of contact for providers, ancillary departments, EMS, and transfer facilities, and facilitates appropriate communication and documentation. The RN ensures compliance with EMTALA requirements, hospital policies, and regulatory standards applicable to emergency care. The role includes participation in patient triage and emergency preparedness, maintaining readiness of emergency equipment and supplies, and responding to emergencies. The RN also supports hospital quality and patient-safety initiatives, maintains confidentiality, follows infection-control and safety practices, and communicates professionally and compassionately with patients and families. This is a full-time, night-shift position.

Requirements

Graduate from an accredited school of nursing.
Maintain current licensure as a Registered Nurse in the state of Louisiana.
Demonstrate clinical competence, leadership ability, and sound nursing judgment.
Knowledge of hospital policies, standards of care, and regulatory requirements.
Successfully complete hospital orientation and unit-specific training.
Maintain current CPR, ACLS, and PALS certifications.
Maintain TNCC certification as applicable to the assigned unit or patient population.
Satisfactory completion of annual performance evaluation and competencies.
Basic computer skills and competency with the electronic medical record.
Ability to communicate effectively with interdisciplinary team members, patients, families, and tertiary entities directly involved in the patient’s plan of treatment.
Ability to prioritize care in a fast-paced environment.
Ability to follow hospital policies, professional standards of practice, and regulatory requirements.
Ability to lift, push, and pull.
Dexterity and mobility.
Ability to stand and walk for prolonged periods.
Ability to work in a healthcare environment.

Responsibilities

Supervise LPN and CNA staff in providing patient care and delegate assignments within each discipline’s scope of practice.
Evaluate patient care daily by assessing patients and reviewing nursing documentation.
Supervise clinical nursing activities to promote patient comfort and safety.
Perform and document the initial interview and assessment on inpatient or swing-bed admission when the Charge Nurse is unable to do so.
Initiate and participate in each admitted patient’s care plan.
Assess or review each inpatient’s assessment at least once every 24 hours and as needed, including after an acute change in status, a fall, or a need for a change in level of care.
Communicate changes in patient condition immediately to the provider.
Initiate appropriate nursing interventions based on patient status.
Initiate patient education before discharge.
Provide nursing care and administer medications according to hospital policy and procedure.
Collaborate with physicians, ancillary services, and interdisciplinary team members to coordinate patient care.
Respond to medical emergencies according to hospital policy.
Advocate for patient safety and quality of care by recognizing and reporting unsafe practices, changes in patient condition, and deviations from standards of care.
Use the hospital’s chain of command to escalate unresolved concerns related to patient safety, staffing, clinical decisions, or unsafe practices.
Report safety concerns, near misses, and adverse events in accordance with hospital policy.
When assigned to or floating to the ED, or employed primarily in the ED, coordinate and prioritize emergency patient care and provide clinical oversight of assigned nursing personnel.
Ensure timely assessment, treatment, stabilization, and disposition of emergency patients.
Serve as the primary point of contact for providers, ancillary departments, EMS, and transfer facilities, and facilitate communication and documentation.
Ensure compliance with EMTALA requirements, hospital policies, and regulatory standards applicable to emergency care.
Initiate appropriate emergency interventions according to hospital policy and standing orders, including in trauma, cardiac, respiratory-distress, and other acute situations.
When functioning in the ED, participate in patient triage and emergency preparedness activities and ensure emergency equipment and supplies are ready.
Adhere to hospital policies and procedures and maintain confidentiality in accordance with HIPAA.
Participate in ongoing education, routine staff meetings, and annual competencies.
Complete timely and thorough nursing documentation in accordance with hospital policy and standards of care.
Participate in emergency preparedness and response activities.
Follow infection-prevention and control practices, safety protocols, fall-prevention practices, and medication-safety practices.
Communicate professionally, respectfully, and compassionately with patients and families.
Perform other duties as assigned within the scope of nursing practice.