Registered Nurse - Emergency Department- Night

St. Josephs Medical Center•Houston, TX

1d•Onsite

About The Position

The Registered Nurse in the Emergency Department provides professional nursing care to people who are ill, injured, infirm, or experiencing changes in their health. The role includes observation, assessment, intervention, evaluation, rehabilitation, health teaching, health maintenance, illness prevention, medication and treatment administration as ordered by a physician, nursing supervision and teaching, and development of nursing care plans. This is a full-time night-shift position, scheduled from 6:30 p.m. to 7:00 a.m., with possible weekend rotation. The nurse triages and assesses emergency patients, provides care for traumatic injuries and cardiac symptoms, manages rapidly changing or life-threatening conditions, and delivers pain management and age-appropriate care and education. The nurse also educates patients and caregivers about home care and follow-up, collaborates with the care team, directs and evaluates delegated support tasks, and promotes patient safety, quality outcomes, and responsible use of hospital resources. St. Joseph Medical Center is a downtown Houston hospital that provides emergency, inpatient, surgical, maternity, outpatient, cardiac and vascular, wound care, and other services. The organization describes diversity, equity, inclusion, and belonging as foundational to its care and employment practices.

Requirements

Current license as a Registered Nurse accepted by the Texas State Board of Nursing to engage in professional nursing.
Technical, clerical, critical-thinking, and interpersonal skills relevant to patient care and the work area.
BLS, ACLS, PALS, and TNCC certifications, as required by the certification policy.
Effective verbal and written communication skills in English.
For assignment to triage: at least one year of ED experience, completion of the ESI course, and documented triage competency.
Maintain eight hours of stroke-specific education yearly.

Nice To Haves

Emergency Room experience.
Baccalaureate degree or progress toward a baccalaureate degree.
National certification recognized by the American Nurses Credentialing Center.
Bilingual or multilingual ability.

Responsibilities

Triage, assess, and prioritize patients on arrival according to the ESI Level 5 Triage System; triage assignments require at least one year of ED experience, completion of the ESI course, and documented triage competency.
Perform primary and secondary assessments for patients with traumatic injuries and initiate immediate nursing care and therapy for patients with cardiac symptoms.
Assess and manage patients with rapidly changing or life-threatening conditions according to Emergency Care Center guidelines, order sets, and Advanced Cardiac and Pediatric Life Support protocols.
Manage pain-control needs for patients.
Provide care and education suited to the age-related needs of infants, children, adolescents, young adults, and elderly patients.
Educate patients or caregivers about home care, safe and effective medication use, pain management and comfort, referrals and resources, and when to seek further care or follow-up.
Maintain eight hours of stroke-specific education each year.
Incorporate patients' physiological, psychological, cultural, developmental, and spiritual needs into care plans.
Direct, supervise, and guide support personnel implementing patients' plans of care, and evaluate delegated tasks.
Collaborate with interprofessional and intraprofessional colleagues, patients, families, practitioners, and healthcare leaders to support quality care and outcomes.
Complete annual education and competency validation requirements and maintain knowledge of current standards, trends, and developments in nursing practice.
Use the nursing process, professional judgment, and critical thinking to prioritize and carry out care consistent with assessment data, physician treatment plans, and professional standards.
Promote patient safety, identify risks and hazards, mitigate potential harm, and implement measures to prevent exposure to infectious pathogens and communicable conditions.
Provide patients and families complete, accurate, unbiased, and timely information, and support their chosen level of participation in care and decision-making.
Support the hospital's Mission, Vision, and Values; follow Standards of Conduct, Corporate Compliance, HIPAA requirements, and facility policies and procedures.
Foster positive relationships with customers, contribute to improving HCAHPS results, and promote stewardship of hospital resources while ensuring quality care.
Perform other duties as assigned.