Registered Nurse - 9am to 9pm - Emergency Room

Orlando Health•Saint Cloud, FL

About The Position

The Registered Nurse administers patient care in a hospital or inpatient setting where patients have advanced illnesses or injuries that routinely require timely, intense, and complex care to stabilize and support their medical conditions. The role requires advanced assessment and intervention skills, continuous vigilance, and coordination with medical staff and interdisciplinary teams. The stated shift is 9 a.m. to 9 p.m. Registered Nurses with specialized training may also function as Extracorporeal Membrane Oxygenator (ECMO) Specialists, providing staffing and treatment support for extracorporeal life support (ECLS) services. ECMO Specialists work under unit leadership and in collaboration with intensivist and perfusion services and bedside staff to support adequate perfusion, acid-base balance, and hemodynamic stability within ordered parameters. This specialist work includes operating and monitoring ECMO equipment and circuits, responding to emergencies, and supporting ECLS during transport.

Requirements

Graduate of an approved school of nursing.
One year of experience required unless approved by an AVP-level leader or above.
Current State of Florida RN license or valid eNLC multistate RN license.
Current BLS/Healthcare Provider certification.
Meet all mandatory, developmental, and performance competency requirements for Orlando Health and the unit or department.

Nice To Haves

ACLS, NRP, PALS, or TNCC certification is required for certain areas.
NRP certification is required for the Neonatal Intensive Care Unit (NICU).
Specialized training to function as an ECMO Specialist is applicable to the ECMO-specific responsibilities.

Responsibilities

Provide complex patient care, including assessment, therapies, high-intensity interventions, and continuous nursing vigilance.
Use assessment data to anticipate and respond to changing patient conditions and take timely, evidence-based, patient-focused action.
Monitor and adjust specialized patient equipment and interpret and document electronic displays, including pressure readings and cardiac rhythms.
Respond to life-saving situations in accordance with nursing standards and protocols.
Observe and assess patients, identify serious situations, and contact a physician or take preplanned emergency measures when a physician is not immediately available.
Develop and revise individualized plans of care, and evaluate progress toward expected outcomes.
Advocate for patients and families, respect diversity, and provide a compassionate therapeutic environment.
Provide age-appropriate care and apply knowledge of growth and development across the lifespan.
Serve as a preceptor, charge nurse, unit educator, and/or nurse clinician.
Collaborate with medical staff and interdisciplinary teams to plan and manage unit or department care.
Coordinate care for a defined group of patients and delegate tasks according to patient needs and team members’ capabilities and qualifications.
Document assessments, education, medication administration, treatments, and patient safety in accordance with required and regulatory standards.
Prioritize care according to evidence-based standards, identify and resolve problems, and communicate patient or unit concerns to healthcare team members.
Support hospital and nursing department goals and strategies and serve as a role model for staff.
Collaborate with education and nursing leadership to transition and support new team members and students.
Maintain punctual attendance and comply with Orlando Health policies and procedures.
For trained ECMO Specialists: provide scheduled, unscheduled, and emergency ECLS coverage in the hospital and during transport.
For trained ECMO Specialists: operate ECMO equipment under the direction of physician and perfusion providers; monitor and optimize the ECMO circuit and related equipment.
For trained ECMO Specialists: administer ordered blood products and medications through the ECMO circuit and manage equipment connected in-line with the circuit.
For trained ECMO Specialists: anticipate, troubleshoot, and manage crises and emergencies according to policy and procedure; attend mandatory quarterly simulations.
Participate in or lead nursing practice and performance-improvement committees, peer review, mentoring, coaching, and staff development activities.
Use supplies efficiently and maintain a clean, safe, and organized work area.
Maintain ECMO/perfusion equipment and supplies and provide relevant information to a supervisor or director in coordination with biomedical staff or vendors.
Provide critical nursing resource support to the CVICU or other areas as directed when not providing ECLS services.
Take responsibility for professional development and continuing education, and perform other assigned duties.