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. This is a full-time night-shift position focused on emergency room services. 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 nursing personnel assigned to the ED, and ensures timely assessment, treatment, stabilization, and disposition of emergency patients. The 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 applicable regulatory standards for emergency care.

Requirements

  • Graduate from an accredited school of nursing.
  • Maintain current licensure as a Registered Nurse in Louisiana.
  • Demonstrate clinical competence, leadership ability, and sound nursing judgment.
  • Know hospital policies, standards of care, and regulatory requirements.
  • Successfully complete hospital orientation and unit-specific training.
  • Maintain current CPR, ACLS, and PALS certifications; TNCC as applicable to the assigned unit or patient population.
  • Satisfactorily complete annual performance evaluations and competencies.
  • Have basic computer skills and competency with the electronic medical record.
  • Communicate effectively with interdisciplinary team members, patients, families, and tertiary entities involved in the patient’s treatment plan.
  • Prioritize care in a fast-paced environment.
  • Follow hospital policies, professional standards of practice, and regulatory requirements.
  • Meet the physical requirements of lifting, pushing, pulling, dexterity, mobility, and prolonged standing or walking.
  • Work in a healthcare environment.

Responsibilities

  • Supervise LPN and CNA staff, provide clinical oversight, and delegate assignments within each discipline’s scope of practice.
  • Assess patients and review nursing documentation to evaluate patient care.
  • Supervise clinical nursing activities to ensure patient comfort and safety.
  • Perform and document the initial interview and assessment for an inpatient or swing-bed admission when the Charge Nurse is unable to do so.
  • Initiate and participate in the care plan process for each admitted patient.
  • Assess or review each inpatient’s assessment at least once every 24 hours and as needed, including after acute changes in status, falls, or a need to change level of care; communicate changes in 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 established 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.
  • In the ED role, coordinate and prioritize emergency patient care and ensure timely assessment, treatment, stabilization, and disposition.
  • Serve as the primary point of contact for providers, ancillary departments, EMS, and transfer facilities, facilitating 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, 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 HIPAA confidentiality.
  • Participate in ongoing education, routine staff meetings, and annual competencies.
  • Support hospital quality and patient safety initiatives.
  • 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.
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