Register Nurse - Emergency Department -Per Diem

EvergreenHealth Monroe•Monroe, WA

19h•Onsite

About The Position

EvergreenHealth Monroe is hiring an experienced Registered Nurse for its Emergency Department. The nurse organizes and administers individualized care to patients with medical, trauma, and psychiatric needs, working under the direction of the medical staff and in accordance with hospital policies and procedures and the Washington State Nurse Practice Act. The role requires responding rapidly to changing patient needs and providing age-specific care across the lifespan, from neonates to geriatrics. The nurse also participates in patient and family education, including discharge instructions, and in unit and hospital-wide performance improvement activities. Cross-training opportunities in other nursing departments are available for professional development. The position involves accurate triage, patient assessment, prioritization and delivery of interventions, medication management, documentation, patient advocacy, delegation, communication with the care team, and appropriate use of emergency department equipment and protective gear. The role includes participation in staffing coverage and orientation of staff, as well as completion of unit competencies, staff meetings, online learning, and continuing education. This position is covered by a collective bargaining agreement between EvergreenHealth Monroe and SEIU Healthcare 1199NW.

Requirements

Graduate of an accredited school of nursing.
Current Washington State Registered Nurse (RN) license.
Current Basic Life Support (BLS) certification.
Advanced Cardiac Life Support (ACLS) certification.
NIHSS course completed within 90 days of hire.
Pediatric Advanced Life Support (PALS) or Emergency Nursing Pediatric Course (ENPC) certification.
Trauma Nursing Core Course (TNCC); new graduates or nurses new to the specialty must obtain TNCC within 365 days of employment.
Neonatal Resuscitation Program (NRP) certification within six months of hire.
Ability to triage patients, prioritize care, involve patients and families in decision-making, and organize interventions in the emergency department.
Effective communication with emergency department physicians and coworkers, hospital peers, pre-hospital personnel, patients, and family members.
Ability to document age-specific assessments, vital signs, pain assessments, interventions, and discharge instructions appropriately and completely.
Knowledge of cardiac patient care, including assessment, rapid intervention, and thrombolytic treatments.
IV therapy skills for pediatric and adult patients and medication management consistent with hospital policy.
Ability to use emergency department equipment safely, including a level one fluid warmer, Broslow pediatric cart, Zoll defibrillators, orthopedic pneumatic cuff, and Sigma Spectrum IV pumps.
Use of required scrubs and compliance with dress code and personal hygiene requirements.
Compliance with requirements for personal protective equipment, documentation of hepatitis B immunization or immunity, and blood-borne pathogen training.
Ability to lift at least 25 pounds and transfer and transport patients.
Ability to bend, stoop, push, and pull; stand and walk for most of the working day; and possess visual, tactile, and manual dexterity.
Expected to maintain attendance and punctuality according to hospital policy.

Responsibilities

Organize and administer individualized care to patients with medical, trauma, and psychiatric needs.
Triage patients, assess their needs, and prioritize the level of care and required interventions.
Assess and care for patients across the age continuum, from neonates to geriatrics, using age-specific principles of growth and development.
Provide patient and family education throughout the emergency department visit, including appropriate discharge instructions.
Document patient status, assessments, nursing interventions, and responses accurately, completely, and concisely.
Make effective nursing judgments for cardiac codes, emergent cardiac patients, and traumatized patients.
Evaluate the effectiveness of care through patient interviews, assessment, documentation, and review of pain and medication treatment responses.
Delegate tasks appropriately while retaining ultimate responsibility, and act as a patient advocate.
Communicate patient needs and assessment findings to physicians and other members of the health care team, including providing reports before transfers and at shift changes.
Use universal precautions and personal protective equipment in accordance with hospital policy.
Participate in performance improvement activities for patients, the department, or the organization.
Assess and communicate staffing needs related to sick-call coverage or high patient volumes.
Complete unit-based competencies, staff meetings, and online learning, and maintain current practice knowledge through continuing education.
Demonstrate proficiency in department-specific nursing skills and safe use of emergency department equipment.
Provide or assist with orientation of new and existing staff.
Follow hospital policies, procedures, and standards of professional conduct, including attendance and punctuality requirements.