Registered Nurse, Heywood Emergency Room

Heywood Hospital•Gardner, MA

1d•$40 - $79

About The Position

Under the direction of the nurse manager, the Registered Nurse performs direct and indirect patient care activities according to Emergency Department standards and must be able to function independently in the Emergency Department. The role requires assessment, critical-thinking, and communication skills, as well as the ability to work as part of a team. This is a temporary, 36-hour position with a 7:00 a.m. to 7:00 p.m. day/evening schedule, every other weekend, and every other holiday. The listed pay range is $39.58–$78.93. Final compensation depends on factors such as relevant experience, skills, qualifications, and internal equity. The nurse assesses, plans, implements, and evaluates patient care; provides education and discharge planning; coordinates and documents care; administers medications and IV therapy; and carries out emergency nursing functions, including triage, pain management, safety planning, forensic evidence procedures, critical-care interventions, and monitoring of patient status. The position also supports patient safety, professional learning, and continuity of care.

Requirements

Associate degree in nursing required.
Current Massachusetts Registered Nurse license required.
ACLS upon hire, or an active BLS card and completion of AHA ACLS within 60 days of hire.
AHA PALS within six months of hire.
Assessment, critical-thinking, and communication skills.
Ability to function independently in the Emergency Department and work as part of a team.

Nice To Haves

Bachelor of Science in Nursing preferred.
Three to five years of Emergency Department experience preferred.
TNCC preferred.
ENPC preferred.
CEN preferred.

Responsibilities

Assess and reassess patients; plan, implement, and evaluate nursing interventions, plans of care, and patient goals.
Provide care according to standards of care and practice, protocols, and established policies and procedures.
Respect each patient as an individual and provide care that supports dignity and positive self-regard.
Teach patients and families according to identified learning needs, readiness, and barriers to learning.
Collaboratively plan and prepare patients and families for discharge, incorporating support systems and resources as needed.
Delegate and supervise nursing interventions performed by others.
Prioritize patient care, seek appropriate assistance, reassign personnel when necessary, and recognize when emergency intervention is needed.
Document pertinent data, interventions, and patient responses thoroughly, accurately, and promptly.
Provide timely, thorough reports to other members of the health care team to support integrated services and continuity of care.
Promote learning for colleagues and self through activities such as precepting, training, and professional development.
Identify patient-safety risks and opportunities to reduce health care errors, including reporting errors and incidents appropriately.
Identify ethical issues in care and develop a plan to address them.
Safely administer medications and intravenous therapy according to orders, protocols, policies, and procedures.
Assess and document pain on admission and as needed; reassess pain-control effectiveness and notify physicians when needed.
Perform and document initial assessments on arrival and implement triage protocols as needed.
Identify patients at risk for potential or alleged abuse; initiate safety plans for domestic violence, child abuse, and elder abuse; and complete mandated reporting promptly.
Collect forensic evidence, maintain chain of evidence, and complete required reports for stabbings, gunshot wounds, burns, and sexual assault according to policy.
Maintain knowledge of disaster policies and procedures.
Identify patients at risk for violent behavior and implement appropriate non-violent interventions.
Understand indications for and alternatives to restraint, and monitor and document restraint use.
Recognize normal and abnormal laboratory and diagnostic results and promptly notify physicians of changes.
Safely administer vasoactive medications, including understanding dosage, action, use, side effects, and titration parameters for critical drips.
Accurately identify cardiac arrhythmias.
Institute, monitor, and document thrombolytic and anticoagulation therapy according to standards and protocols.
Initiate and maintain care of intubated patients, including suctioning, troubleshooting, and weaning.
Interpret arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange or airway clearance.
Obtain supporting information and complete required medication-reconciliation documentation for the Attending MD.
Implement components of the VAP bundle consistently and according to protocol; alert the Nurse Manager, Director, or Nursing Supervisor to deviations by the Attending MD for case review and follow-up.
Perform other job-related duties as requested.