Registered Nurse - Emergency Department- Night

St. Josephs Medical Center•Houston, TX

About The Position

The Registered Nurse is accountable for observing, assessing, intervening, evaluating, rehabilitating, and teaching people who are ill, injured, infirm, or experiencing changes in normal health processes. The role also includes maintaining health and preventing illness, administering physician-ordered medications and treatments, supervising or teaching nursing, administering and evaluating nursing practices and procedures, performing acts delegated by a physician, and developing nursing care plans. This is a full-time Emergency Department position on the night shift, from 6:30 p.m. to 7:00 a.m. The nurse may rotate weekends. The role provides emergency care to patients across age groups and includes triage, assessment, treatment, pain management, patient and caregiver education, and coordination with other healthcare professionals. The nurse is expected to uphold the mission and values of St. Joseph Medical Center, follow facility and patient-care guidelines, support patient safety, and contribute to quality improvement and a positive patient experience.

Requirements

Licensed 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.
Certifications as defined by the certification policy.
BLS, ACLS, PALS, and TNCC certifications required.
Ability to communicate effectively in English, both verbally and in writing.

Nice To Haves

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

Responsibilities

Triage, assess, and prioritize patients on arrival using the ESI Level 5 Triage System. Triage assignment requires 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 presenting with cardiac symptoms.
Assess and manage patients with rapidly changing or life-threatening conditions in accordance with Emergency Care Center guidelines, order sets, and Advanced Cardiac and Pediatric Life Support protocols.
Manage pain-control needs for all patients.
Provide care and education appropriate 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.
Complete eight hours of stroke-specific education annually.
Support and communicate the mission, vision, and values of St. Joseph Medical Center; uphold Standards of Conduct and Corporate Compliance; and follow HIPAA policies protecting health information.
Incorporate patients' physiological, psychological, cultural, developmental, and spiritual needs into care plans.
Follow patient-care and facility guidelines and procedures; direct, supervise, and guide support personnel and evaluate delegated tasks.
Collaborate with interprofessional and intraprofessional colleagues to support quality outcomes.
Complete annual education requirements and competency validations, and maintain competency in current standards of practice.
Promote patient safety by identifying and reducing unsafe practices, assessing risks and hazards, and taking action to mitigate patient harm.
Use the nursing process, professional judgment, and critical thinking to prioritize and carry out care consistent with assessment data, physicians' treatment plans, and professional standards.
Implement measures to prevent exposure to infectious pathogens and communicable conditions.
Listen to and honor patient and family perspectives, choices, knowledge, values, beliefs, and cultural backgrounds in care planning and delivery.
Share complete, unbiased, timely, and accurate information with patients and families, and support their participation in care and decision-making at the level they choose.
Collaborate with patients, families, practitioners, and healthcare leaders in policy and program development, implementation, and evaluation, as well as facility design, professional education, and care delivery.
Take ownership of patient-safety issues, acknowledge problems requiring attention, support a just culture, and include patient and family representation in decisions affecting families and direct patient care.
Maintain knowledge of current standards, trends, and developments; foster positive customer relationships, enhance the patient experience, and contribute to improving HCAHPS results.
Promote stewardship of hospital resources while ensuring quality patient care.
Perform other duties as assigned.