Registered Nurse - Emergency Room (PRN Days)

ERP International•San Diego, CA
•Onsite

About The Position

ERP International, LLC is seeking a Registered Nurse to provide emergency room services at Naval Medical Center San Diego in San Diego, California. This PRN role supports military members, their families, and retired military veterans. Emergency room coverage is required 24 hours a day, seven days a week, including federal holidays. Shifts are 12.5 hours; the listed day shift is 5:45 a.m. to 6:15 p.m. The nurse coordinates and delivers patient care, including assessment, triage, treatment, education, discharge instructions, and referrals. The role includes directing and evaluating the work of other healthcare personnel, maintaining a safe and clean care environment, and completing required training and unit competencies in accordance with Naval Health Clinic policies and protocols. Pay is $78.00–$88.00 per hour, determined based on qualifications, experience, and location.

Requirements

  • Baccalaureate Degree in Nursing, Graduate Diploma in Nursing, or Associate Degree in Nursing from an accredited agency such as ACEN or CCNE.
  • At least three years of emergency room RN experience within the last four years; alternatively, following a break in employment, at least three years of extensive prior emergency room RN experience within the last six years; or, for a nurse with prior military experience as an emergency room RN, at least one year of experience.
  • Current, full, active, and unrestricted Registered Nurse license.
  • Ability to pass a government background check or security clearance.
  • Current AHA or ARC BLS Healthcare Provider certification, ACLS, and PALS.

Responsibilities

  • Coordinate patient care in collaboration with healthcare professionals and support optimal clinical outcomes, quality, and cost effectiveness.
  • Follow applicable standards of care and practice, policies, procedures, and guidelines used in the military treatment facility.
  • Perform physical examinations, obtain health histories, and conduct ongoing systematic assessments of patients’ physiological, psychological, and cognitive status.
  • Provide health promotion, counseling, education, medications, wound care, and other individualized interventions.
  • Direct care provided by other healthcare professionals and make patient-care assignments based on personnel scope of practice and skill level.
  • Recognize adverse signs and symptoms and respond promptly to emergency situations.
  • Communicate and collaborate with patients, families, and the healthcare team regarding care plans and actions; use Secure Messaging to facilitate communication and care.
  • Arrange referrals and specialty-care appointments as appropriate.
  • Perform nursing services identified in the task order and conduct research supporting improved practice and patient outcomes.
  • Assess and triage patients, directing them to the appropriate level of care within the military treatment facility.
  • Develop and carry out a prioritized, goal-directed plan of care based on nursing diagnoses, desired outcomes, patient needs, and available resources.
  • Evaluate the effectiveness of care provided by health team members and the contribution of systems, the environment, and instrumentation to patient outcomes.
  • Provide treatment and discharge instructions when patients are released.
  • Maintain a safe and clean environment for each patient; identify patient and significant-other learning needs and take appropriate steps to meet them.
  • Assist in planning care, provide clinical direction, and instruct LPNs/LVNs, nursing assistants, and ancillary personnel.
  • Complete annual training, including Command Respirator Fitness Testing Program requirements.
  • Complete unit and command competencies, including IV access and therapy, medication administration, environment of care, and unit-specific emergency room nursing and equipment competencies, following required policies and protocols during shadow orientation before working independently.
  • Complete emergency department and command competencies within 90 days of assignment, including restraints, Massive Transfusion Protocol, blood-product administration, triage, and IV conscious sedation.
  • Receive calls and patients presenting to the emergency room and triage them to the appropriate level of care.
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