Registered Nurse - ED

EvergreenHealth Monroe•Monroe, WA

3d•Onsite

About The Position

EvergreenHealth Monroe is seeking an experienced Registered Nurse for its Emergency Department. The nurse organizes and administers individualized professional care to patients with medical, trauma, and psychiatric needs, following hospital policies, the hospital’s philosophy of care, 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 triage, assessment, treatment, documentation, patient advocacy, coordination with physicians and other members of the health care team, and appropriate delegation of tasks. The nurse uses emergency-department equipment and protective gear, maintains current nursing skills through continuing education and competencies, and may help orient staff and address staffing needs. The role 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) certification or Emergency Nursing Pediatric Course (ENPC) certification.
Trauma Nursing Core Course (TNCC) certification; new graduates or nurses new to the specialty must obtain it within 365 days of employment.
Neonatal Resuscitation Program (NRP) certification within six months of hire.
Ability to assess and triage patients, prioritize levels of care, involve patients and families in decision-making, and organize care interventions.
Effective communication with physicians, coworkers, hospital peers, pre-hospital personnel, patients, and family members.
Ability to document patient information appropriately and completely, including age-specific assessments, vital signs, pain assessments, interventions, and discharge instructions.
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 safely use emergency-department equipment, including a level one fluid warmer, Broslow pediatric cart, Zoll defibrillators, orthopedic pneumatic cuff, and Sigma Spectrum IV pumps.
Ability to use required personal protective equipment and comply with immunization/immunity documentation and blood-borne pathogen training requirements.
Ability to lift at least 25 pounds and transfer and transport patients.
Ability to bend, stoop, push, and pull; walk and stand for most of the working day; and possess visual, tactile, and manual dexterity.
Maintain attendance and punctuality in accordance with hospital policy and keep practice skills and knowledge current through continuing education.

Responsibilities

Organize and administer individualized nursing care for patients with medical, trauma, and psychiatric needs.
Triage patients, assess their needs and level of care, and prioritize interventions in the emergency department.
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.
Make nursing judgments and provide care for cardiac codes, emergent cardiac patients, and traumatized patients.
Evaluate patient care through interviews, assessments, pain assessments, documentation, and evaluation of medication responses.
Delegate tasks appropriately while retaining ultimate responsibility, and maintain the role of patient advocate.
Participate in performance-improvement activities for patients, the department, or the organization.
Use universal precautions and required protective equipment in accordance with hospital policy.
Maintain complete, accurate, and concise documentation of patient status, interventions, responses, and vital signs.
Communicate patient needs and assessment findings to physicians and the health care team, including reporting before transfers and providing complete shift handoffs.
Assess and communicate staffing needs related to sick-call coverage or high patient volumes.
Complete unit-based competencies, staff meetings, and online learning; maintain proficiency in nursing skills and emergency-department equipment.
Provide or assist with orientation of new and existing staff.
Follow hospital policies and procedures, professional conduct standards, attendance requirements, and applicable dress-code requirements.