Registered Nurse - Emergency Dept

Winona Health•Winona, MN

About The Position

The Registered Nurse (RN) is a health care professional skilled in all aspects of the nursing process and adaptable to the needs of individuals and families during health and illness. In the Emergency Department (ED), the RN is responsible and accountable for delivering individualized nursing care. The RN uses an advanced understanding of assessment, planning, implementation, and evaluation to address patients’ physical, psychological, social, spiritual, and educational needs. The RN adjusts care plans as needed, consults medical staff about changes in patient condition, and accurately documents pertinent information in the Electronic Medical Record (EMR) and on the ED face sheet. This position is 0.90 FTE, or 72 hours per pay period, working nights between 7 p.m. and 7 a.m. Weekend and holiday coverage is required every third weekend and every third holiday. Starting pay is $37.42–$54.62, based on education and experience. The RN provides safe, effective care to acutely ill and injured patients, may perform triage, and may serve as charge nurse. Triage responsibilities are typically introduced after one year following RN orientation and EMTALA training, though timing may vary. Charge nurse responsibilities are typically introduced after one year following orientation, though timing may vary. There are no direct reports. Required certifications include BLS and ACLS. An RN license in Minnesota is required. ENPC or PALS, TNCC, and Non-Violent Crisis Intervention certifications must be obtained within the first year of employment and maintained as current. FEMA IS-100 and IS-200 training must be completed within six months of hire. EMTALA training is required upon hire and annually thereafter. Winona Health offers benefits that may vary by employment classification and job status. Listed benefits include medical, dental, and vision coverage; mental health support and wellness incentives; short- and long-term disability; additional insurance and protection plans; a 403(b) retirement plan with employer contributions subject to eligibility; flexible scheduling; paid time off and earned sick time; paid training; tuition reimbursement; scholarships; sponsored seminars; and employee discounts with local businesses.

Requirements

Associate’s or bachelor’s degree in Nursing.
BLS certification.
ACLS certification.
Minnesota RN license.
ENPC or PALS, TNCC, and Non-Violent Crisis Intervention certifications required within the first year of employment; all required certifications must remain current.
FEMA emergency preparedness IS-100 and IS-200 training must be completed within six months of hire.
EMTALA training is required upon hire and annually thereafter.
Basic computer skills, including Word, Excel, Outlook, and a patient information database such as Cerner.

Nice To Haves

One year of Emergency Department, Critical Care, or Acute Nursing Care experience is preferred.

Responsibilities

Provide individualized nursing care to Emergency Department patients, addressing their physical, psychological, social, spiritual, and educational needs.
Assess, plan, implement, and evaluate patient care, modifying plans as patient needs change.
Consult with medical staff regarding changes in a patient’s condition and accurately document pertinent information in the EMR and on the ED face sheet.
Stay current on ED nursing practice, medications, and legal issues related to patient-based services.
Provide safe and effective care to acutely ill and injured patients, using emergency equipment and responding appropriately to changing acuity.
Recognize signs of patient crisis, initiate necessary emergency action, and continue care through resolution.
Recognize the difference between normal and abnormal EKGs.
Perform triage by assessing and categorizing patients’ needs and reassessing them until they receive care.
Include patients, families, and/or significant others in the plan of care and explain basic timelines and expectations for the ED visit.
Use sound judgment and critical thinking to make nursing decisions based on scientific knowledge, nursing experience, and patient information.
Communicate effectively with patients, families, medical staff, coworkers, and staff from other departments.
When serving as charge nurse, manage the unit for the shift, support staff and problem-solving efforts, facilitate nursing assignments and care delivery, assess staffing needs, and arrange additional staffing or staff reductions as appropriate.
As charge nurse, ensure absent time is recorded on the ED A1/low census log, assign staff functions during emergencies, and promptly inform department leadership about shift occurrences and incidents.
Follow standard work protocols and hold colleagues accountable to them.
Follow recommended infection-control procedures and remain vigilant about patient safety.
Promptly report malfunctioning equipment and remove it from patient-care areas.
Conform to the Nurse Practice Act and complete required training.

Benefits

Medical, dental, and vision coverage options
Mental health support and wellness incentives
Short- and long-term disability coverage
Additional accident, critical illness, and hospital indemnity benefits
Legal assistance and identity protection plans
403(b) retirement plan with employer contributions after eligibility requirements are met
Flexible scheduling
Paid time off and earned sick time
Paid training
Tuition reimbursement
Scholarships
Sponsored seminars
Employee discounts with local businesses, including the YMCA and cell phone providers