Resource Nurse RN

Crawford County Memorial Hospital•Denison, IA

About The Position

The Resource Nurse RN supports operations across the Emergency Department and Medical Unit. The role coordinates patient flow, staffing assignments, workload, admissions, transfers, and communication, and flexes between the two areas according to census, acuity, staffing, and clinical needs. The nurse provides clinical support during emergencies and high-acuity events, assists staff with skilled nursing needs, and may take direct patient care assignments when additional support is needed. The role also leads shift-change huddles, completes shift reports and critical-event reviews, verifies required alerts and documentation, and escalates clinical or operational issues to the Administrator on Call or appropriate leader.

Responsibilities

  • Lead facility-wide huddles twice daily during shift change.
  • Coordinate patient flow, staffing assignments, prioritization, and workload in the Emergency Department and Medical Unit throughout the shift.
  • Provide clinical support during trauma, STEMI, stroke, sepsis, and other high-acuity or emergent events in the Emergency Department and Medical Unit.
  • Support nursing staff with patient transfers, procedures, IV access, and other skilled nursing needs as appropriate.
  • Coordinate with hospital-based EMS regarding patient care and transfer needs.
  • Provide break coverage and supplemental clinical support when patient acuity, staffing, and workload safely allow.
  • Coordinate inpatient admissions and facilitate communication between the Emergency Department and Medical Unit.
  • Flex between the Emergency Department and Medical Unit based on census, acuity, admissions, discharges, observations, staffing, and workload, prioritizing the area of greatest clinical need.
  • Assume direct patient care assignments in either unit when staffing needs or patient acuity require additional nursing support.
  • Coordinate multiple back-to-back patient transfers and evaluate whether available EMS resources can safely accommodate additional transfers.
  • Notify and coordinate additional EMS resources when needed to facilitate safe patient transfers.
  • Verify that required trauma, STEMI, stroke, and other clinical alerts are activated according to policy and that required documentation and sign-in processes are completed.
  • Complete shift reports and critical-event reviews, verifying completion of required alerts, notifications, and follow-up processes.
  • Identify and address clinical or operational issues in real time and notify the Administrator on Call or appropriate leader when needed.
  • Complete and distribute shift-change reports and other required communications.
  • Communicate changes in patient acuity, workload, staffing needs, patient flow, and resource requirements to appropriate leaders and staff.
  • Promote effective communication, collaboration, continuity of care, and safe patient care between the Emergency Department and Medical Unit.
  • Assist with other clinical duties and responsibilities within the scope of practice based on the needs of the Emergency Department and Medical Unit.
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