RN, Emergency Department - Days Full time

Shenandoah Medical Center•Shenandoah, IA
•Onsite

About The Position

This is a full-time day shift position for a Registered Nurse in the Emergency Department. The role involves utilizing the nursing process to provide comprehensive patient care, collaborating with healthcare providers, performing emergency treatments, maintaining accurate documentation, ensuring patient and staff safety, and performing other duties as assigned.

Requirements

  • Registered Nurse (RN) scope of practice
  • Ability to perform complete admission assessment
  • Ability to perform comprehensive nursing assessments
  • Ability to conduct full body system analysis
  • Ability to administer and perform nursing assessment for Acute, Observation, ER, SNF, and Outpatient patient types
  • Ability to review, discuss, and implement health care provider orders
  • Ability to respond to call lights and patient needs promptly
  • Ability to recognize abnormal symptoms/changes in patient condition, establish priorities, and take appropriate action
  • Ability to serve as a patient advocate
  • Ability to perform patient rounding
  • Ability to evaluate patient progress toward desired outcomes prior to discharge
  • Ability to demonstrate personal accountability in patient care delivery
  • Ability to provide intravenous interventions
  • Ability to collaborate with health care providers
  • Ability to promote team concept through effective communication
  • Ability to work effectively with ancillary areas
  • Ability to direct patient support team members
  • Ability to demonstrate initiative and flexibility
  • Ability to inform Lead Nurse or Nurse Manager of patient care issues
  • Ability to assist in making patient assignments, coordinating admissions, and meeting staffing needs
  • Ability to collaborate with the interdisciplinary team
  • Ability to complete patient and family education
  • Ability to perform emergency treatment
  • Ability to initiate or assist in patient care effectively and responsively
  • Ability to triage emergency situations and involve other resources
  • Ability to administer and perform emergent care for newborn to geriatrics
  • Ability to follow emergency policies, procedures, and protocols
  • Ability to perform and maintain documentation of patient status, interventions, responses, teaching, and discharge outcomes
  • Ability to complete shift end check
  • Ability to communicate and collaborate effectively with health team members
  • Ability to follow approved shift report format
  • Ability to administer medications, treatments, and procedures safely
  • Ability to perform standard precautions
  • Ability to use two patient identifiers
  • Ability to perform patient risk assessments every shift
  • Ability to utilize proper body mechanics, transfer, and lifting techniques
  • Ability to implement infectious disease controls
  • Ability to follow proper procedures for wasting narcotics and disposal of sharps and hazardous materials
  • Ability to demonstrate knowledge of treatments, policies/procedures, and equipment
  • Ability to respond to patient/family concerns and provide interventions
  • Ability to adapt to changes in workload and maintain quality care
  • Ability to initiate and perform duties not directly assigned

Responsibilities

  • Utilizes the nursing process for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes according to the RN scope of practice.
  • Performs complete admission assessment, comprehensive nursing assessments, and full body system analysis.
  • Administers and performs nursing assessment in accordance with applicable patient type (Acute, Observation, ER, SNF, Outpatient).
  • Reviews, discusses, and implements health care provider orders appropriately and acts appropriately if there are questions.
  • Responds to call lights and patient needs in a timely fashion.
  • Recognizes abnormal symptoms/changes in patient condition, establishes priorities, and takes appropriate action.
  • Serves as a patient advocate and performs patient rounding.
  • Evaluates patient progress toward desired outcomes prior to discharge.
  • Demonstrates personal accountability in the delivery of patient care in a competent, professional, and compassionate manner.
  • Provides intravenous interventions.
  • Collaborates with health care providers to coordinate medical and nursing management of patient care.
  • Promotes team concept through effective communication regarding patient condition, patient care plan, and patient satisfaction.
  • Works effectively with ancillary areas as part of the team approach to patient care.
  • Directs patient support team members effectively and appropriately.
  • Demonstrates initiative and flexibility in the provision of patient care.
  • Informs and involves Lead Nurse or Nurse Manager regarding patient care issues in a timely and appropriate manner.
  • Assists in making patient assignments, coordinating admissions, and meeting staffing needs for unit.
  • Collaborates with the interdisciplinary team.
  • Completes patient and family education throughout the patient’s stay and at discharge.
  • Performs emergency treatment as required in accordance with RN scope of practice.
  • Initiates or assists in patient care in an effective and responsive manner as each situation requires.
  • Triages each emergency situation appropriately and involves other resources as appropriate.
  • Administers and performs emergent care in accordance with applicable patient population type (newborn to geriatrics).
  • Follows emergency policies, procedures, and protocols in an effective manner.
  • Performs and maintains documentation, including accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching, and status of outcomes at discharge.
  • Completes shift end check prior to leaving duty.
  • Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfaction needs, and recommendations for meeting identified outcomes.
  • Follows approved shift report format when communicating patient information.
  • Appropriately reports condition changes to medical provider.
  • Promotes and ensures patient and staff safety in all aspects of responsibilities.
  • Administers medications, treatments, and procedures in a timely and safe manner according to health care provider orders and nursing policy.
  • Performs standard precautions, uses two patient identifiers, and performs patient risk assessments every shift.
  • Utilizes proper body mechanics, transfer, and lifting techniques to minimize fall risk to patient and injury to self.
  • Implements infectious disease controls as appropriate, including isolation procedures, proper use of hand hygiene, and gloves.
  • Follows proper procedures for wasting narcotics and disposal of sharps and hazardous materials.
  • Performs duties as assigned or requested by department leader.
  • Oversees care delivery and staffing needs and assignments on the nursing unit.
  • Provides secure pharmacy coverage.
  • Demonstrates knowledge of treatments, policies/procedures, and equipment.
  • Responds to patient/family concerns and provides immediate interventions when possible.
  • Adapts to changes in workload and completes assignments while maintaining quality care.
  • Initiates and performs duties that need to complete although not directly assigned.
  • Performs other duties as assigned.
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