RN Emergency Department - Full Time, Day Shift

Adventist Health • Marysville, CA

4d • Onsite

About The Position

The RN Emergency Department position is a full-time, day shift role. The Registered professional nurse assumes responsibility and accountability for a group of patients for a designated shift. This role prescribes nursing care based on the nursing process, consistent with the medical plan of care, and informed by patient and significant other input. The nurse collaborates with physicians and other healthcare team members, coordinating patient care delivery for patients of all ages (neonatal, infant, child, adolescent, adult, and geriatric, depending on the assigned unit). The role incorporates teaching and discharge planning needs into the overall plan of care and delegates aspects of patient care to other nursing staff based on their clinical competence and legal scope of practice. This position is represented by CNA.

Requirements

• Registered Nurse (RN) licensure in the state of practice and Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required
• Advanced Cardiac Life Support (ACLS OR HS-ACLS OR RQIACLS) certification at time of hire and Demonstrated competency in Dysrhythmia during Orientation for all depts except for Obstetrics and NICU: Required
• Critical Care Units: Completing of Critical Care Course within 1 year of hire and Demonstrated competency in IV Sedation within 6 months of hire: Required
• Perinatal: Neonatal Resuscitation within 6 months of hire and Intermediate Fetal Monitoring within 6 months of hire and Advanced Fetal Monitoring within 1 year of hire required for the Labor&Delivery dept: Required
• Perinatal: Neonatal Resuscitation within 6 months of hire required for the Obstetrics & NICU depts: Required
• PACU/SDS: PALS certification within 1 year of hire and IV Sedation within 6 months of hire: Required
• Emergency Dept: PALS certifcation required at time of hire and TNCC certifcation within 1 year of hire and Demonstrated compentency in IV Sedation within 6 months of hire: Required
• Procedures Nurse Interventional Radiology RN: IV Sedation within 6 months of hire: Required
• Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required
• ACLS (Advanced Cardiovascular Life Support): Required
• AHA-PALS: Required
• Trauma Nursing Core Course (TNCC): Required

Nice To Haves

• Bachelor's Degree in Nursing (BSN): Preferred
• Acute care facility experience: Preferred
• MICN and CEN certifcations for the Emergency Dept and PICC competence for Procedures Nurse Interventional Radiology RNs: Preferred

Responsibilities

• Utilizes the nursing process to assess patients, design and implement an individualized plan of care for assigned patients and to evaluate the effectiveness of the plan, patient's response to care and the patient's progress towards established goals. Modifies plan as necessary.
• Considers age specific, cultural and spiritual needs of patients.
• Collaborates with other disciplines to formulate the plan of care for assigned patients.
• Applies knowledge of illnesses, injuries, diseases, and developmental stages to the delivery of patient care.
• Utilizes knowledge of pharmacology (action, route of administration, side effects and contraindications) when preparing and administering medications and IV therapy.
• Provides patient / family education in all phases of care delivery to gain cooperation, allay apprehension and promote compliance.
• Assesses knowledge, plans appropriate learning activities, varies techniques and materials to patients' age and unique needs and evaluates effectiveness by seeking feedback from patients and families.
• Responds to emergency patient situations or internal / external disasters following established protocols, remaining calm and informing appropriate persons.
• Oversees the delivery of patient care and challenges or corrects errors of others to ensure patient safety and wellbeing.
• Reports observations, reactions and problems regarding patients to the appropriate persons in a timely manner.
• Demonstrates responsibility and accountability for problem solving and clinical decision-making on assigned shift.
• Ensures continuity of care by promptly processing and following through on physician's orders and all aspects of the treatment plan.
• Demonstrates an ability to set appropriate priorities in providing patient care and ability to respond to changes in workload.
• Acts as the patient's advocate, ensuring patient rights and intervening when necessary to assure those rights are preserved.
• Demonstrates knowledge of job descriptions and appropriately delegates to CNA's and student nurses based on their current clinical competence.
• Accepts responsibility for own actions and decisions.
• Practices registered nursing according to the California Nurse Practice Act.
• Maintains awareness of professional responsibilities and legal scope of practice.
• Utilizes communication skills and appropriate resources to assure effective communication with patients, families, staff, physicians and coworkers.
• Documents assessments, nursing interventions and care provided to all assigned patients.
• Performs technical aspects of patient care according to established policies / procedures; adapts techniques to patients' age and unique needs with attention to detail, accuracy and patient comfort.
• Prepares and administers medications and IV's to patients with consideration of age specific needs.
• Performs emergency procedures, such as CPR, and assesses patient response.
• Demonstrates safe use of equipment, including but not limited to electric beds, infusion pumps, mechanical lifts, suction devices, physiologic monitors, traction equipment and other patient care devices.
• Performs other job-related duties as assigned.

Benefits

• All required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level