Emergency Room, PRN

Johnson Regional Medical Center•Clarksville, AR

About The Position

Provides direct and indirect patient care in an emergency care setting, exercising initiative, flexibility, and professional responsibility with minimal supervision. Safely, rapidly, and accurately triages patients entering the emergency care system and determines care priorities based on physical and psychosocial needs and factors affecting patient flow. Communicates changes in patient status, symptoms, and diagnostic results to Emergency Department physicians and responds promptly and accurately to changes in condition or treatment response. The role includes delivering and evaluating nursing care, monitoring and interpreting hemodynamic and cardiac status, administering IV fluids and medications, documenting care, managing pain, educating patients and families, assisting physicians with procedures, and providing age-appropriate care. The nurse works collaboratively with patients, families, physicians, and other departments, while supporting patient safety, quality improvement, confidentiality, and organizational policies. This is a safety-sensitive position under Arkansas law. Physical demands include frequent standing and walking; mobility, sensory, and verbal communication abilities; exposure to temperature changes and biological, mechanical, electrical, and chemical hazards; lifting up to 100 pounds, carrying up to 40 pounds, and pushing or pulling up to 450 pounds. Reasonable accommodations may be made when they do not compromise patient care.

Requirements

Graduate of an accredited school of nursing.
Current Registered Nurse license in the state of practice.
Current BLS certification.
Current ACLS certification before completion of department orientation.
Current TNCC certification within one year of hire.
Current PALS certification within one year of hire.
Able to communicate effectively in English, verbally and in writing.
Basic computer knowledge.
Able to meet the position's physical demands, including frequent standing and walking, lifting up to 100 pounds, carrying up to 40 pounds, and pushing or pulling up to 450 pounds.
Able to work in a safety-sensitive role involving life-threatening procedures and potential exposure to hazardous materials, controlled substances, food, or medicine.

Nice To Haves

Additional language skills.

Responsibilities

Provide direct patient care, evaluate outcomes, consult specialists as needed, and adjust nursing care to support optimal outcomes.
Use the triage process to ensure timely and appropriate care and accurately assign triage categories.
Monitor patient hemodynamic status and correctly interpret results.
Monitor cardiac rhythms, identify dysrhythmias, and respond appropriately.
Prepare, hang, monitor, and discontinue IV fluids.
Maintain accurate, ongoing nursing documentation, including histories, conditions, treatments, responses, and changes in assessments.
Assess and reassess pain, use appropriate pain-management techniques, and educate patients and families about pain management.
Revise and evaluate the plan of care based on patient response and ongoing effectiveness.
Provide care that meets age-specific standards and needs.
Administer medications appropriately for the patient's age and clinical condition, follow the seven medication rights, and reduce medication-error risks.
Develop and evaluate teaching plans based on identified learning needs and include family as appropriate.
Assist physicians with procedures and perform treatments and services within licensure and technical competency.
Treat patients and families with respect and dignity and address psychosocial, cultural, ethnic, and spiritual needs.
Coordinate communication among administration, patients, physicians, healthcare providers, and other departments.
Involve patients and families in developing the plan of care.
Interpret patient-status information to identify age-specific needs and provide appropriate care across the lifespan.
Promote patient safety, reduce the likelihood of healthcare errors, and support a culture of safety and quality.
Coordinate with Social Service or Discharge Planning regarding patients' in-hospital and post-discharge needs.
Communicate clearly with the Nurse Manager, coworkers, and physicians, maintain effective working relationships, and function effectively under stressful situations.
Complete required education, in-services, staff meetings or meeting-minute reviews, regulatory requirements, and performance and quality-improvement activities.
Maintain patient confidentiality, comply with organizational policies and ethical practices, and represent and communicate the mission, ethics, and goals of the hospital.