RN Emergency Room Full-Time Nights

Baptist Health•Alabaster, AL

2d•Onsite

About The Position

The RN Emergency Room administers patient care in a hospital or inpatient setting for patients with advanced illnesses or injuries who routinely require timely, intense, and complex care to stabilize and support their medical conditions. The role calls for advanced nursing skills, close vigilance, and the ability to respond to rapidly changing patient conditions. The position is at Baptist Health Shelby Hospital in Alabaster, Alabama, on a full-time night shift. The hospital is a 252-bed acute care facility that serves more than 30,000 emergency visitors annually and offers a range of advanced clinical services. The nurse assesses patients, develops and revises individualized care plans, delivers evidence-based care, monitors specialized equipment, and responds to emergencies. The role also includes coordinating and delegating patient care, documenting care in accordance with regulatory standards, advocating for patients and families, and collaborating with medical staff and interdisciplinary teams. Nurses may serve as preceptors, charge nurses, unit educators, or nurse clinicians. For nurses who have completed specialized training, additional responsibilities may apply when serving as an ECMO specialist. These duties include providing ECLS staffing, operating and monitoring ECMO equipment, coordinating care with physicians and perfusionists, managing equipment and medications connected to the circuit, supporting ECLS during transport, maintaining continuous coverage, and attending quarterly simulations.

Requirements

Graduate of an approved school of nursing.
Current State of Alabama RN license or valid eNLC multistate RN license.
Current BLS/Healthcare Provider certification.
One year of experience required unless approved by an AVP level or above.
Meet all mandatory, developmental, and performance competency requirements for Orlando Health and the unit/department.
ACLS, NRP, PALS, or TNCC certification is required for certain areas; NRP is required for the Neonatal Intensive Care Unit.

Responsibilities

Provide complex nursing assessment and care, therapies, and high-intensity interventions while maintaining continuous vigilance.
Use patient information and assessment data to anticipate and respond to rapidly changing conditions.
Prioritize information and take immediate, evidence-based, patient-focused action.
Monitor and adjust specialized patient-care equipment and interpret and record electronic displays, including pressures and cardiac rhythms.
Respond to life-saving situations according to nursing standards and protocols.
Observe and assess patients, identify serious situations, and contact a physician or take preplanned emergency measures when a physician is unavailable.
Assess patient needs; develop and revise individualized plans of care; and evaluate progress toward expected outcomes.
Build respectful relationships with team members and customers, advocate for patients and families, and provide compassionate, therapeutic care.
Provide age-appropriate care and apply knowledge of growth and development across the lifespan.
Coordinate care and delegate tasks appropriately based on patient needs and team members’ qualifications and capabilities.
Document assessments, education, medication administration, treatments, and patient safety in accordance with required and regulatory standards.
Demonstrate competency in nursing skills and unit-specific patient-care equipment, and prioritize care according to evidence-based standards.
Communicate patient conditions and unit concerns and collaborate with medical staff and interdisciplinary teams to plan and manage care.
Serve as a preceptor, charge nurse, unit educator, and/or nurse clinician as applicable; support department and hospital goals.
Collaborate with education and nursing leadership to transition and support new team members and students.
Maintain punctual attendance and comply with applicable hospital policies and procedures.
For trained ECMO specialists: provide daily staffing for ECLS services and collaborate with unit leadership, intensivists, perfusion services, bedside staff, and other healthcare team members.
For trained ECMO specialists: operate ECMO equipment under provider direction; monitor and optimize the ECMO circuit; administer ordered blood products and medications through the circuit; and manage connected equipment.
For trained ECMO specialists: provide scheduled, unscheduled, and emergency ECLS, manage ECLS during transport, ensure continuous coverage, and attend mandatory quarterly simulations.
Contribute to the knowledge and skills of others and to continuous improvement in healthcare quality and organizational outcomes.
Participate in or lead nursing practice and performance-improvement committees, and take part in peer review, mentoring, and coaching.
Use supplies efficiently and maintain a clean, safe, organized work area.
Attend staff development sessions, department or committee meetings, and pursue professional development and continuing education.