About The Position

The Emergency Department Nurse Fellowship is a three-phase program that supports registered nurses transitioning into the emergency nursing specialty. The fellowship covers medical, surgical, and high-risk emergency care, including neurological, cardiac, and trauma emergencies, and develops the competencies needed to work in a high-acuity, fast-paced emergency department. The nurse provides age-specific care to a designated group of patients through assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The role includes coordinating care and treatments with physicians and other health team members, using clinical judgment and leadership to direct or delegate patient-care activities, and delivering, documenting, and evaluating patient care. The nurse also participates in patient and family education, discharge planning, referrals, and quality improvement.

Requirements

  • Graduate from an accredited School of Nursing.
  • Must be enrolled in an accredited BSN program within two years and obtain a BSN degree within five years of the job entry date.
  • Current license to practice as a Registered Professional Nurse in New York State.
  • Current BLS certification through the American Heart Association.
  • Specialized certifications as needed.

Nice To Haves

  • Bachelor’s Degree in Nursing.
  • Prior exposure to an emergency patient-care setting through capstone or clinical hours, an externship, or related work experience.
  • Passion for working in an emergency patient-care environment.

Responsibilities

  • Interview patients; explain policies and procedures; review charts; and answer patient and significant-other questions courteously and accurately.
  • Assess patients’ physical, psychosocial, developmental, and cultural needs, including health status, mobility, sensory deficits, pain, coping mechanisms, comprehension, and support requirements.
  • Communicate and document assessments, patient status, plans of care, interventions, and responses using departmental documentation methods.
  • Identify patient problems and desired outcomes; develop individualized goals, outcome measures, and prioritized care plans in collaboration with physicians and other health team members.
  • Implement and reassess plans of care, revise them as needed, and maintain patient safety precautions.
  • Administer prescribed medications and treatments safely and correctly; identify medication actions, dosages, side effects, and patient implications; and educate patients and significant others about medication and food interactions.
  • Use patient-care equipment correctly and perform procedures safely, accurately, and efficiently, including decubitus and preventive skin care, simple dressings, compresses, and irrigations.
  • Observe patients during treatments and procedures, record findings, and report changes in condition or treatment to the Patient Care Manager/designee and/or physician as appropriate.
  • Act rapidly and effectively during emergency situations and provide emotional support to patients and significant others.
  • Collaborate with care-team members, assist physicians during treatments and diagnostic procedures, interpret and implement physician-prescribed treatment regimens, and provide direction or delegate assignments to other care-team members.
  • Participate in patient and family education, identify teaching opportunities and resources, assess teaching effectiveness, and document the results.
  • Plan for discharge, coordinate appropriate referrals and post-hospital care, and provide discharge instructions.
  • Evaluate patient outcomes and care effectiveness, conduct variance analysis, and design, implement, and evaluate systems to improve unit care.
  • Perform related duties as required.
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