Rn Jobs in Orange County

About The Position

Requirements

• Graduate of an accredited school of nursing.
• Current North Carolina registered nurse license.
• BLS, ACLS, and PALS certifications required, or to be obtained within six months of hire.
• Obtain the Handle with Care Certificate within six months of hire and maintain it as current thereafter.

Nice To Haves

• At least one year of recent clinical experience in a critical care setting, including Emergency Services and/or an Intensive Care Unit, mobile or facility-based, is preferred.
• NRP certification preferred.
• TNCC certification preferred.

Responsibilities

• Use the ESI 5-Level triage process and applicable standing nursing interventions; monitor the waiting area for safety and service concerns, perform system rechecks for patients awaiting bed assignments, and document in the EDM system.
• Facilitate patient flow through the emergency care system; communicate relevant information to the Charge Nurse and waiting family or significant others; use the “Pull to Full” bed-assignment method appropriately; maintain an “MD Dispo to Depart” rate of less than 15 minutes; and follow transfer, admission, and throughput processes and metrics.
• Perform initial and follow-up, routine and focused head-to-toe assessments based on triage priority, patient acuity, and physical and psychosocial needs; reassess at appropriate intervals after interventions or as ordered by physicians.
• Provide nursing interventions ordered by physicians or established protocols; administer, monitor, and document medications and IV therapy; and initiate laboratory and radiology studies accurately.
• Communicate significant findings to physicians, initiate appropriate nursing care, coordinate with ancillary staff, and conduct hand-offs using the SBAR technique in accordance with GHS policy.
• Maintain accurate, timely, objective, specific, and neutral documentation in the appropriate patient chart, including allergies, nursing actions, medication administration, drug reactions, changes in condition, transcribed orders, belongings, and dispositions; ensure handwritten documentation is legible and signed and avoid unsafe abbreviations.
• Understand the GHS EOC Code structure, perform assigned duties during EOC Code calls, safely use emergency equipment and supplies, and participate efficiently in Code, Trauma, and resuscitation responses.
• Educate patients about good health practices, access to care, and physician-directed follow-up; complete discharge teaching documentation and obtain required signatures; provide discharged patients with appropriate instructions and teaching materials.
• Follow infection-control standards, routinely practice effective hand hygiene and universal precautions, and perform sanitary wipe-downs as required by unit and GHS policy.
• Plan and provide safe, effective nursing care; implement patient-specific safety procedures; maintain appropriate bed position, side rails, and call-bell use; and report unusual occurrences according to EOC protocols.

Benefits

• NC Local Government Pension Plan with a five-year vesting period.
• Eligible employer for Public Service Loan Forgiveness (PSLF).
• Medical, dental, vision, and life insurance, plus various supplemental benefits.
• Paid time off (PTO) and holiday pay.
• Continuing education and professional development opportunities.
• Sign-on bonus eligibility up to $20,000 for full-time employees.
• Shift differentials of $2.50–$5.00 per hour.