RN - Emergency Department ($5,000 Incentive)
Job Summary
The Registered Nurse- Emergency Department, provides immediate, high-quality care to patients in emergency situations within a Critical Access Hospital, utilizing a unique blend of skills and a comprehensive scope of practice. Assesses, stabilizes, and treats a wide variety of patients, from minor injuries to critical, life-threatening emergencies.
•Triages and assesses patients upon arrival to determine acuity
•Administers medications, treatments, and emergency interventions
•Monitors and documents patient status and vital signs
•Collaborates with physicians and interdisciplinary teams
•Prepares patients for transfer or admission as needed
•Participates in emergency preparedness drills and protocols
•Maintains accurate and timely documentation in EHR/Epic systems
•Demonstrates the ability to manage multiple priorities and organize workload; including critical thinking, delegation skills and respectful communication.
• The capacity to make quick, sound decisions under pressure in a fast-paced environment is critical as is the ability to communicate effectively with patients, families, and a small, tight-knit interdisciplinary team, often coordinating care across different departments or external transfer facilities.
Essential Job Functions
Job functions are those tasks, duties, and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Job functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable.
•Completes admission assessment according to unit policy, utilizing past medical history, therapeutic communication, and physical assessment
•Takes a brief history to include allergies and current medications.
•Identifies nursing diagnosis/collaborative problems to determine appropriate interventions within the framework of accepted standards of care
•Interprets reports and records and utilizes data in assessment and care planning
•Ensures efficiency and accuracy of orders
•Administers medications including, but not limited to: oral, injectable, intravenous solutions, and blood components. Administers medications and IV fluids as prescribed and utilized the five rights of medication administration for safety
•Performs venipuncture and starts IV's according to current procedures and infection control policies
•Utilizes emergency department equipment correctly and efficiently; demonstrates knowledge of special preparations or equipment needed for department specific procedures
•Complies and assists others to comply with established policies and procedures for safety and infection control when observing and/or giving direct patient care
•Sets priorities according to patient needs (triage).
•Identifies total patient care needs and utilizes appropriate resources to assist in meeting those needs.
•Systematically assesses cardiovascular, respiratory, renal, and neurologic condition of the patient. Utilizes ABC's in setting priority for emergency care. Directs, delegates, and serves as a resource for nursing care
•Collaborates with patients, families and other health-care team members to identify discharge-teaching needs
•Considers the physical, social, psychological, spiritual, age-related and developmental needs of the patient/family
•Initiates and documents discharge and transfer planning; facilitates patient centered communication and care
•Communicates professionally and effectively with patients, families, coworkers, other health-care team members and ancillary departments to ensure coordination of care
•Gives accurate, objective, and complete oral report to oncoming nurse.
•Maintains open and effective communication with the medical staff.
•Documents on the Emergency Department record in a manner that is appropriate, legible, informative, accurate, and concise with consideration for the medicolegal aspects of documentation, in compliance with documentation standards for Emergency Department at MMHC.
•Arranges ambulance transfer via ground or air, including securing the area. Ensures that transferring referrals are complete and appropriate to the nature of the referral
•Participates in professional growth and self-development activities to ensure accountability for own professional nursing practice
•Participates in staff meetings, committees, and projects; actively contributes to the emergency department quality and development
•Collaborates with and delegates to ancillary/professional staff as appropriate; assures adherence to their scopes of practice, considering licensure and/or certification
•Checks equipment and stocks area the beginning and the end of each shift. Reports any malfunctioning equipment or supply needs to the Nurse Manager. Is responsible for being able to set up and maintain all equipment used in the Emergency Department.
•Demonstrates a working knowledge of all hospital emergency codes and procedures.
•Initiates a complete incident report on any unusual occurrence, and reports potential problems to the Nurse Manager.
•Perform health screening for employee incidents; provide first aid or notify MD for treatment.
•Demonstrates an awareness of medicolegal implications of emergency care by proper documentation of compliance with hospital procedures/policies.
•Records any verbal physician orders.
•Documents after-care instructions given to all patients. Assumes the responsibility for teaching while assisting patients and assures complete after-care instructions are given prior to discharge.
•Assumes responsibility for counting narcotics and checking other medications for adequate supply.
•Checks crash cart and drugs for outdates.
• Demonstrates accountability in attending staff meetings, in-services, and continuing education opportunities.
•Successfully demonstrates professional nursing skills, competencies, and expected outcomes as required for a MMHC Registered Nurse.
•Follows chain of command when problems or concerns arise.
Note: This job description does not state or imply that the above are the only duties and responsibilities assigned to this position. Employees holding this position may be directed to perform job-related tasks other than those specifically presented in this job description.