Staff Nurse – Emergency

Responsibilities

Provides direct and indirect age‑specific care for assigned patients in the Emergency Room per scheduled shifts. Responsible for professional performance and safe patient care. The role encompasses nursing assessment, diagnosis, planning, intervention, evaluation and care coordination for patients across the healthcare continuum involving families. Abides by the Joint Commission International (JCI) requirements including but not limited to International Patient Safety Goals, national and international standards.

Provides age‑specific patient‑centered care utilizing the nursing process. Performs patient assessment using appropriate problem‑focused and age‑specific assessment techniques. Performs continual critical care assessment of patient and family´s physical and psychological needs. Involves the patient, significant others and health care providers in the plan of care when appropriate. Collaborates with a multi‑disciplinary team to provide patient care. Coordinates and plans critical care clinical pathway and prioritizes care based on individual needs.

Revises the care plan as necessary. Initiates appropriate transfer plan. Recognizes subtle cues to anticipate potential problems. Documents all relevant data in the medical record according to hospital departmental standards. Ensures availability and maintenance of supplies and equipment needed for the unit and patient care. Performs clerical duties when needed. Assumes responsibility for meeting Joint Commission International Accreditation (JCIA) required mandatory education (e.g., fire safety, infection control).

Participates in staff meetings and unit committees projects. Participates in developing and achieving unit goals. Maintains a safe environment for patients and staff. Performs safe handling and administrating of narcotic controlled and semi‑controlled drugs and documentation as directed by policies and procedures. Ensures completion of unit competencies (e.g., pain management and utilization of Emergency Department devices). Maintains clinical and professional competency based on the latest research and established standards of practice.

Completes yearly the critical care nursing competencies basic. Participates in unit‑based Continuous Quality Improvement (CQI) activities, data collection, CQI teams, incident reporting, customer complaint reporting, medication error reporting, etc. Participates in ongoing educational activities. Maintains mandatory educational requirements. Performs additional duties when required. Conducts unit‑specific procedures such as interpreting arterial blood gas, basic electrocardiogram (ECG), monitoring arterial pressure, monitoring central venous pressure.

Performs chest, abdomen, and back burn care. Prepares Central Venous Access Devices (CVAD) for adults and pediatrics. Samples blood from central venous access catheter. Flushes and locks central venous access catheter. Changes central venous catheter dressing, needless connector and line tubing. Prepares Implanted Venous Access Devices (IVAD) for adults and pediatrics. Accesses implanted port, including top entry, samples blood, removes non‑coring needle.

Prepares chest tubes, monitors and cares for chest tube drainage system, sets up chest tube drainage system. Conducts COVID‑19 Polymerase Chain Reaction (PCR) testing. Measures creatinine levels. Administers emergency medications to pediatrics. Performs intubation with direct visualization. Inserts and assists with intraosseous infusion device. Removes intraosseous infusion device. Administers intravenous IV alteplase for acute ischemic stroke. Measures ketone levels. Administers moderate sedation.

Performs rapid strep test using point‑of‑care testing (POCT). Applies splints and casts. Cares for tracheotomy tubes. Suctioning tracheostomy. Managing tracheostomy tube cannula and stoma. Prepares mechanical ventilation during patient transport. Conducts triage using the Emergency Severity Index (ESI). Operates urine analysis machine. Uses defibrillator for pediatric patients. Performs cardioversion, defibrillation, transcutaneous pacing. Conducts aspiration precautions for children…