Staff Nurse - Emergency TP

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.

General:

• 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 and others.
  • 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 i.e. 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.

Unit Specific:

• Interprets arterial blood gas.
• Interprets basic Electrocardiogram (ECG).
• Monitors arterial pressure.
• Performs chest, abdomen, and back burn care.
• Prepares Central Venous Access Devices (CVAD) for adults and pediatrics:
  • Sampling blood from central venous access catheter.
  • Flushing and locking the central venous access catheter.
  • Changing central venous catheter dressing.
  • Changing central venous catheter needless connector and line tubing.
• Prepares Implanted Venous Access Devices (IVAD) for adults and pediatrics:
  • Accessing implanted port.
  • Accessing implanted port (top entry).
  • Sampling blood from the implanted port.
  • Removing the non-coring needle from the implanted port.
• Monitoring and caring for the chest tube drainage system.
• Setting up chest tube drainage system.
• Conducts COVID-19 Polymerase Chain Reaction (PCR) testing.
• Measures creatinine levels.
• Administers emergency medications to paediatrics.
• Performs intubation with direct visualization.
• Inserts and assists with intraosseous infusion device.
• Removes the intraosseous infusion device.
• Administers Intravenous (IV) alteplase for acute ischemic stroke.
• Measures ketone levels.
• Administers moderate sedation.
• Applies splints and casts.
• Cares for tracheotomy tubes:
  • Suctioning tracheostomy.
  • Managing tracheostomy tube cannula and stoma.
• Conducts triage using the Emergency Severity Index (ESI).
• Operates urine analysis machine.
• Performing cardioversion.

For Pediatrics:

• Conducts aspiration precautions:
  • For child or adolescent
  • For children receiving enteral tube feedings
  • For infant
• Conducts Implantable Venous Access Device (IVAD) for pediatrics:
  • Accessing implanted port.
  • Sampling blood from the implanted port.
  • Removing the non-coring needle from the implanted port.
• Monitors cardiopulmonary status in paediatrics.
• Prepares chest tubes in paediatrics:
  • Monitoring and caring for the chest tube drainage system.
  • Setting up chest tube drainage system.
  • Assisting with chest tube removal.
• Utilizes handheld resuscitation bags and masks in paediatrics.
• Conducts health history interviews and physical assessments in paediatrics.
• Manages infiltration and extravasation in paediatrics.
• Administers oxygen via nasal prongs to neonates.
• Administers nebulized drugs to paediatrics.
• Manages obstructed airways in children and infants.
• Samples blood from a peripherally inserted central catheter in paediatrics.
• Changes in dressing on the peripherally inserted central catheter in paediatrics.
• Cares for pediatric tracheostomies:
  • Suctioning…