Registered Nurse PRN

Job Title:

Registered Nurse (RN)

Department:
Nursing

Reports To:

Nurse Director

FLSA Status:
Non-Exempt

Position Summary:

Delivers care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation, in accordance with established protocol and / or as ordered by the emergency room physician to restore stability, prevent complications, and achieve and maintain optimal patient responses for all patients through patient centered/patient valued care.

Essential Duties and Responsibilities:

To perform this job successfully, an individual must be able to perform the following Clinical, Laboratory, and general essential duties and responsibilities satisfactorily; other duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Maintain accurate, detailed reports and records.
• Administer medications to patients and monitor patients for reactions or side effects.
• Record patients' medical information and vital signs.
• Monitor, record, and report symptoms or changes in patients' conditions.
• Monitors patients receiving moderate / procedural sedation and reports the patient’s condition and response to the emergency physician.
• Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans.
• Performs triage and assessments using a standardized acuity tool (e.g., Emergency Severity Index / ESI).
• Manages basic life support needs and stabilizes patients until the attending physician is available, based upon nursing standards and protocol; coordinates stabilization and transfer of patients requiring a higher level of care in accordance with facility transfer protocols, including report to EMS and the receiving hospital.
• Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology.
• Works under the direction of the emergency physician, assisting during exams, procedures, diagnostic testing and treatments.
• Provides IV infusion / therapy in accordance with physician orders, performs 12-lead EKG, venipuncture and IV initiation, blood draws, cardiac and pulse oximeter monitoring, applies oxygen using the appropriate delivery system, administers nebulized treatments.
• Provides emergency nursing care to patients across the lifespan, from neonate through geriatric, applying age-specific assessment and treatment.
• Participates in the initial recognition and management of time-sensitive emergencies (e.g., STEMI, stroke, sepsis, and trauma) with rapid stabilization and escalation.
• Supports on-site diagnostic imaging by preparing and monitoring patients for X-ray, CT, and ultrasound, including monitoring for reactions to contrast media as ordered.
• Assists administration in maintaining proper / par-level supplies and appropriate medical equipment to care for patients.
• Reports any violations of policies, procedure and any suspected abuse to the appropriate agencies.
• Initiates patient education plan, as prescribed by physician. Teaches patients and significant others how to manage their illness/injury.
• Reviews all discharge instructions with patient and take vital signs prior to discharge to ensure patient is stable
• Reports safety violations, work injuries, or work hazards to administration.
• Accounts for on hand narcotics amounts at each shift change in the presence of a qualified healthcare professional, i.e., RN, physician and records narcotic count into appropriate log.
• Logs medication inventory and removal of medications for administration as required by pharmacy policy and ensures security of the pharmacy during shift.
• Complete all necessary chart nursing documentation in accordance with policy. Documentation must be legible and…