Registered Nurse - ED - Part Time -Nights - thru 3rd weekend

Emergency Room Registered Nurse

Use independent professional judgment, analytical skills, and the nursing process to provide a full range of delegated, interdependent, and independent nursing services to patients. Within the framework of the Seven Dimensions of Patient Care and Benner's Domains of Nursing Practice, demonstrate clinical competence; compassion and customer service orientation; focus on process and outcomes; and cost-consciousness when assessing, planning, implementing, and evaluating nursing care provided to patients.

Provide patient care that reflects a respect for patient's rights, dignity, values, culture, preferences, and expressed needs. Assesses patient/family needs for information and education across the continuum, plans and implements patient teaching using a variety of techniques and methods, and evaluates effectiveness of educational interventions. Help to alleviate patient fears and anxiety through skillful application of professional and interpersonal communication. Utilize a variety of pharmacologic and non-pharmacologic approaches to ensure patient comfort and relief of pain.

Involves patient, family, significant others in development of plan of care.

Collaborate with patient/family, hospital staff, and community agencies to develop discharge plans that prepare patients for continued care needs. Complete assessment for Risk Factors; including fall, skin breakdown, VTE, and aspiration. Initiate appropriate initiatives as indicated SKINN Bundle, Fall Prevention Plan, SCD, etc. Complete Medication Reconciliation upon admission and change in level of care. Establish, direct, coordinate and document plan of nursing care in conjunction with patient/family.

Initiate Problems and Outcomes list (plan-of-care) based on medical diagnosis and patient needs. Monitor, document, and report patient response to interventions and progress toward outcomes. Document nursing interventions (NIC) and progress toward outcomes (NOC); patient education; and evaluation every shift, as required. Educate patient regarding treatment plan, safety measures, medications, and self-care as indicated. Document education activities on shift assessment flowsheet and plan of care (POC).

Review discharge plans/instructions with patient prior to discharge, including signs/symptoms to watch for after leaving the hospital. Ensures appropriate follow-up arranged. Ensure that core measures Discharge Instructions are given to all CHF patients. Document patient care according to established documentation guidelines.

Demonstrate knowledge and skill application of basic nursing procedures - dressing change, catheterization, NG tube insertion, suctioning. Implement/complete medical interventions as ordered. Initiate standing orders appropriately. Initiate and/or assists with all patient care activities including activities of daily living and provides other services as required for patient comfort, safety, and well-being. Assess and initiate interventions to prevent/minimize patient skin breakdown. Follow clinical practice guidelines and procedures as written.

Establish and maintain peripheral IV therapy.

Obtain body fluid specimens, per procedure. Obtains blood specimens if no phlebotomist assigned to area. Perform blood capillary glucose monitoring. Administer the following according to established policies and procedures:
Medications. IVs. Blood products. Prepare patients for surgery or other invasive procedures according to established guidelines. Perform or assist with procedures according to established standards of care and nursing practice. Utilize equipment based on manufacturers instructions and established nursing procedure. Correctly operates and trouble shoots IV pumps, PCA pumps, epidural pumps, feeding pumps, patient beds, as applicable.

Regularly reviews work in progress to ensure that treatments, medications, and tests ordered are expeditiously carried out and documented. Review patient medical record/reports and confers with physician regarding treatment plans. Routinely checks chart for new orders. Monitor patient physiologic parameters including vital signs, lab work, I&O, blood glucose;…