RN ED; Nights

Position: RN ED (Nights)
Job Summary

Provides age and population specific direct clinical care to neonate, infant, pediatric, adolescent, adult and geriatric patient populations. Delivers patient care according to the Scope of Service for the Emergency Department. Adheres to and practices the SJH Corporate Compliance Program and participates in Performance Improvement activities.

Essential Functions

Patient Care

Obtains and reviews all patient data using; observational. Interviewing, interpretation and critical thinking skills in an age specific populations and developmentally appropriate manner. Identifies risk factors and provides for patient safety. Implements measures to prevent injury from environmental hazards. Practices autonomously and consistently with professional nursing standards. Identifies changes in patient status, exercises critical thinking and independent judgment within the context of a multidisciplinary approach to patient care.

Develops a plan of care that is unique to each patient's needs, evaluates patient response to plan of care and reflects measurable goals that are mutually set with the patient. Evaluates patient response to pain management interventions. Offers alternative pain management therapies. Demonstrates knowledge and awareness of medication action, side effects and protocols for use. Using 2 patient identifiers, gives medication safely and accurately according to policy and procedure.

Organizes and prioritizes care of multiple patients with varying levels of acuity in a timely and efficient manner with a positive attitude. Manages specimen collection, handling and disposition according to hospital policy. Labels blood specimens at patient bedside. Addresses patient and family's spiritual and emotional needs utilizing a holistic approach. Uses supplies and equipment within safe parameters. Ensures equipment is functioning properly before use.

Reports equipment malfunction following the appropriate reporting procedure. Initiates and completes computerized Event Reports for unusual events consistently. Reports near misses.

Patient & Family Education

Assess patient and family education needs based on; a) age/population, b) developmental level, c) readiness to learn based on patient perception, educational level and expectation of care, d) patient understanding, e) available coping mechanisms, and f) outcome expectations. Initiates and incorporates patient/family education into plan of care and nursing practice. Identifies continuity of care needs for discharge and follow-up using appropriate resources.

Communicates up-dated status report and clear information to patient/family to make informed decisions.

Unit Specific Performance

Assists and completes daily routines, i.e. crash cart checks, narcotic count, urine controls, glucometer checks. Keeps the department clean, orderly and stocks daily. Functions in the charge nurse role as assigned. Completes and signs daily charge nurse form. Completes all documentation, utilizing the appropriate forms/systems (ED Flow Sheet, Trauma Flow Sheet, Procedure Sedation Packet, OR Packet, signed computerized discharge instructions and telephone number, Patient Profile completed 100%).

Documents procedure/treatment and supplies to reflect and support appropriate charges. Charges supplies and medications accurately at time of use. Responds appropriately in management of Code Blue, Trauma Protocols and Activation, Disaster Preparedness, and Crisis Intervention. Administers immunizations and flu injections to hospital employees. Completes appropriate paperwork and discharge instructions to employees. Demonstrates knowledge, set-up, and proficiency with use of equipment: cardiac monitor, monitor station at nurses' desk, IV pumps, level 1 fluid/blood warmer, radio/dispatch, warming lamp, central/arterial line, chest tube/atrium system, temporary pacemaker, airway cart, adult and pediatric airway rolls.

Triage Responsibilities

Completed documentation. Assigns appropriate acuity level per classification systems. Keep charge nurses apprised of patients waiting. Adhere to patient flow protocol from triage to ED.

Job Requirements

Minimum Education

Required: ASN

Preferred: BSN

Minimum Work Experience

Required: Demonstrated critical thinking skills and a professional style of communication. Basic computer skills.

Preferred: Two years Emergency Department experience.

Required Licenses: Current RN license with the authority to practice in the State of Wyoming. BLS, ACLS and ENPC or PALS required at the time of hire. TNCC or ATCN required within 6 months of hire, CPI required within 6 months of hire.

Functional Demands

Working Conditions

Emergency Department and other hospital areas. Irregular hours, meals and breaks. Fast paced and noisy essful situations. Frequent interruptions. Must be on-site at the SJH campus or other facilities to fulfill the responsibilities of this role.

Physical Requirements

80-90% of the time standing and walking. Intermittent sitting and computer use. Must possess…