Registered Nurse; Med​/Surg​/ER

Job Title: Registered Nurse (RN) Medical-Surgical and Emergency Room

Classification: Non-Exempt/Hourly

Reports To: Director of Nursing

Position Type: Full-Time

Hours Worked/Shift: Day Shift 6 am – 6 pm (3 days a week, weekend and holidays included.)

The RN is responsible for the care of a specific group of patients during a twelve‑hour shift and may supervise LPNs or Nurse Aides who are assigned to the same group of patients.

The Emergency Department (ED) Nurse is responsible for the overall care of the Emergency Department patient, providing direct and indirect patient care in the emergency care setting, reflecting initiative, flexibility, and responsibility indicative of professional expectation with a minimum of supervision. The RN triages safely, rapidly, and accurately; determines priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the system;

and responds quickly and accurately to changes in condition or response to treatment.

• Demonstrates ability to safely assist patients with transfer, lifting, or rendering aid on the facility campus.
• Provide direct patient care, including treatments, daily care, etc., as ordered and/or per nursing judgment based on accepted nursing care standards and evidence‑based practice. Complete a thorough admission assessment as well as assessments of each assigned patient each shift. Seek guidance from the Director of Nursing.
• Maintain an accurate and up‑to‑date record of patient activities, assessments and any changes occurring on his/her shift by charting per accepted policy.
• Make rounds on assigned patients at minimum of every two hours; preferably hourly. Ensure hourly rounding is completed by Nurse Aide.
• Make rounds with the attending physician on his/her patients.
• Start and maintain intravenous sites and monitor intravenous medications; assist non‑IV‑certified LPNs with all intravenous medications; ensure intravenous medications administered appropriately and per certification regulation.
• Monitor medical conditions of assigned patients and report changes to the appropriate personnel.
• Verify all assigned patient’s orders are acknowledged throughout the day and at the end of the shift.
• Assist providers with examinations, procedures and other processes related to care.
• Perform all basic nursing procedures involved with the position of a staff Nurse.
• Prepare, hang, monitor and discontinue intravenous fluids as ordered.
• Respond to all Code Blue situations and perform as directed by the Charge RN.
• Participate in conducting patient care conferences and maintain up‑to‑date care plans.
• Assume any additional responsibilities delegated by the Charge Nurse or the Director of Nursing.
• May be required to float to other departments as needed (Operating Room, Outpatient Therapy) and as appropriate per scope of practice.
• Responsible for monitoring, scheduling, distributing, and educating on any medication (all routes) as orders by the physician.
• Provide patient care, medication management, and order implementation to assigned patients.
• Assign specific patient care responsibilities to aides who are assigned the same patients for which the Staff Nurse is responsible.
• Handle problems concerning patients and personnel directly assigned to him/her, and report this to the Charge Nurse. Refer intra‑ and inter‑departmental complaints and problems to the Risk Manager, Charge Nurse, or Director of Nursing.
• Provide input to the Director of Nursing concerning policies, procedures, patient care facilities, and equipment. Recommend improvements to the Charge Nurse and the Director of Nursing.
• Function as an effective public relations representative both inside and outside the hospital. Observe professional ethics.
• Adhere to departmental policies and procedures, Quality Assurance, and infection control standards.
• Ensure an adequate supply of supplies and proper functioning of equipment. Report problems or concerns to the Director of Nursing.
• Participate in educational programs, in‑service meetings, and workshops.
• Attend monthly staff meetings and other hospital meetings as required.
• Demonstrate behaviors consistent with…