Registered Nurse RN - Emergency Room

Summary

The RN functions primarily in direct patient care and demonstrates competent clinical practice. This position triages patients, obtains patient history and vital signs, and assesses patients. Acts independently to initiate immediate care in the absence of a physician in life‑threatening situations. Provides care for the acutely ill as well as the non‑acute patient. Performs multiple procedures utilizing both complex and simple nursing skills and assists the physician with their procedures.

Provides comfort, both physical and psychological, to the patient, their family and visitors. Provides discharge and follow‑up instructions to the patient and family. Answers ambulance radios and, without assistance, gives appropriate orders for pre‑hospital care. Works with multiple types of sophisticated equipment and handles various types of patients in a frequently stressful environment.

• (25%) Performs nursing assessments, intervenes appropriately and promptly, and participates in care planning.
• (25%) Regularly assesses patient’s/client’s needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice.
• (20%) Processes physician/provider orders accurately, completely, and in a timely manner, and follows up regarding medication changes and order clarifications.
• (15%) Evaluates effectiveness of treatment plan and makes suggestions or facilitates changes in plan to improve patient care.
• (15%) Actively participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information.
• Other
  
  Duties and Responsibilities:
  
  Uses physical assessment techniques (auscultation, percussion, palpation, observation) to identify patients' physical problems and their patient care needs.
• Recognizes self‑limitations and seeks out appropriate resources. Possesses clinical competence in airway management, cardiac monitoring, IV therapy, blood gas analysis, venipuncture and physical assessment.
• Reassesses patient health status and identifies significant changes in conditions.
• Individualizes plan of care.
• Coordinates the prescribed plans with orders on the healthcare team.
• Communicates pertinent aspects of care to patient, family, or other healthcare workers. Initiates home health referrals when appropriate. Sets priorities and implements nursing measures which correlate with identified plan and standard of care.
• Recognizes change in patient’s condition and takes action to manage, reduce, or eliminate symptoms and promote comfort.
• Demonstrates respect for patient’s dignity and privacy.
• Documents nursing intervention and patient’s response.
• Maintains a safe patient environment and takes actions to prevent risk situations. Provides patient/family education—explains all procedures, utilizes available educational materials, documents any instructions given to family.
• Has effective interpersonal skills with customers.
• Assists peers in patient care activities.
• Recognizes stress in others and uses positive coping techniques. Sets goals and prioritizes Emergency Department care to patients according to acuity.
• Is accountable in following medical center policy and procedures and work attendance.
• Participates in continuing education program, medical center modules, and ED In‑services and ED Skills Day.
• Employee may be required to participate in further learning opportunities offered by My Michigan Health.

• RN:
  Registered Nurse (essential)
• BLS:
  Basic Life Support (within 3 months of hire or transfer; essential)
• ACLS:
  Advanced Cardiac Life Support (within 12 months of hire or transfer; essential)
• TNCC:
  Trauma Nurse Core Course or ATCN (within 12 months of hire or transfer; essential)
• PALS:
  Pediatric Advanced Life Support (within 12 months of hire or transfer; essential)
• ENPC:
  Emergency Nurse Pediatric Course (within 12 months of hire or transfer; essential)
• TEAM ADVANCED:
  Techniques for Effective Aggression Management (within 6 months of hire or transfer; employees on or before 12/31/2023 have 24 months; essential)
• NIMS IS 100: NIMS IS 100 Introduction Incident Command System (within 6 months of…