Registered Nurse Emergency Medicine

Job Title:

• Registered Nurse Emergency Medicine (Emergency Department)

• TBD

• Tripler Army Medical Center

• Hours of performance may include shift work. Normal duty hours may include rotating 8, 10 and 12-hour shifts, 7 days per week including nights, weekends and federal holidays. Work will not exceed 12 hours in a 24-hour period and 80 hours in a consecutive 14-day period.
• Specific days, hours, and shift length will be scheduled by the designated government representative. The specific schedule for each two-week period will be provided one month in advance.

• Contract RNs must be a graduate of a nursing program accredited by the American Association Colleges of Nursing or the National League for Nursing. If candidate is an international nurse graduate from jurisdictions other than the U.S., must possess valid certification for Full Education Course-by-Course Report by the Commission on Graduates of Foreign Schools.

• (BLS) Basic Life Support. Advanced Cardiac Life Support certification.
• Advanced Cardiovascular Life Support (ACLS)
• Pediatric Advanced Life Support (PALS).
• (Online certification is unacceptable).

• Minimum of three years of experience as a registered nurse with at least one year of experience within the last three years in an Emergency Department or in a critical care area of four or more beds as a registered nurse. Waivers may be granted by MTF or department on ad hoc basis.

• Possess a current, unencumbered RN license from any state or territory of the United States.

• Knowledge of interpersonal relationships and the ability to maintain composure and react appropriately while relating to patients and families; to manage distraught, irritable, unreasonable or angry individuals; and to maintain positive rapport with all individuals involved in patient care.
• Ability to react with alertness and skill in any emergency situation, e.g., cardiac or respiratory arrest, hemorrhage, shock, severe physical trauma and psychiatric reaction.
• Serves as member of the resuscitation team.
• Assess patients' conditions for potential or life-threatening crises. Distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment).
• Plan appropriate nursing care.
• Obtain patient history and pertinent family history.
• Document plan of care and care given in patient's medical record.
• Utilize appropriate nursing personnel to assist in delivery of care when indicated (LPNs/paraprofessionals).
• Transcribe or verify transcription of physician orders.
• Carry out prescribed physician orders and document in patient medical record.
• Communicate pertinent patient data to charge nurse and/or physician as appropriate.
• Reassess patient's condition and revise plan of care based on identified nursing problems.
• Possess knowledge of the pharmacology of emergency drugs, anticipated results, usual dosages, and their location on crash cart.
• Administer medications by any ordered route. Assess and document patient response to medications administered.
• Instruct patient/family regarding prescribed medications/therapies and surgical/diagnostic procedures that must be accomplished.
• Give inhalation therapy treatments, with knowledge of medications utilized in this treatment and reactions.
• The ability to interpret and intervene cardiac rhythms to include recognizing lethal rhythms and their implications.
• Assess patient/family knowledge level, implement plan of instructions and record patient/family demonstrated level of understanding.
• Operate defibrillator, EKG machine and cardiac monitor.
• Contract nurse shall administer blood and their competencies for blood administration will be verified.
• Interpret pertinent Jab values.
• Use electronic thermometers, infusion and Patient Controlled Analgesia pumps and various other pieces of medical equipment.
• Provide nursing care to a group of patients with other individuals assisting him/her, which may include making patient care assignments.
• The ability to initiate life saving measures in the absence of a physician.
• Identify impending or existing emotional or psychiatric crisis and provide appropriate intervention.
• Successful completion of certification for the following tasks.
• Recognition of life-threatening arrhythmias;
  Defibrillation;
  Emergency cardioversion.
• Independent administration of emergency drugs (monitor, mix, administer, titrate).
• Drawing and interpretation of arterial blood gases.
• Suctioning
• Operation of Emergency Room equipment.
• Observes, manages patient now through the Emergency Room. Triage patients, referring to appropriate level of care.
• Uses cardiac monitoring equipment; interprets and responds appropriately to data.
• Perform arterial punctures.
• May be required to work in Critical Care Unit, PACU, Medical or Surgical Wards/Clinics.
• This position is mission essential.