POSITION SUMMARY:

The Registered Nurse (RN) of the AC/ED is responsible for supervising, delivering and evaluating patient care delivered by all components of the shift (i.e. LPN and CNA care delivered in a safe and timely manner based on the policies and procedures of the facility). The RN may also be responsible for the administrative activities of the shift as designated by the department supervisor.

POSITION QUALIFICATIONS:

Graduate of an accredited school of nursing.

Current Idaho professional RN license

ACLS & TNCC & CPR/BLS certification required

ENPC or PALS certification preferred

Current CPR/BLS certification required

Basic EKG interpretation, preferred (required within six (6) months)

Must key board at 30 wpm; be proficient on computers i.e. Outlook and Electronic medical records systems

Three (3) year emergency nursing experience as a professional nurse preferred.

Three (3) year medical/surgical nursing experience as RN or comparable nursing experience with focus on triage, nursing assessment and treatment with experience working under pressure required.

SCHEDULE:

Per Diem works 0 to 40 hrs per week as directed by the Manager

Must be able to work 12 hrs shifts from 6 to 6, both day and night shifts may vary.

ESSENTIAL JOB DUTIES/REQUIREMENTS: ACUTE CARE

Assigns staff appropriately for patient care during shift, according to acuity tool.

Receives and communicates pertinent shift reports to on-coming shift and what transpired in patient care and conditions.

Prioritizes presenting problems to be handled during shift.

Addresses shift personnel in a professional and positive manner regarding problem solving.

Uses all available resources of information and assessment skills for patient evaluation.

Addresses, with supporting documentation, any questions, changes and concerns regarding a patient’s condition to the physician.

Performs procedures and treatments ordered for patients within the nurse practice act.

Administers ordered medications and is alert to difficulties, complications or side effects. Reports the findings appropriately. Documents medication given, or if refuses, why and responses to medications (PRN) given.

Demonstrates knowledge and use of equipment, including, but not limited to, enteral feeding pumps, SVN, Pulse oximeter, glucose monitor systems, nurse call and alarm systems, suctions systems, oxygen set-ups, cardiac monitors/telemetry, infusion pumps, patient controlled infusion pumps, IKG and lab draws.

Completion of comprehensive charting and administrative aspects of shift, including but not limited to, clinical records, care plans, admission assessments, discharge planning and medication records.

Makes frequent checks (at least every one-half hour) on patients and LPN’s and CNA’s.

Demonstrates role as patient advocate regarding patient rights. The RN acts in this capacity among staff and family, as well as physicians and administration. Refers financial concerns to Social Services or facilities Patient Advocate.

Maintains good rapport with families of patients, acting as liaison between families and the physician, as well as families and administration.

Facilitates communication with health care team to maintain current plan of care for the patient.

Monitors CNA Flow Sheets for accuracy.

Completes death care for patients and notification of organ procurement agency.

Preceptor’s new employees.

Adheres to the guidelines set forth in the facilities Personnel and Policy and Procedure Manuals.

Communicates to Manager of Acute Care and Emergency Department any complaints, problems, occurrences, deterioration of patient status or personnel problems immediately.

Admits new patients to include the admission assessment, obtaining physician orders, database and admitting notes, initiating patient care plan and coordinating with Social Services for admission packet signatures.

Monitors the physical environment of the Acute Care Facility and notifies appropriate departments when necessary

Receives and places confidential information with courtesy, accuracy and respect at all times.

Maintains required education credits as per facility policy.

Performs infection control maintenance.

Takes and records vital signs.

Must be willing to assist in other areas as needed.

Ability to respond properly and follow Facilities Plan in an emergency situation and/or disaster.

Completes annual review and keeps current ACLS, CPR certification and PPD.

EMERGENCY DEPARTMENT

Assesses patients on presentation to the Emergency Department and administers triage first aid as indicated.

Communicates to Emergency Department Manager any complaints, problems, occurrences, deterioration of patient status or personnel problems immediately.

Coordinates patient care with the attending physician and addresses, with supporting documentation, any questions or concerns regarding a patient’s care to the physician.

Demonstrates knowledge and use of equipment, including, but not limited to, cardiac monitor with defibrillator and external pacer, wall suction/oxygen equipment, pulse oximeter, glucose monitor systems, nurse call and alarm systems, suctions systems, IV pumps and Emergency Department gurneys.

Demonstrates public relations and customer service skills during direct or telephone contact with patients, families and visitors.

Determines the patient’s priority of care and places the patient in the appropriate care area.

Develops plan for the patient’s discharge or coordinates the patient’s admission or transfer.

Displays flexibility and ability to alter priority of care depending on changes in the patient’s condition or additional patients presenting to the Emergency Department.

Documents in Electronic Health Records (EHR) the patient presenting complaint symptoms, onset of problem or mechanism of injury, past medical history, vital signs, allergies, current medications, primary, secondary assessments and other pertinent information.

Educates patient and family regarding the patient’s illness or injury. Keeps the family or significant other informed of the patient’s status and progress in the Emergency Department.

Establish IV lines, administers IV therapy, blood, subcutaneous and oral medications.

Evaluates and documents effectiveness of nursing and medical interventions; documents re-assessments as appropriate.

Promotes positive and effective communication between all team members and hospital staff.

Receives and places confidential information with courtesy, accuracy and respect at all times.

Responsible to know CAH policies and procedures

Validates and documents the patient understanding of follow-up and discharge instructions.

NON-ESSENTIAL JOB DUTIES/REQUIREMENTS:

Performs performance improvement monitoring.

Assists with scheduling as directed by the Manager of Acute Care and Emergency Department.

Coordinates the stocking of supplies and linens.

Performs essential cleaning of patient care equipment.

All other duties as assigned.