Registered Nurse ER

Description

PERFORMANCE STANDARDS

• Plans work assignment to meet the needs of the patients and peers.
• Plans for effective communications in the Acute Care area and other hospital departments.
• Plans for administration of policies and procedures.
• Forecasts need for special equipment and supplies for specific procedures coordinating activity with Acute Care supervisor.
• Utilizes knowledge of skills in medical, surgical, and pediatric procedures as a basis for implementing patient care.
• Coordinates daily patient care with staff and physicians.
• Organizes own time effectively.
• Identifies patient, physician and staff needs and sets priorities accordingly by communicating with all involved personnel.
• Adheres to standards of care, department objectives and individual objectives.
• Follows the hospital and nursing department policies and procedures.
• Identifies deficiencies in patient care and initiates corrective action.
• Participates on appropriate committees.
• If team leading, an LPN, will complete the RN/LPN chart review in the EMR System
• Communicates effectively with nursing staff, physicians, and other hospital staff.
• Communicate anticipated and critical changes in patient care to supervisor and to physician.
• Serves as a professional role model.
• Participates in the administering and assessment of nursing care.
• Participates in activities to identify and meet patient needs.
• Participates in unit activities.
• Identifies and participates in activities to maintain self-motivation.
• Regular attendance at general in service programs, unit in service and other educational experiences.
• Develops skills for effective delegation of responsibilities in working as a team
• Participates in goal setting for self and department.
• Recommends activities to the Acute Care Supervisor that will benefit the nursing staff in general.
• Nursing assessment is obtained and completed within 2 hours of admission.
• Psychosocial needs and perception of patient and/or family expectations of present hospitalization are identified and documented.
• Appropriate teaching given and documented.
• Alertness and skill in recognizing and identifying symptoms. Symptoms are recognized and appropriate action taken (ex: notify physician if patient has unrelieved pain from medication ordered, offer prn medications, etc.).
• Set priorities and give care based on problem solving needs. Ability to complete work within scheduled time.
• Take responsibility for such activities and follows hospital policy and procedure for the following:

-Giving medications following procedure

-Blood Transfusions

-IV Meds

-IV Fluids

-Starting IV’s

-Special treatments (i.e. respiratory, dressing changes, ect)

-Providing bedside nursing care

-Serving trays

-Answering lights and telephones

-Admitting, transferring and discharging patients

-Maintaining supplies and equipment

-Appropriate patient teaching concerning routine hospital procedures and

special procedures regarding their condition

-Being familiar with basic cardiac rhythms, emergency drugs and equipment

-Complete charting each shift

-Performing or appropriately delegating ADL’s for patient

-Assisting physician with procedures such as chest tube placement,

paracentesis thoracentesis, suturing of wounds etc.

-Understands basics of post-partum and nursery care

-Does appropriate discharge teaching including activity instructions,

medication instructions, among others

-Accurate documentation

-Knowledge of procedures of handling the deceased

• Take responsibility for such activities and follows hospital policy and procedure for the following:

-Understands and is able to explain advanced directives to patients when

Requested

• Interacts with other team members to keep them informed of any changes in patients condition
• Check narcotics with each shift change or as procedure dictates
• Participate in teaching and orienting co-workers within the unit. Own performance sets desired example.
• Participation and documentation of continuing education.
• Appropriate areas of the medical record.
• Plan work assignment to meet needs of the patients and peers.
• Keep the primary physician informed of patient’s condition and any acute changes.

GENERAL RESPONSIBILITIES

1. Reports for scheduled shift on time and prepared to assume responsibilities.

• Reports to work in proper uniform or attire.
• Leaves for meal break on time and returns on time.
• Varies work schedule to meet the needs of the department.
• Ensures the department head prior to working has approved all overtime.
• Schedules all time off with supervisor’s approval.
• Strictly adheres to hospital attendance/tardiness policies 100% of the time.
• Performs all duties as assigned.
• Wears I.D. badge in a visible location at all times on hospital property.

2. Attends and participates in meetings and is responsible for information communicated at meetings.

• Attends all mandatory in service on a timely basis as scheduled.
• Participates as an active team member at staffs meetings.
• Reads communications and acts upon in a positive and informative manner.

3. Assists all patients, family members, physicians, visitors, and employees in a professional and courteous manner.

• Extends special attention and sensitivity to all patients, visitors, physicians, and fellow employees.
• Assists in maintaining an atmosphere of cooperation with other departments and allied professionals.
• Demonstrates respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve inter-personal conflicts.
• Demonstrates the ability to participate in and/or implement team decisions.
• Actively participates in and encourages actions that promote good public relations with patients’ families, visitors, and the community.
• Works together in a spirit of teamwork.
• Shares information on a “need to know” basis.

4. Follows Infection Control procedures at all times.

• Clinical Personnel: Strictly adheres to standard precautions by adhering to the usage of personal protective equipment when handling blood or body fluids.
• Non-Clinical Personnel: Washes hands and other skin surfaces with soap and water thoroughly and often in an effort to control spreading of germs within the department and facility.
• Adheres to isolation procedures at all times as applicable.

5. Adheres to the following environmental care standards.

• Demonstrates adequate knowledge of safety policies and procedures, the use of MSDS sheets, hazardous material procedures, and safety codes.
• Code Blue, Code Gray, Code Silver, Code Amber, Code Red, Code Orange, Rapid Response Team
• Demonstrates adequate knowledge of security issues, i.e. personal protection, protection of personal and hospital property.

6. Be familiar with the collective bargaining agreement of the USNU and Mid-Valley Hospital.

7. Demonstrates the ability to adapt to varied age-specific patient populations.

Requirements

POSITION QUALIFICATIONS

EDUCATION:

Graduated from an accredited School of Nursing.

EXPERIENCE:

A minimum of one year acute care nursing.

REQUIRED CERTIFICATION/LICENSURE/REGISTRATION:

Current state nursing licensure.

OTHER QUALIFICATIONS:

ACLS and PALS required, TNCC within 1 year

CPR is required.

Ability to communicate clearly and effectively: delegate and coordinate through leadership skills.

Ability to communicate with people of diverse backgrounds and educational levels; i.e. patients, families, employees, physicians, etc.

CAREER PATH: Bachelor of Science in Nursing, Masters in Nursing

PHYSICAL REQUIREMENTS

Exerting up to 20 pounds of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body.

May be required to work any shift in emergencies.

May be required to work any day of the week.

WORKING CONDITIONS

This person spends 95% of their time in temperature controlled office space. The potential for exposure to bio hazardous agents or exposure to blood-borne pathogens and other potential infectious agents is medium to high. This position requires contact with patients and staff under a wide variety of circumstances. This person is subject to varying and unpredictable situations, many interruptions, long irregular hours, multiple calls and inquires.

The above job summary and essential job functions are intended to describe the nature and level of work being performed. It is not an exhaustive list of all responsibilities, duties, and skills required of personnel for this job classification.

WAGE AND COMPENSATION

Wage range $ 40.70  hr. - $ 73.71 hr.   – DOE

Mid-Valley Hospital offers a benefit package. This includes accrued vacation time in the amount of .076923 vacation hours per hour worked.  Accrued sick leave at an accrual of .04615 per hour, Life insurance and a profit-sharing plan. We also offer medical, dental and vision insurance plans. Employees can enroll in a 403(b) deferred compensation plan and/or a 457 deferred compensation plan.