Medical, Clinical & VeterinaryNursing & Frontline Patient Care
About the job
Requirements
Graduate of an accredited school of nursing with up to six months of registered nurse experience.
Hold a current registered nurse license in Idaho.
Hold current Basic Life Support certification.
Obtain Advanced Cardiovascular Life Support certification within six months of hire.
Obtain Pediatric Advanced Life Support certification within one year of hire.
Read, write, and comprehend simple instructions, short correspondence, and memos in English.
Effectively present information in one-on-one and small-group situations to customers, clients, and other employees.
Perform basic arithmetic using whole numbers, common fractions, and decimals.
Compute rates, ratios, and percentages and draw and interpret bar graphs.
Apply common-sense understanding to written, oral, or diagrammed instructions and deal with problems involving several concrete variables in standardized situations.
Use basic computer skills.
Meet the physical requirements of the role, including frequently lifting or moving up to 50 pounds and occasionally more than 50 pounds, and working around the listed environmental hazards.
Responsibilities
Provide direct and indirect patient care in the emergency care setting with minimal supervision.
Triage every patient entering the emergency care system safely, rapidly, and accurately, assign appropriate triage categories, and determine care priorities based on physical and psychosocial needs and patient-flow factors.
Communicate with physicians about changes in patient status, symptoms, and diagnostic-study results, and respond promptly and accurately to changes in condition or treatment response.
Provide direct patient care, evaluate outcomes, consult specialists as needed, and adjust nursing care processes to ensure optimal care.
Perform head-to-toe assessments and reassessments for pediatric, adolescent, geriatric, and general patient populations.
Assess and reassess pain, use appropriate pain-management techniques, and educate patients and families about pain management.
Monitor hemodynamic status and correctly interpret the results.
Perform cardiac monitoring, identify dysrhythmias, and treat them appropriately.
Perform waived point-of-care testing according to laboratory and unit policies, interpret results, and take appropriate action.
Administer medications correctly according to patient age and clinical condition, following the seven medication rights and reducing medication errors.
Prepare, hang, monitor, and discontinue intravenous fluids.
Maintain accurate, ongoing nursing documentation of patient histories, conditions, treatments, responses, and changes in assessment.
Provide care in a manner that optimizes patient safety and reduces the likelihood of medical errors.
Identify and address patients' and families' psychosocial, cultural, ethnic, and religious or spiritual needs, and serve as a liaison among administration, patients, physicians, and other healthcare providers.
Apply growth-and-development principles across the lifespan to provide age-appropriate care and interpret patient data to identify age-specific needs.
Involve patients and families in the plan of care and formulate and evaluate teaching plans based on identified learning needs.
Maintain departmental policies, procedures, objectives, performance-improvement activities, safety standards, environmental standards, and infection-prevention and control standards.
Maintain a safe, comfortable, and therapeutic environment for patients and families.
Ensure adequate supplies and properly functioning equipment, and support cost containment through appropriate ordering and conservation.
Cooperate with staff to achieve departmental and interdepartmental objectives and maintain effective employee relations.
Assist physicians with emergency-department procedures.
Lead employees performing similar work, supervise temporary employees and non-supervisory employees, train new employees, and allocate and monitor others' work.
Participate in performance-improvement and continuous-quality-improvement activities.
Maintain professional growth through educational programs, current literature, in-service meetings, workshops, and ongoing education.
Maintain patient confidentiality and comply with organizational policies regarding ethical business practices.
Perform other related duties as assigned or requested.
Desired Qualifications
Trauma Nurse Core Course certification.
Emergency Nursing Pediatric Course certification.
Bilingual ability in Spanish and English.
Description
Job Summary
The Emergency Department RN provides direct and indirect patient care in the emergency care setting Provides care that reflects initiative, flexibility and responsibility indicative of professional expectation with minimum supervision. Able to triage every patient that enters the emergency care system safely, rapidly, and accurately. The RN determines priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the system. They communicate with Physicians about changes in patient's status, symptomatology, and results of diagnostic studies; they have the ability to respond quickly and accurately to changes in condition or response to treatment.
Duties and Responsibilities
Provides direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure optimal patient care.
Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes pediatric, adolescent and geriatric patients and the general patient population.
Uses triage process to ensure timely and appropriate care to patients. Accurately assigns triage categories.
Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management.
Ability to monitor hemodynamic status of patient and correctly interpret the results.
Demonstrates knowledge of cardiac monitoring, identifies dysrhythmias and treats appropriately.
Ability to perform waived testing (point-of-care testing) per Clinical Laboratory’s and the patient care unit’s policies and procedures.
Ability to interpret the results of waived tests; takes appropriate action on waived test results.
Maintains current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition.
Follows the seven (7) medication rights and reduces the potential for medication errors.
Prepares, hangs, monitors and discontinues IV fluids.
Maintains accurate and continued nursing documentation including patient histories, conditions, treatments, responses and assessment of changes.
Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
Supports and maintains a culture of safety and quality.
Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and family. Functions as liaison between administration, patients, physicians and other healthcare providers.
Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patients served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group.
Interacts professionally with patient and family and involves patient and family in the formation of the plan of care.
Formulates a teaching plan based on identified learning needs and evaluates effectiveness of learning; includes family in teaching, as appropriate.
Maintains established departmental policies and procedures, objectives, performance improvement program, safety, environmental and infection prevention and control standards.
Maintains a safe, comfortable and therapeutic environment for patients and families in accordance with hospital standards.
Ensures an adequate stock of supplies and proper functioning of equipment.
Assists in cost containment through appropriate ordering and conserving of supplies and equipment.
Cooperates with other staff to achieve departmental objectives, maintain good employee relations and interdepartmental objectives.
Demonstrates the ability to assist physicians with procedures in the Emergency Department.
Leads one or more employees performing similar work; supervises temporary employees and employees who do not supervise; trains new employees; allocates and monitors work of others.
Participates in performance improvement activities.
Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops; shows responsibility for own professional practice and ongoing education.
Adheres to dress code, appearance is neat and clean.
Completes annual education requirements.
Maintains regulatory requirements.
Maintains patient confidentiality at all times.
Completes in-services and returns in a timely fashion.
Attends annual review and department in-services, as scheduled.
Actively participates in performance improvement and continuous quality improvement (CQI) activities.
Complies with all organizational policies regarding ethical business practices.
Performs other related duties as assigned or requested.
Requirements
Minimum Requirements
Graduate of an accredited school of nursing with up to six (6) months registered nurse experience.
Read, write, and comprehend simple instructions, short correspondence, and memos in English.
Effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
Add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Basic computer knowledge.
Compute rate, ratio, and percent and to draw and interpret bar graphs.
Apply commonsense understanding to carry out instructions furnished in written, oral or diagram form and deal with problems involving several concrete variables in standardized situations.
Work Environment
The work environment described here are representative of those an employee encounters while performing the essential functions of this job.
While performing the duties of this job, the employee frequently works near moving mechanical parts and is frequently exposed to fumes or airborne particles. The employee occasionally works in outside weather conditions and is occasionally exposed to wet and/or humid conditions, toxic or caustic chemicals, and risk of electrical shock. The noise level in the work environment is sometimes loud. Other conditions include Blood-Borne Pathogens, and Physical, Chemical, and Respiratory Hazards.
Physical Requirements
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel objects, tools, or controls. The employee is frequently required to stand, walk, sit, and reach with hands and arms. The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl; talk or hear; and taste or smell. The employee must frequently lift and/or move up to 50 pounds and occasionally lift and/or move more than 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, and depth perception.