Registered Nurse

OBJECTIVE SUMMARY

The Registered Nurse (RN) is responsible for identifying patient needs and priorities for care through assessment, planning for and delegating care based on patient needs, executing therapeutic physician or nurse-initiated interventions, and evaluating the patient's response to care and progress towards outcomes. Whenever possible, the family or those significant to the family are considered as part of the assessment, planning, intervention, and evaluation efforts of the RN. When care is not provided directly by the RN, the RN assigns/delegates care to other qualified members of the health care team. The RN coordinates care between other professional disciplines as needed. Through documentation and verbal communication, essential information is shared with health care team members.

About the Role

Unit-based activities which contribute to a positive work and professional environment are performed.

Responsibilities

• Accurately triages patients using the Emergency Severity Index (ESI).
• Initiates and documents accurate and ongoing assessment and re-assessment of physical, psychologic, and social problems of patients within the emergency care setting.
• Collections key information from patient, family, laboratory, and other medical reports.
• Analyzes assessment data to identify patient problems.
• Performs therapeutic nursing interventions consistent with nursing division policies and procedures, demonstrated competencies, and with consideration given to risk management and infection control practices.
• Fulfills BLS, ACLS, and TNCC protocols.
• Is knowledgeable in arrhythmia detection and treatment.
• Initiates pain management measures according to policies, protocols, and physician orders.
• Is knowledgeable in crisis intervention.
• Identifies expected outcomes individualized to the emergency patient based on the patient’s assessment, identified problems, and cultural diversity.
• Formulates and implements a plan of care for the emergency patient based on assessment, patient problems, and expected outcomes.
• Evaluates and modifies the plan of care based on observable patient responses and attainment of expected outcomes.
• Adheres to established standards of emergency nursing practice, including behaviors that characterize professional status.
• Provides care based on philosophical and ethical concepts.
• Maintains confidentiality in matters relating to patient/family.
• Interacts with patients/families with a variety of developmental and sociocultural backgrounds.
• Provides information to patients and families which reduces anxiety and conveys an attitude of acceptance, sensitivity, and caring.
• Maintains professional relationships and conveys relevant information to other members of the health care team.
• Initiates communication with peers about clinical priorities for care.
• Relays information appropriately over telephone, pagers, and other communication devices.
• Promotes effective teamwork.
• Accepts a patient care assignment based on patient census, acuity, needs, and the qualifications and competencies of self and of other staff members.
• Delegates work to other staff members as needed.
• Initiates problem-solving and conflict resolution skills to foster effective work relationships with peers.

Requirements

• BLS Certification required.
• ACLS certification required.
• PALS Certification required.
• TNCC Certification required.
• CEN Certification preferred.

Qualifications

• Graduation from an accredited School of Nursing with current Registered Nurse licensure from the State of Washington.
• Preferred Education: Bachelor of Science in Nursing from an accredited School of Nursing.
• Preferred Experience: At least one year of emergency department or critical care experience.

Skills

• An ability and willingness to demonstrate and maintain clinical competency as required for the unit of assignment.
• Annual skill competency verification.
• Excellent verbal and written skills.
• An ability and willingness to work with patients growth and development needs, particularly related to patients who are: all ages, experiencing healthcare crisis, or dying.
• An ability to manage a sometimes chaotic work environment related to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying.
• A positive attitude towards health care team members and diverse patient populations.

Benefits

• Medical plan with multiple in-network tiers.
• Dental plan.
• Vision plan.
• Pharmacy plan.
• Health Reimbursement Account (HRA).
• Life and AD&D coverage.
• Retailment Plan.
• Employee Assistance Program (EAP).
• Flexible Spending Account (FSA).
• Voluntary Benefits.