Registered Nurse - Emergency Department - Day/Eve/Night

About the Role

PRN position requiring a minimum of 24 hours off shift per 6-week schedule. 12-hour day/evening/night shifts with weekend and holiday work as needed. Shift and weekend differential eligibility.

Unit Details

• 30-bed Emergency Care Unit
• Rapid paced, high acuity unit with 155 visits per day; over 55,000 annual visits
• ACLS, PALS, and EKG provided
• Orientation program facilitated by a Clinical Educator, focused on Emergency Nursing especially for the novice nurse
• Emergency Nursing Association (ENA) orientation curriculum offered (online)

Responsibilities

• Implement, direct and coordinate care of patients through the nursing process: assessment, planning, implementation and evaluation
• Recognize and treat physical and psychosocial changes unique to the age/population group served
• Demonstrate safe medication practice
• Maintain a professional image that reflects the employee's role in health care
• Complete chart check to ensure no missed orders
• Accurately transcribe physician's orders
• Demonstrate therapeutic communication skills
• Assess patient education needs and use patient education resources
• Attend 50% of staff/committee meetings and in-services for area
• Demonstrate leadership through the nursing process and supervision while maintaining accountability for treatment and patient outcomes
• Act as a resource person regarding patient care, specialty area, orientation and teaching of staff
• Respond to delays in a calm manner; apologize for inconveniences and give alternatives
• Analyze assessment data, identify priority problems and document on Plan of Care for patients, families and significant others
• Use effective problem-solving skills to plan patient care
• Identify critical factors evidencing changes in patient condition and respond appropriately
• Complete and document discharge assessment against plan of care goals
• Initiate and maintain Intravenous Therapy according to IV standards
• Respond appropriately to emergency situations
• Utilize proper body mechanics to prevent injury to self and others
• Safely position, transfer and transport patients
• Function as a virtual nurse as assigned, including admissions, discharges, education, documentation through a virtual platform, and collaborative work with bedside nursing staff

Emergency Department Specific Duties

• Complete accurate initial triage to ESI and department standards
• Perform thorough and accurate chief complaint specific assessments on all age groups
• Assess and identify patients for indications of physical, sexual, or psychological abuse and initiate appropriate follow-up
• Implement advanced emergency skills to ED patients
• Collaboratively coordinate with other departments and disciplines to meet patient's needs
• Achieve credentialing in conscious sedation annually and demonstrate appropriate clinical performance
• Attend annual skills day for unit specific competencies and reviews
• Early identification and expedient processing of AMI patients to cath lab to meet benchmark door to balloon times
• Demonstrate appropriate technique of accessing, maintaining, and de-accessing indwelling ports
• Accurately complete and transmit 12 lead EKG's
• Demonstrate proper set up and verbalize proper nursing care during and after insertion of chest tube
• Demonstrate proficient phlebotomy skills on all age groups and follow procedures for patient identification and specimen labeling
• Demonstrate proper use of Lifepak in all functions
• Properly identify patients by chief complaint and initiate department protocols in collaboration with ED Physician
• Demonstrate proper application of restraints in the ED setting and complete required documentation timely and accurately
• Documentation thorough and complete as evidenced by random chart audits

Qualifications

Education

• Graduate of an accredited School of Nursing required
• Bachelor of Science in Nursing preferred
• Evidence of participation in educational programs to update and maintain current knowledge and clinical skills

Experience

• Experience applying customer service behaviors and communication skills required
• At least one year of RN experience in ED or Critical Care required

Certifications & Licensure

• Eligible for or currently licensed as a Registered Professional Nurse in Pennsylvania
• Certification in specialty preferred
• CPR certification required
• ACLS required or achieved within one year of start date
• PALS required within one year from start date
• Proficiency in cardiac monitor interpretation required
• Child Abuse Recognition and Reporting Training in accordance with Act31 of 2014 required
• Federal Bureau of Investigation (FBI) Clearance and finger printing required