Registered Nurse (RN - Hospital) - ED

About the Role

Coordinates total nursing care for patients of all ages utilizing the nursing process; directs patient and family teaching; provides leadership by working cooperatively with ancillary nursing and other patient team personnel in maintaining standards for professional nursing practice in the clinical setting.

This is a casual position working 16 hours per six-week schedule. Scheduled shifts will be a combination of 12-hour shifts on a variable day/night rotation. Weekend and holiday shifts will be as needed.

Responsibilities

• Maintains the standards of nursing care and implements the policies and procedures of the hospital and Clinical Services.
• Provides direct patient care for assigned patients of all ages including pediatrics, adult, and geriatrics, utilizing the nursing process including assessment, planning, intervention, and evaluation.
• Assesses the patient's condition considering age-specific developmental needs, educational needs of patient and family, and discharge planning needs.
• Develops a plan of care for the patient and prescribes appropriate nursing interventions to achieve expected patient outcomes.
• Evaluates patient outcomes and modifies the plan of care as the patient’s needs or condition changes.
• Directs and participates in discharge planning and patient and family/significant other education.
• Reports pertinent observations and reactions regarding patients to the appropriate person (i.e., physicians, Unit Supervisor, and/or Nursing Manager) and records those observations accurately and concisely.
• Delegates nursing care to other health care members in accordance with the patient's needs and the nursing personnel's capabilities and qualifications.
• Administers medications, IV therapy, and performs treatments for assigned patients as ordered by the physician.
• Assists physicians with special tests and procedures such as thoracentesis, lumbar tap, etc.
• Ensures that equipment is maintained in a clean and safe manner.
• Participates in orientation of new personnel and performance evaluations of nursing staff.
• Coordinates nursing care of patients when scheduled for therapy or procedures by other departments.
• Establishes and maintains effective communications with patients, families, and staff to contribute to the hospital mission.
• Initiates and/or assists in emergency measures for sudden adverse developments in patients such as cardiac arrest.
• Participates in the maintenance of a clean and safe environment.
• Participates in staff development programs.
• Performs other related duties as assigned or requested.

Requirements

• Must hold RN licensure from the ND State Board of Nursing for the current year.
• ED staff nurse position requires PALS/ACLS certification. TNCC is highly encouraged.
• ICU staff nurse position requires completion of a basic cardiology class for nurses and ACLS certification.
• Position requires completion of BLS CPR.
• Position is required to attend Crisis Prevention Intervention (CPI) training in the appropriate timeframe according to department orientation checklist.
• Previous work experience preferred but not required for staff RN positions in Patient Care Unit (PCU). ICU, FBP, ED, and PACU RN positions: Preference for a minimum of one year of nursing experience following completion of RN nursing education program.
• Punctual and regular attendance is required.
• High level of analytical ability to gather and interpret complex data and find solutions to difficult problems.
• Independent nursing judgment is required based on established policies and procedures.
• Must demonstrate social sensitivity and the ability to communicate effectively in a professional manner.
• May supervise 1 to 5 nursing personnel, including LPNs, Nurse Assistants, and Unit Clerks.
• Must be able to speak and write the English language in an understandable manner.
• Must demonstrate physical and emotional ability to meet agreed-upon work schedule and performance standards.
• Visual acuity necessary for reading charts and working with medical devices; color perception necessary for interpreting testing procedures involving color comparisons.

Physical and Sensory Effort

• Frequent standing or walking.
• Lifts, positions, pushes, and/or transfers patients and/or equipment.
• Frequent reaching, stooping, bending, kneeling, and crouching.
• Needs finger dexterity when handling medication, specialized equipment, and performing nursing assessments.

Working Conditions

• OSHA Category I: Exposure to bloodborne pathogens.
• Exposure to patients with infectious disease and odor; must practice aseptic techniques and observe Standard Precautions.
• Subject to frequent interruptions.
• Work may be on weekends and holidays; beyond normal working hours and/or temporarily in other positions when necessary.

Physical Requirements

• Visual Observation: Continuously
• Standing: Frequently
• Walking: Frequently
• Sitting: Occasionally
• Hands and Finger Dexterity: Continuously
• Reaching with Hands and Arms: Continuously
• Climbing: Rarely
• Stooping/Kneeling/Crouching/Crawling: Frequently
• Hearing/Listening: Continuously
• Tasting or Smelling: Occasionally
• Working Inside: Continuously
• Working Outside: Rarely
• Working in Extreme Heat: Never
• Working in Extreme Cold: Never
• Working with Hazardous Materials: Rarely
• Noise: Occasionally
• Working in Dirt/Dust: Rarely
• Driving: Rarely
• Lifting / Carrying / Pushing / Pulling:
  • Up to 10 pounds: Continuously
  • Up to 25 pounds: Continuously
  • Up to 50 pounds: Continuously
  • Up to 75 pounds: Occasionally
  • Up to 100 pounds: Rarely
  • Over 100 pounds: Never