Registered Nurse Tier 1 (Union) ER

About the role

The Registered Nurse requires substantial specialized knowledge, judgement, and nursing skills based on the principles of psychological, biological, physical, and social sciences in the application of the nursing process in assigned departments. The RN collaborates with physicians and multidisciplinary team members, provides physical and psychological support to patients, friends, and families, and supervises assigned team members and students.

Responsibilities

• Completes patient assessments, formulates plan of care, oversees implementation, evaluates and adjusts plan utilizing critical thinking skills.
• Performs authorized nursing acts consistent with American Nursing Association Standards of Practice or nationally accepted standards.
• Provides care, counsel, health teaching, and promotion using Teach Back methodology to confirm comprehension.
• Administers medication, intravenous therapy, and treatments as prescribed by a licensed independent practitioner (LIP).
• Supervises, delegates, and follows through with other personnel in nursing care activities.
• Mentors and precepts students and orients new staff as assigned.
• Reports pertinent information up the chain of command to Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator.
• Participates on teams, committees, or performance improvement initiatives.
• Ensures a safe and secure environment for patients, coworkers, and self.
• Participates in Discharge Planning and Transition of Care, defining patient needs.
• Serves as a patient advocate and escalates patient-related concerns timely.
• Documents pertinent findings in the medical record in a timely manner.
• Assists patients in activities of daily living and functions as an active team member.
• Assumes responsibility for professional development of personnel.
• Utilizes effective communication skills, active listening, and exhibits compassion and empathy.
• Practices Handoff communication using SBAR and performs Bedside Shift reporting (unless contradicted).
• Functions as a positive influence, role model, and adheres to professional code of conduct.
• Respects dignity and confidentiality of all patient-related matters.
• Completes Emergency Room-specific training, including:
  • State and federal regulations related to emergency services.
  • Nursing management of trauma, cardiac disorders, pediatric emergencies, and obstetrical emergencies.
  • Performance and interpretation of EKG procedures with appropriate nursing intervention.
  • Pharmacological intervention (IV therapy) and patient assessment (triage).
  • Medicolegal aspects, particularly proper documentation.
  • Patient/family emotional response management.
  • Cardiopulmonary resuscitation and airway management.
• Performs other job duties as assigned.

Requirements

• Associate's Degree in Nursing from an accredited school (Bachelor's Degree preferred).
• Minimum of one (1) year of acute care nursing experience, relevant to the specific department.
• Experience with Electronic Health Record (preferred).
• Excellent interpersonal skills and ability to communicate clearly in writing and verbally.
• Demonstrated ability to follow direction, facilitate change, and work in a complex system.
• Critical thinking skills and basic computer proficiency.
• Ability to pass a Medication Exam.
• Completion of hospital-approved training program and documented competence in emergency care procedures.
• Completion of Stroke Modules and Restraints training.
• Adequate orientation to unit policies, procedures, equipment, safety, infection control, and performance improvement.

Qualifications

• Registered Nurse licensure in the state (required).
• Basic Life Support (BLS) certification (required).
• De-Escalation Training within 6 months of hire (required).
• Advanced Cardiovascular Life Support (ACLS) certification (required).
• Trauma Nurse Core Curriculum Certification (required).
• Pediatric Advanced Life Support (PALS) certification (required).
• NIH Stroke Certification (required).
• Advanced Dysrhythmia/EKG certification (required).
• Rural Trauma Team Development Course (preferred).
• Emergency Nurse Pediatric Course (preferred).