RN Emergency Department
Company: Cary Medical Center
Location: Caribou
Posted on: January 28, 2023
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Job Description:
Description: Job Summary: Provide professional nursing care
within the Emergency Department: coordinates care planning with
other disciplines. Provide care that meets the psychosocial,
physical and general aspects of care. Determine priorities of care
based on physical and psychosocial needs of patients, as well as
factors influencing patient flow through the system. Communicate
with ED physicians regarding changes in patient's status,
symptomatology and results of diagnostic studies. Respond quickly
and accurately to changes in condition or response to
treatment.Essential Duties: 1. Provide direct patient care,
evaluate outcomes, consult with other specialists as required, and
adjusts nursing care processes as indicated to ensure optimal
patient care 2. Perform a head-to-toe assessment on all patients
and reassess as per policy, includes
neonate/pediatric/adolescent/geriatric patients/and the general
patient population3. Ability to assess/reassess pain/and pain
management, vital signs and patient progress and educates
patient/family regarding pain management4. Ability to monitor
hemodynamic status of patient, and correctly interpret the results
5. Demonstrate knowledge of cardiac monitoring; identify
dysrhythmias and treats appropriately, and accurately assigns
triage categories6. Maintain accurate and continued nursing
documentation, including patient historiesconditions, treatments,
responses and assessment of changes7. Treat patients and their
families with respect and dignity; identify and address
psychosocial, cultural, ethnic and religious/spiritual needs of
patients and their families8. Function as liaison between
administration, patients, physicians & other healthcare providers9.
Demonstrate 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; be 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 group10.
Interact professionally with patient and family, and involve
patient and family in the formation of the plan of care; formulate
a teaching plan based on identified learning needs and evaluate
effectiveness of learning; includes family in teaching, as
appropriate11. Maintain current knowledge of medications and their
correct administration based on age of the patient and his/her
clinical condition12. Follow orders when appropriate, withholding
actions on questionable orders while seeking clarification in a
timely manner13. Prepare/hang/monitor/discontinue IV fluids, and
provide resource information to staff14. Maintain established
departmental policies and procedures, objectives, performance
improvement program, safety, environmental and infection control
standards, and maintain a safe, comfortable, and therapeutic
environment for patients/families in accordance w/hospital
standards.15. Assist in cost containment by appropriately
ordering/conserving supplies/equipment16. Respond promptly to
changes in workload, adjusting assignments as necessary to achieve
optimal productivity/efficiency.17. Demonstrate the ability to
assist physicians with procedures in the Emergency Department.18.
Evaluate patient understanding and assess for questions before
procedures are begun.19. Supervise temporary employees, and
employees who do not supervise; allocate/monitor work of others,
lead one or more employees performing similar work.20. Participate
in orientation of new personnel, demonstrate familiarity with
orientation procedure for new staff and actively participate as
assigned. Support/welcome new staff while assisting with learning
needs; includes nursing students & EMT's in teaching
opportunities.21. Assist the Emergency Department Nurse Manager in
the development, implementation, and evaluation of performance
improvement indicators to improve patient outcomes and the work
environment.22. Enhance professional growth and development through
participation in educational programs, current literature,
in-service meetings and workshops; show responsibility for own
professional practice and ongoing education.Charge Nurse Role:1.
Properly interpret and execute policies, procedures, and medical
orders; assist staff in coordination of patient assignments. 2.
Regularly does patient rounds to assist staff in assessing patient
conditions and needs. 3. Assigns narcotic count on each shift and
ensure task is complete and correct. Ensures that any discrepancy
in narcotic count is documented on narcotic count sheet and on
medication error sheet (including explanation and measures taken to
find the missing drug, signed by two (2) staff members.4. Ensure
refrigerator temperature is checked/documented each morning.5.
Assign the task of completing room 1 checklist and general supply
stocking in each room. 6. Checks to make sure that critical
supplies used are immediately replaced. 7. Helps to ensure that
staff is able to take their breaks, assign accordingly.8. Act as an
advocate for patients and staff and is the contact person for
patient and staff complaints/concerns until the Nurse Manager can
be notified.Maintain responsibility for documenting shift progress
on the nursing roster sheet. Requirements: Other
Responsibilities:1. Meet the identified organizational
requirements, work habits, and promotes a collaborative &
cooperative work environment.2. Perform other work-related duties
as assigned.3. Complies with local, state, and federal laws and
regulations.Work Habits:1. Completes work within a designated
time2. Demonstrates the ability to work independently and is
accountable for own actions3. Shows initiative and follow-through4.
Demonstrates productivity at work (makes good use of down time)5.
Performs duties willingly and enthusiastically6. Returns from
breaks, meals, meetings and in-services in a timely manner7. Takes
appropriate actions when safety issues are identified (reports
hazardous situations to appropriate person, removes malfunctioning
equipment, etc.)8. Follows recommendations designed to reduce
worksite injuries (proper body mechanics, personal protective gear,
safe sharps, etc.)9. Demonstrates the ability to be flexible,
organized and function under stressful situations10. Demonstrates
judicious use of suppliesOrganizational requirements:1. Reports to
work on time and as scheduled.2. Wears identification while on
duty.3. Uses computerized punch time system correctly.4. Adheres to
dress code, appearance is neat and tidy. Finger nails must be free
from nail polish. Jewelry cannot be worn.5. Maintains and ensures
patient confidentiality at all times.6. Complies with
organizational policies regarding ethical business practices.7.
Maintains regulatory requirements (i.e. licensing,
certifications).8. Attends a minimum of 6 staff meetings annually,
reviews monthly staff meetings annually, reviews monthly staff
meeting minutes of missed meetings.9. Parks in designated employee
area, allows accessible parking for the elderly, ill, and visitors.
10. Not to exceed 3% of unscheduled absences.License Requirements:
1. Current BLS Certification2. Current ACLS Certification3. Current
PALS Certification5. Current MARS certificationAvailability
Requirements: 1. Depending on department staffing needs, you may be
asked to work nights, weekends, and holidays.Education, Skills,
Experience Requirements:1. Graduate of an accredited school of
nursing2. Acute / critical care experience preferred3. Proficient
in interpreting EKG, and basic computer knowledgePhysical Demand
Requirements:1. Exerting /lifting: up to 50lbs. (workloads over
50lbs. require assistance)2. Pull up or reposition patients in bed
/ push beds throughout the hospital as needed3. Place equipment on
supports and lift supplies as needed4. Perform external cardiac
compressions5. Bending: to perform certain duties, (check chest
tube drainage, check urinary output, etc)6. Maneuver throughout
halls/stairways/patient rooms in response to hospital emergencies7.
Visual/auditory/significant writing skills required8. Typing
skills/touch screen use for computer documentation required9. Use
material handling equipment (i.e. carts, dollies) and proper body
mechanics when transferring supplies, or that which exceeds your
capacity to lift.Job Knowledge/Experience:1. Ability to utilize the
nursing process in the provision of nursing care including but not
limited to: administering treatments, medications, and
interventions based on established clinical nursing practice
standards, interpreting diagnostic tests, formulating a plan of
care, collaborating with other health care providers and providing
education to patients and/or significant others (Required to pass
competencies for this position).Promote a Collaborative and
Cooperative Environment:1. Establish good rapport and cooperative
working relationships with other members of the organization to
promote quality care and service.2. Handle conflict appropriately
(use I statements to discuss issues, discuss privately and directly
with the individual involved, obtain assistance from supervisor
when needed).3. Respond appropriately to change (remain
open-minded, keep personal agendas out).4. Represent the
organization in a positive and professional manner (language and
actions reflect the mission and vision of CMC).5. Participate in
performance improvement by identifying problems and potential
solutions (Be Part of the Solution, Not Part of the Problem).6.
Treat patients, family visitors and co-workers with respect and
dignity (address individuals courteously, knock before entering,
keep voice down, and display positive regard).7. Provide
exceptional customer service, thus contributing to the WOW
experience (offer assistance before being asked, go one step extra
to help, smile and make eye contact when speaking).Cognitive
Environment Requirements:1. Some problem solving required. Makes
independent judgments & decisions.2. Continuously assesses
situations and determines corrective actions needed.Working
Conditions:3. 95% or more time spent in air-conditioned environment
with varying exposure to noise4. Subjected to internal temperature
changesPersonal Protective Environment:1. Requires high exposure to
bio-hazardous wastes that mandate the wearing of gloves, masks,
gowns, and goggles for actual or potential exposure.2. Heavy
exposure to malodorous and infectious body fluids; and some minimal
exposure to smells from cleansing agents.Emotional Environment
Requirements:1. Must remain calm and exercise self-control in
working relationships.PI200143171
Keywords: Cary Medical Center, New England , RN Emergency Department, Healthcare , Caribou, Northeast
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