Job Title: Registered Nurse Department: ED

Reports to: Director of ED Revision Date: 9/7/2023

Grade Level: 29 Status: Non-exempt

*Sign on for experienced RNs

Job Summary:

The Registered Nurse works under the direction of the Clinical Nurse Manager, or their designee, in accordance with the objectives, policies, and procedures of the nursing department and established professional standards. Provides total nursing care to patients of all ages, newborn through geriatrics. Effectively interacts with patients and healthcare members, while maintaining standards of professional nursing.

Duties/Responsibilities:

• Plans, provides, and evaluates patient care as a member of the health care team, strictly adhering to principals of asepsis and infection control guidelines when performing patient care.
• Assesses individual patient learning needs, and institutes teaching methods in preparation for discharge.
• Regularly assesses nursing care, identifies potential problems, develops nursing interventions, and directs implementation of nursing interventions to all health care team members.
• Delegates staff assignments and responsibilities effectively; Assumes responsibility for leadership position within department; identifies and appropriately uses chain of command to resolve unit, staff, and patient problems.
• Transcribe correctly and implement appropriately all physician orders per policy and procedure.
• Accurately, clearly and concisely record all pertinent information on the patient’s medical record, according to policy and procedure.
• Identify and correlate abnormal diagnostic data with patient status; reports and records appropriately.
• Use computer programs, including Order Entry, per policy and procedure as assigned.
• Prepares and administer medications via all acceptable routes, including appropriate documentation with knowledge of all medications administered in accordance with policies, procedures, and standards of care.
• Properly identifies patients with allergies; documents the presence of reaction or absence of known allergies per policy and procedure.
• Maintains proper level of stock and emergency supplies as unit requires.
• Regularly checks equipment and emergency crash cart per unit-specific policy.
• Correctly Identifies reactions to drugs; records and reports reactions appropriately.

• Routinely provides for patient safety through preventive measures (i.e. siderails, restraints as per physician order, low bed position and safe transport to other areas).
• Records all pertinent information on the patient’s medical records, according to policy and procedure in a clear, accurate and concise manner.
• Identifies and correlates abnormal diagnostic data with patient status, report, and record appropriately.
• Correctly identifies patient by name and ID band for all direct care, procedures, and treatments.
• Communicates respectfully with patients and promptly responds to patient needs or requests.
• Maintain confidentiality in all patient, hospital, and physician-related information; demonstrate complete discretion when discussing patient information.
• “Perform other duties as assigned.”

Required Skills/Abilities (Unit Specific):

• Excellent verbal and written communication skills, as well as active listening skills.
• Ability to create superior patient experiences while generating positive guest relations in an office setting is required.
• Ability to work effectively and communicate effectively in a team environment; continuously looking for solutions to improve patient care.
• Prioritization of patient needs based on ongoing assessment
• Proficiency in medication administration and practiced phlebotomy skills.
• Professionalism and business acumen appropriate for working with guests, providers, employees and volunteers.
• Demonstrates knowledge and critical thinking of critical care and emergency protocols.
• Proficiency in utilizing critical care and emergency equipment.
• Ability to use resources/supplies with cost-effective awareness.
• Knowledge and ability to titrate medication based on provider’s orders and continual assessment of patient response.

Education and Experience:

• Graduate from an accredited school of nursing.
• RN- Current licensure in NYS.
• Current certification in CPR.
• Unit specific orientation.
• Completion of IV therapy, pharmacology, telemetry, ACLS, PALS, critical care, and PACU orientation within first year of hire.

Working Conditions:

• Requires frequent walking, standing, bending, lifting, pushing and pulling beds, wheelchairs and recliners in excess of approximately 200 pounds with assistance. Requires lifting, carrying, repositioning, and transferring patients using proper body mechanics.
• Position requires attendance, as scheduled, to ensure requirements are met.
• Exposure to blood and body fluids, communicable diseases, chemicals, and infectious/hazardous materials.
• Occasionally requires assembling, operating, checking, and maintaining equipment.
• Requires attending meetings as well as participation on committees as required.
• Actively participates in in-service programs, in Quality Assurance programs and CQI, cross-training; attends all mandatory classes as required; completes unit-specific competencies.
• Occasionally requires assignments to other units/shifts as hospital needs require.
• Complies with DOH requirements for annual health assessments and required immunizations.
• Maintain ACLS/PALS certifications as required.

Pay Range; $33.00-$42.16/hr

Employee salary is based on commensurate experience and other qualifications.

EQUAL EMPLOYMENT OPPORTUNITY

Oswego Health is committed to providing equal opportunity in all employment-related matters, without regard to race (including traits historically associated with race), creed, color, religion, sex/gender, national origin, age, marital or familial status, disability, pregnancy-related condition, sexual orientation, gender identity, gender expression, transgender status, citizenship status, ancestry, arrest/conviction record, military or veteran status, domestic violence victim status, genetic predisposition or carrier status, reproductive health decision making, relationship or association with a member of a protected category, or any other legally protected characteristic. Decisions affecting your position including, but not limited to, recruitment, hiring, placement, promotion, transfer, compensation, benefits, training, tuition assistance, leaves of absence, disciplinary action, layoff/recall, and terminations will be made in accordance with this policy.

The mission of Oswego Health is to provide accessible, quality care and improve the health of residents throughout Oswego County. As a nonprofit healthcare system that was established in 1881, Oswego Health is proud to continue to be one of Oswego County’s largest employers. More than 1,200 employees spread throughout its 17 locations, work for the Oswego Health system, which includes the 164-bed community hospital with a brand new Medical Surgical Unit, a 32-bed state-of-the-art psychiatric acute-care facility with multiple outpatient behavioral health service locations, The Manor at Seneca Hill, a 120-bed skilled nursing facility, and Springside at Seneca Hill, an independent retirement community. The health system also operates Oswego Health Home Care, the only hospital-based certified home healthcare agency in the County as well as two outpatient centers, including the Fulton Medical Center, offering urgent care, lab, medical imaging, physical therapy, and occupational health services; and the Central Square Medical Center, offering urgent care, lab, medical imaging, and physical therapy services. In addition, Oswego Health includes the Oswego Health captive professional corporation, Physician Care P.C., providing physician services in orthopedics, cardiology, ENT, gastroenterology, breast care, audiology, general surgery, bariatrics, and primary care.