REGISTERED NURSE, ER NIGHTS

Primary function.

Provides total nursing care to patients, guided by Advanced Practice Nurse and Physician orders, standards of care, policies and procedures; provides a legible, pertinent, and accurate record of the patient's course of treatment based on the patient's plan of care ad disease process.

Duties and responsibilities

• Performs comprehensive nursing assessments in an efficient and effective manner.

• Conducts full body system analysis
• Performs and completes all established steps of the initial admissions process.
• Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action.
• Administers and preforms nursing assessment in accordance with the applicable patient type which my include: Medical, Surgical, Obstetrical, Newborn, Pediatric, and or Telemetry/cardiac patient.
• Performs all aspects of blood component administration by following applicable procedures and protocols.

• Follows Lab procedure for sign out.
• Obtains patient consent appropriately.
• Ensures identification and documentation procedures are followed.
• Monitors and responds in an appropriate and effective manner to untoward events.
• Performs intravenous therapy dynamics by following administration principles in an effective manner.

• Monitors fluid replacement/electrolyte imbalance
• Effectively handles the operations of various I.V. related equipment, including I.V. pumps, and P.C.A. pump.
• Performs IV access skills proficiently.
• Administers IV additives appropriately.
• Effectively performs PICC, midline, port access and maintenance.
• Utilizes assessment/observation and review of available data to develop a comprehensive nursing care plan that supports the medical plan for each patient.

• Includes patient, family, or other support system in implementation and education of interventions.
• Develops and individualized nursing interventions.
• Provides discharge instructions in an effective manner that the patient and family comprehend.
• Includes patient, family, or other support system in implementation and education of interventions.
• Collaborates with Medical Staff, managements, and other health care providers to coordinated medical and nursing management of patient care.

• Promotes team concept through effective communication regarding patient condition patient care plan and patient satisfaction with appropriate individuals that are involved in the patient’s care.
• Works effectively with ancillary areas as part of the team approach to patient care.
• Directs patient support team members effectively and appropriately.
• Demonstrates initiative and flexibility in the provision of patient care.
• Informs and involves Advanced Practice Nurse or ER physician regarding patient care issues in a timely and appropriately manner.
• Assists in making patient assignments, coordinating admissions, and meeting staffing needs for unit.
• Carries out the discharge planning process.

• Initiates the process during admissions
• Collaborates with Social Services and Utilization Management.
• Utilizes available Community resources.
• Completes patient and family education throughout the length of the patient’s stay and completed in a timely manner.
• Maintains and performs all patient related documentation in a timely, factual and legible manner.

• Utilizes only approved abbreviations in all documentation.
• Accurately reflects the plan of care.
• Follows all policies and procedure related to the documentation requirements.
• Performs emergency treatment as required.

• Initiates or assists in patient care in an effective and responsive manner as each situation requires.
• Triages each Emergency situation appropriately and involves other resources an appropriate.
• Administers and performs emergent care in accordance with the applicable patient population type which may range from newborn to geriatrics.
• Follows standards of BLS, ACLS, NRP interventions as needed.
• Follows emergency policies, procedure, and protocols in an effective manner.
• Promotes and ensures patient safety in all aspects of responsibilities.

• Follows procedures and protocol to ensure safe administration of medications and monitoring for adverse effects.
• Utilizes proper body mechanics, transfer/lifting techniques to minimize fall risk to patient and injury to self.
• Follows procedures for restraints use, use of sitter, etc…to ensure patient safety.
• Implements infectious disease controls as appropriate including isolation procedures, proper use of hand washing and gloves.
• Follows proper procedure for wasting narcotics and disposal of sharps and hazardous materials.
• Performs all other duties as assigned.

Qualifications

Qualifications include:

• Graduate of accredited school of nursing.
• Currently licensed in the State of Missouri
• BLS, ACLS, and NRP certification required. If certifications are not current upon hire, must complete with in six months of hire.
• PALS, TNCC, or ENPC preferred

Working conditions

Incumbent will be exposed to virus, disease, infection from patients. Usually wear a uniform and PPE. Maybe required to work long shifts. May work weekends, nights, and holidays. May also be on call.

Physical requirements

While performing the duties of this job, the employee is regularly required to speak and listen. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. This position requires intermittent physical activity, including standing, walking, bending, kneeling, stooping, and crouching as well as lifting and supporting patients.