Registered Nurse Emergency Department and Substance Abuse Float PRN (1846)

Position Summary:

The ED Float Registered Nurse will primarily provide direct patient care for all patients who present to facility for emergency treatment and evaluation. This position will also require floating to the Substance Abuse RN role. The Substance Abuse Registered Nurse provides direct patient care primarily for individuals struggling with substance abuse and addiction. They assist physicians in developing treatment plans, perform patient assessments, monitor a patient's progress, and administer medications and pain management services.

Essential Functions:

Clinical

· Undertakes a comprehensive and accurate emergency nursing assessment using suitable assessment tools underpinned by evidence-based knowledge.

· Perform triage assessments with rapid data collection related to medical and traumatic emergencies

· Critical thinking to intervene with appropriate intervention for urgent/emergent care.

· Care of acute and chronically ill patients.

· Basic IV and central line skills.

· Assess injury causation and assure neglect or abuse is reported to the appropriate agency for intervention.

· Identifying and managing life-sustaining physiologic functions in unstable patients.

· Provides bedside care for a variety of medical patients, including individuals struggling with substance abuse or eating disorders and post-surgical patients.

· Assist physicians in developing treatment plans, perform patient assessments, monitor a patient's progress and administer medications and pain management services.

· Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans.

· Prepares and administers (orally, subcutaneously, through an IV) and records prescribed medications. Reports adverse reactions to medications or treatments in accordance with the policy regarding the administration of medications by a licensed registered nurse.

· Provides mental health and emotional support services.

· Conducts mental health screenings and provide emotional support for patients and their families during treatment.

· Initiate’s patient education plan, as prescribed by physician. Teaches patients and significant others how to manage their illness/injury, by explaining: post-treatment home care needs.

· Educates patients and their loved ones about the dangers of substance abuse and provide resources and information about the various treatment options for addiction.

· Recognizes symptoms and identifying characteristics of all types of substance abuse.

· Managing symptoms such as DTs, seizures, rapid heart rates, etc.

· Utilizes standards for assessing withdrawal symptoms, such as the CIWA protocol

· Monitors for behavioral changes.

· Assess for and manage the use of restraints when appropriate.

· Participates in discharge planning.

· Utilizes time management skills.

· Records all care information concisely, accurately, and completely, in a timely manner, in the appropriate format and on the appropriate forms.

· Performs other position-related duties as assigned, depending on assignment setting.

· Adheres to current company policies on best treatment modalities and maintains up- to-date knowledge of progressive pharmacological and non-pharmacological drug and alcohol recovery interventions.

Customer Service

· Applies the principles and values of customer service and continuous quality improvement while performing day to day activities of the position.

· Demonstrates respect, equity, and empathy in actions and interactions with culturally diverse and vulnerable.

· Partners with the healthcare consumer to enhance the care provided on the unit.

· Demonstrates caring attitudes and behaviors to develop therapeutic relationships.

Quality

· Participate in unit-based Quality improvement, evidence-based practice and research activities.

· Use current healthcare research findings and other evidence to expand clinical knowledge, enhance role performance, and increase knowledge of professional issues.

General

· Exhibit a caring attitude to co-workers and visitors, including working cooperatively with others for a positive work environment and team-building atmosphere.

· Complies with facility attendance policies and procedures; meets attendance requirements of the job.

· Participates in self-growth opportunities/requirements and participates in training opportunities, in-services and meetings per department and facility policy.

· Requests help and/or guidance as necessary in order to safely perform assigned duties.

· Plans and organizes work activity to complete scheduled assignments on time.

· Completes an acceptable workload and accepts additional tasks willingly.

· Understands and follows the chain of command when dealing with problems and concerns.

· Complies with facility policies and procedures, including fire evacuation and disaster plans.

· Deals with interpersonal conflict in a healthy and positive manner.

· Demonstrates knowledge and practice of standard precautions for prevention of the spread of disease.

Professional Development

· Consistently utilizes provided resources to learn and reference facility policy.

· Seeks out learning opportunities and continuing education.

· Seeks experiences that reflect current practice in order to maintain skills and competence in clinical practice or role performance.

· Maintains professional records that provide evidence of competency and life-long learning.

· Evaluates one's own integrity and nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules and regulations.

· Takes action to achieve goals identified during the evaluation process.

· Demonstrates a commitment to the organization through ongoing participation at the hospital and unit-based meetings.

· Completes hospital required training annually and any additional training as requested or required by nursing leadership.

Company Specific Functions:

· Adheres to dress code, appearance is neat and clean and wears appropriate identification while on duty.

· Completes annual health, safety, and education requirement

· Maintains professional growth and development.

· Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected.

· Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served.

· Reports to work on time as scheduled; adheres to policies regarding notification of absence.

· Attends all mandatory in-services and staff meetings.

· Represents the organization in a positive and professional manner.

· Complies with all organizational policies regarding ethical business practices.

· Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department.

· Maintains current licensure/certification for position, if applicable.

· Consistently demonstrates Guest Relation’s skills to patients, physicians, visitors, employees, and any other individuals with whom they may come in contact.

· Consistently follows departmental and hospital Health, Safety, Security, Hazardous Materials policies and procedures.

· HIPAA: Conduct job responsibilities in accordance with HIPAA privacy laws, follow hospital policy in provision of patient confidentiality. Able to identify patient confidentiality issues and reports to proper hospital personnel immediately.

· Compliance: Conducts job responsibilities in accordance with standards set forth in Code of Conduct, policy and procedures, applicable federal and state laws, and applicable standards.

· Employee must maintain a courteous and respectful attitude toward fellow employees, staff, contractors, vendors and the public at all times. Employee must avoid loud, profane, or unprofessional language at all times during the performance of duties. It is immediate grounds for termination if Employee engages in misconduct or is incompetent or negligent in the proper performance of duties or is disorderly, dishonest, intoxicated, or discourteous.

Qualifications:

Education: Bachelor of Science in Nursing preferred. Additional state requirements as applicable. Graduate of an accredited nursing program.

Licenses/Certification: Required: RN License, BLS, ACLS, PALS

Preferred: TNCC

Experience: Required: 2 years of emergency room experience in a hospital setting or equivalent experience.

Preferred: Substance abuse/detox experience in a hospital/outpatient setting or equivalent experience.