Job Objective:
An Emergency Department Registered Nurse must be knowledgeable in multiple disciplines, pediatrics, obstetrics, medicine, cardiology, trauma, orthopedics, oncology, infectious disease, and psychiatry. He/she must be knowledgeable in caring for all age groups; newborns, infants, toddlers, childhood, adolescence, adult and geriatric.
Essential Duties for all RNs in the Emergency Department:

• Meets all the essential duties of a Registered Nurse.

1. Nursing Process

• a. Applies nursing process in direct patient care.
• b. Skillfully practices triage of patients per Triage Policy
• c. ssesses patients and documents on the ED nursing T-system a minimum of every two hours or more often when necessary.
• d. Appropriately intervenes when assessment reveals an abnormal finding, examples include but are not limited to airway, breathing, circulation.
• e. Knowledgeable regarding pre-hospital forms.

2. Nursing Care Delivery Process

• a. Knowledgeable regarding current emergency nursing practices and procedures.
• b. Knowledgeable of the legal aspects of emergency nursing care, including but not limited to:
  • 1) Treatment and/or release of minor to someone other than parent.
  • 2) EMTALA laws in regards to medical screening exams and transfer procedures.
  • 3) Procedure for medical/legal examination and collection of evidence.
  • 4) Procedure for obtaining legal blood alcohol specimen.
  • 5) Requirements for reporting suspected elder/dependent adult and child abuse/neglect.
• c. Coroners report
• d. After-care instructions

3. Technical Equipment

• a. Chest tubes, drainage system, and auto-transfuser.
• b. Cardio-Respiratory monitors
• c. Monitoring equipment; Arterial Lines, CVP, Swanz Ganz, ICP.
• d. Invasive and non-invasive blood pressure monitoring.
• e. Crash cart/defibrillator (external and internal), ambu bag.
• f. Oxygen saturation/pulse oximetry
• g. Fluid warmer
• h. 12 lead ECG
• i. Pacemaker, internal and external
• j. Competent operation of ReddiNet communication System

4. Environment

• a. Refer to job description Registered Nurse

5. Leadership/Professionalism

• a. Refer to job description Registered Nurse

6. Education

• a. Refer to job description Registered Nurse
• b. Attends a minimum of 50% of staff meetings annually

7. Communication

• a. Refer to job description, Registered Nurse

8. Age Specific & Cultural Requirements

• a. Refer to job description, Registered Nurse

Non-Essential Duties:

• Participation on unit or hospital-based committees

Skills and Abilities

• Refer to job description Registered Nurse
• Ability to perform and interpret ECG correctly
• Ability institute Thrombolytic therapy protocol
• Ability to assist in ICP insertion and monitoring/interpretation of wave form
• Ability to assist in insertion and monitoring of arterial line and central lines.

Required Licensure and/or Certifications:

• Current California Registered Nursing license
• BLS
• ACLS
• PALS
• Nonviolent Crisis Intervention Certification, initial certification required at first available hospital training class. Annual recertification required
• Annual Restraint Certification/Recertification
• Annual JCAHO Review/Competencies

Working Conditions

• Refer to job description Registered Nurse
• A detailed description of the physical requirements of this job is maintained in the Occupational Health Department.