RN PRN Emergency Department

Job Description: Job Summary: Administers, directs, and coordinates inter- and intra-departmental activities. Work is performed in accordance with Kentucky regulations for Registered Nurses, established hospital standards, nursing department/unit structure, process and outcome standards, regulatory and accreditation requirements, and the philosophy, goals and objectives of the hospital, nursing and education services. Essential Duties and Responsibilities include the following. Other duties may be assigned. 1. Communication 2. Assessment – Physical and Admission 3. Formulates/Implements Nursing Plan of Care 4. Makes appropriate decisions utilizing evidence based practice. 5. IV Therapy administration and documentation 6. Medication administration 7. Maintains safe environment 8. Performs professional responsibilities 9. Education of Patient/Family 10. Attends all required safety training programs and can describe his/her responsibilities related to general safety, department/service safety, specific job related hazards, and national patient safety goals. 11. Ensures positive customer relations interactions Manages difficult or emotional customer situations ·Responds promptly to customer needs Solicits customer feedback to improve service Responds to requests for service and assistance Meets commitments Key Accountabilities/competency Key Accountability Weight 1. Provides complete verbal report with appropriate information. Effectively communicates to other care provider’s/team member’s necessary information. Delegates tasks based on patient need and staff competency, and assures tasks are completed. Responds appropriately to customer requests. 2. Performs ED admission assessment and history taking, recognizing the individual’s physical, emotional and educational needs. Performs ongoing physical assessment for purpose of evaluation of patient and patient’s response to care. Performs ongoing psychosocial and spiritual evaluation for purpose of identifying nursing diagnosis and making referrals. 3. Formulates/Implements Nursing Plan of Care. Selects and implements nursing interventions based on assessment and nursing diagnosis. Prioritizes nursing care based on patient’s identified needs. Develops mutual goals with patient and family. 4. Makes appropriate decisions utilizing evidence based practice. Recognizes changes in patient’s physical and emotional condition and institutes interventions. Makes decisions in crisis situations based on assessment and prompt intervention. Assumes and is accountable for delegation and supervising total patient care. Establishes realistic workflow priorities delegating appropriate tasks to assure work is completed within allotted time. 5. Initiates and discontinues IV therapy as directed. Changes IV bags and tubing and labels appropriately. Monitors level of IVF and observes site per policy. Demonstrates knowledge and ability to utilize IV infusion devices as applicable. Administers and documents IV fluids and blood/blood products 6. Demonstrates knowledge of expected outcome and side effects of all drugs administered. Demonstrates knowledge of special administration techniques (IM, Z-tract, Sub-Q, IV push). Documents patient response to pain medications. Utilizes AcuDose for narcotic counts and follows through with any discrepancies. Documents medications administered per hospital policy and procedure. Successful completion of monthly medication newsletters 7. Demonstrates competency in the proper use all patient care equipment and supplies within the department. Enters supply charges as indicated. Checks and documents emergency equipment preparedness per policy. Keeps patient room and hallways free of clutter. Disposes of soiled linen in appropriate container. Keeps nursing station clean and neat. 8. Performs professional responsibilities. Acts as a professional role model at all times. Functions as mentor for new employees. Functions as team leader, team member or primary care giver performing patient care and various unit activities. Makes decisions and adapts to unit changes precipitated by admissions and increased workloads. Accountable for accuracy and completion of all documentation requirements. 9. Performs and reinforces formal and informal patient teaching, utilizing available resources. Reinforces patient teaching, including teaching done by physician and other departments 10. Communicates with others in completing work assignments and accomplishing department/unit goals. Utilizes appropriate channels of communication 11. Transcribes or checks transcription of physician orders. Keeps physician thoroughly informed of any sudden changes in patient’s condition or insidious changes requiring medical intervention. Consults ancillary services (Case Management, Social Services, etc) for evaluation and/or assistance. Communicates appropriate information to outside related agencies (Nursing Homes, health department, etc.). Completes written reports with appropriate information 12. Assess patient/family/SO interactions that may impact patient care. Recognizes pertinent and individual patient needs. Reevaluates on an ongoing basis nursing care based on progress towards goal, patient outcomes, and updates plan of care as necessary 13. Acts as a preceptor when applicable, identifying and following through with performance or knowledge deficits 14. Attends mandatory in-services and unit meetings 15. Documents all care given, including patient preparation and patient response to treatment. Documents physical/emotional care rendered with patient response and/or outcome. Provides effective care in a code or crisis situation 16. Demonstrates ability to address staff/peers with concerns related to performance expectations and behaviors that may effect work environment, image, patient care and customer service. Requests and accepts constructive criticism. 17. Adheres to Nursing Department dress code 18. Demonstrates fiscal responsibility through appropriate use of hospital resources 19. Maintains up to date annual Core and Nursing Department/Unit Specific Competencies and Certifications. 20. Maintains up to date BCLS certification 21. ACLS and PALS or ENPC within 6 months of hire. 22. EKG & Sedation required within 3 months Minimum Education, Experience, Training, and Licensures Required: Graduate from an accredited School of Nursing required, Bachelor of Science in Nursing preferred. Current licensure as a Registered Nurse by the Kentucky Board of Nursing or compact state license. BCLS required. ACLS and PALS or ENPC preferred within 3 months, not to exceed 6 months from date of hire/transfer. NIH Stroke Scale Certification required within 3 months from date of hire. TNCC recommended within 2 years of hire. CEN or board certified in area of expertise recommended within 5 years of hire. EXPERIENCE: No experience required for part time and full time employees. If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Employees will be expected to comply with Baptist Health’s infectious disease and vaccination policies, which include but may not be limited to compliance with BHS’ mandatory vaccination policies for influenza and COVID unless reasonable accommodations are needed under applicable law Baptist Health is an Equal Employment Opportunity employer. Founded in 1924, Baptist Health has been bringing advanced medical technology, modern facilities, and many of the region's most prominent physicians and medical professionals to the communities of our commonwealth for nearly a century. Headquartered in Louisville, the Baptist Health family of hospitals, care centers, physician offices and health facilities has experienced tremendous growth in recent years. Counting all nine hospitals, we have more than 2,700 licensed beds. Baptist Health has more than 300 points of care include outpatient facilities which offer Urgent Care, occupational medicine, physical therapy and diagnostics. Home care is also available in 39 Kentucky counties, six counties in Illinois and six counties in Southern Indiana. Our physician network of more than 3,000 employed and affiliated physicians continues to grow as we endeavor to improve access to healthcare and enhance the health of Kentucky as a whole. EEO Statement: Baptist Health is an Equal Employment Opportunity employer, and seeks to employ individuals without regard to race, color, national origin, gender, sexual orientation, gender identity, age, disability, marital status, citizenship status, military status, religious or political beliefs, protected veteran status, employment status or any other protected class identified in any federal, state, or local law. Baptist Health specifically encourages minority, female, disabled, veteran and other candidates from diverse backgrounds to apply and strengthen our team. Please note that Baptist Health is a drug-free workplace and employment with Baptist Health is subject to post offer, pre-employment drug testing. NOTICE OF NONDISCRIMATION AND ACCESSIBILITY TO SERVICES Persons with hearing and speech impairments can contact Baptist Health facilities by using the Kentucky Relay Service, a toll-free telecommunication device for the deaf (TDD). For voice to TDD, call 800.648.6057. For TDD to voice, call 800.648.6056.