RN ED (Nights)

Description

Job Summary: Provides age and population specific direct clinical care to neonate, infant, pediatric, adolescent, adult and geriatric patient populations. Delivers patient care according to the Scope of Service for the Emergency Department. Adheres to and practices the SJH Corporate Compliance Program and participates in Performance Improvement activities.

Essential Functions:

1. Patient Care

Obtains and reviews all patient data using; observational. Interviewing, interpretation and critical thinking skills in an age specific populations and developmentally appropriate manner. Identifies risk factors and provides for patient safety. Implements measures to prevent injury from environmental hazards. Practices autonomously and consistently with professional nursing standards. Identifies changes in patient status, exercises critical thinking and independent judgment within the context of a multidisciplinary approach to patient care. Develops a plan of care that is unique to each patient’s needs, evaluates patient response to plan of care and reflects measurable goals that are mutually set with the patient. Evaluates patient response to pain management interventions. Offers alternative pain management therapies. Demonstrates knowledge and awareness of medication action, side effects and protocols for use. Using 2 patient identifiers, gives medication safely and accurately according to policy and procedure. Organizes and prioritizes care of multiple patients with varying levels of acuity in a timely and efficient manner with a positive attitude. Manages specimen collection, handling and disposition according to hospital policy. Labels blood specimens at patient bedside. Addresses patient and family’s spiritual and emotional needs utilizing a holistic approach. Uses supplies and equipment within safe parameters. Ensures equipment is functioning properly before use. Reports equipment malfunction following the appropriate reporting procedure. Initiates and completes computerized Event Reports for unusual events consistently. Reports near misses.

1. Patient & Family Education

Assess patient and family education needs based on; a) age/population, b) developmental level, c) readiness to learn based on patient perception, educational level and expectation of care, d) patient understanding, e) available coping mechanisms, and f) outcome expectations. Initiates and incorporates patient/family education into plan of care and nursing practice. Identifies continuity of care needs for discharge and follow-up using appropriate resources. Communicates up-dated status report and clear information to patient/family to make informed decisions.

1. Unit Specific Performance

Assists and completes daily routines, i.e. crash cart checks, narcotic count, urine controls, glucometer checks. Keeps the department clean, orderly and stocks daily. Functions in the charge nurse role as assigned. Completes and signs daily charge nurse form. Completes all documentation, utilizing the appropriate forms/systems (ED Flow Sheet, Trauma Flow Sheet, Procedure Sedation Packet, OR Packet, signed computerized discharge instructions and telephone number, Patient Profile completed 100%). Documents procedure/treatment and supplies to reflect and support appropriate charges. Charges supplies and medications accurately at time of use. Responds appropriately in management of Code Blue, Trauma Protocols and Activation, Disaster Preparedness, and Crisis Intervention. Administers immunizations and flu injections to hospital employees. Completes appropriate paperwork and discharge instructions to employees. Demonstrates knowledge, set-up, and proficiency with use of equipment: cardiac monitor, monitor station at nurses’ desk, IV pumps, level 1 fluid/blood warmer, radio/dispatch, warming lamp, central/arterial line, chest tube/atrium system, temporary pacemaker, airway cart, adult and pediatric airway rolls.

1. Triage Responsibilities

Completed documentation. Assigns appropriate acuity level per classification systems. Keep charge nurses apprised of patients waiting. Adhere to patient flow protocol from triage to ED.

Qualifications

Job Requirements:

Minimum Education:

Required:  ASN

Preferred: BSN

Minimum Work Experience:

Required: Demonstrated critical thinking skills and a professional style of communication. Basic computer skills.   

Preferred: Two years Emergency Department experience. 

Required Licenses: Current RN license with the authority to practice in the State of Wyoming. BLS, ACLS and ENPC or PALS required at the time of hire. TNCC or ATCN required within 6 months of hire, CPI required within 6 months of hire.

Functional Demands:

    Working Conditions: Emergency Department and other hospital areas. Irregular hours, meals and breaks. Fast paced and noisy at times. Stressful situations. Frequent interruptions. Must be on-site at the SJH campus or other facilities to fulfill the responsibilities of this role.

    Physical Requirements: 80-90% of the time standing and walking. Intermittent sitting and computer use. Must possess sight/hearing senses to meet the requirements of this position. Must possess the ability to lift, push, pull or move patients, equipment, and supplies. Ability to lift fifty (50) pounds.

    Direct Reports: None

    Reports to: 1-685-851 Director of Critical Care Services

    Internal and External Contacts: All hospital departments, patients, physicians, families and/or friends of patients, community agencies and transferring medical facilities.

Leadership Capabilities:

1. Patient Focus

 • Is dedicated to meeting the expectations and requirements of patients

 • Gets firsthand patient feedback and uses it for improvements

 • Establishes and maintains effective relationships with patients and gains their trust and respect

1. Attention to Detail

• Completes tasks in a way that ensures there are not errors

• Methodically and patiently reviews work to identify any mistakes or discrepancies

• Creates and stores documentation in a way that is thorough and easy to access

1. Quality Decision Making

• Considers many factors and sources when making decisions

• Is correct and accurate with most of his/her solutions and suggestions when judged over time

• Is sought out by others for advice and solutions

• Spends his/her time and the time of others on what's important

• Quickly zeros in on the critical and few and puts the trivial many aside

• Handles risks and uncertainty with composure

1. Interpersonal Skills (Nursing)

• Steps up to conflicts, seeing them as opportunities                    

• Builds appropriate rapport    

• Finds common ground and gains cooperation

• Taking responsibility for the consequences of one's own actions and decisions

Purpose, Vision, Values

• Purpose:
  • To provide our unique community and visitors with exceptional and ever-advancing individualized care.
  • Vision:
  • St. John's Health will be a trusted partner with the community, enabling people to live their best possible lives.
• Values:
  • Care, Collaboration, Excellence, Sustainability, Trust

Values Definitions

• Care
  • • We listen, understand and attend to each person’s individual needs and health goals. We practice coordinated, whole-person care to help them reach those goals. We educate patients to be fully engaged in their health care plan. We keep safety at the forefront.
    • We care for our employees and recognize the vital role each play in taking great care of our patients.
• Collaboration
  • • We develop strong teamwork, and practice cooperation, support, problem-solving and information-sharing across the organization. We create a positive environment and recognize and reward excellence.
    • We partner closely with the community to understand their needs and provide services where we are able to deliver high quality. We collaborate with other world-class health care partners to deliver an even broader range of services.

• Excellence
  • • We consistently demonstrate both service excellence and clinical excellence. We strive to provide five star service to each individual who walks through our doors.
    • We engage in continuous improvement, never settling for just “good enough.” We continuously learn and grow our skills and knowledge. We deliver quality in everything the patient experiences, from the people who provide care to the environment where they provide it.
  • Sustainability
    • We make sound, research-based decisions to maintain ongoing financial stability that supports our community’s access to care. We remain mindful of how we use our time and resources.
    • We ensure that our operations are founded on sound environmental practices that care for the valued places where we live and work, and provide a healthier and cleaner community for employees, patients and future generations.

• Trust
  • • We build trust by keeping commitments, holding each other accountable, and conducting ourselves ethically in all practices. We embrace diversity and treat everyone with respect.
    • We make a promise to earn the trust of the community – they have to trust us with their care, so we commit to honesty, safety, and transparency.

Salary : $37 - $46