Nurse Practitioner - Emergency Room jobs in Frankfort, KY

Job Description

JOB SUMMARY

The Registered Nurse utilizes the nursing process to assess the patient needs, plan and implement patient care activities, direct, and evaluate the delivery of nursing care through other members of the nursing team.

The ER nurse is accountable for delivery of patient care the ER during the shift. She/He is responsible for meeting the established standards of nursing care, managing assigned personnel and promoting collaboration among the disciplines and demonstrates a loyalty to the philosophy, policies, and practices of the institution.

Job Requirements

Minimum Education

• Holds an active Registered Nurse license and is eligible to practice in the state of Kentucky.
• Current BLS certification
• ACLS and PALS to be completed by the end of the orientation period.
• TNCC and CEN certification recommended.

Required Skills

• Must be able to follow directions and to perform work according to department standards when no directions are given.
• Must be emotionally mature, able to prioritize tasks and able to function effectively under stress.

FUNCTIONAL DEMANDS

Physical Requirements

Sitting - 1-15%

Walking - 32%

Standing - 32%

Bending/Squatting - 16-31%

Climbing/Kneeling - 1-15%

Twisting - 1-15%

OSHA Category

High Potential for Direct Body Fluid Exposure

Visual and Hearing Requirements

Must be able to see with corrective eyewear.

Color vision ability required.

Must be able to hear clearly with assistance.

Other Physical/Environmental Demands

Lifting - 0-50lbs, 50lbs or more with assistance

Carrying - 0-50lbs, 50lbs or more with assistance

Pulling - up to 200lbs

Pushing - up to 200lbs

LEADERSHIP CAPABILITIES

Mission, Service, and Values

Supports the hospital Mission, Service and Values.

ESSENTIAL FUNCTIONS

Essential Functions - Staff RN

• Collects pertinent health data, including psychological, environmental and physiological factors, using appropriate assessment techniques.
• Ensures that the data collection process is systemic and ongoing.
• Analyze the assessment data in determining patient problems.
• Documents assessment data in a manner that facilitates the determination of expected outcomes and the plan of care.
• Develops a plan of care with the patient/significant other that is individual to the patient’s needs.
• Routinely evaluates the plan of care and revises as needed based on patient assessment.
• Communicates and collaborates with other health care providers as needed, ensuring continuity of care.
• Implements interventions in a safe, appropriate, and timely manner to aid in the attainment of patient goals.
• Documents interventions in an appropriate and timely manner.
• Implements and documents patient and family teaching as part of the plan of care.
• Serves as a team leader for a group of personnel providing nursing care to a number of patients.
• Assigns tasks or delegates care based on the needs of the patient and the knowledge and skill of the provider selected.
• Operates or supervises safe operation of patient care equipment.
• Accounts for and ensures the security of narcotics during the assigned shift.
• Contributes to the professional development of peers, colleagues, and others by sharing knowledge and skills, and by providing constructive feedback regarding their practice.
• Attentive to detail, record keeping and transcription of orders.
• Promotes confidentiality and uses complete discretion when discussing information.
• Floats to other areas as assigned, responds to floating requests with a positive attitude.
• Answers telephone, call system, and greets visitors professionally, and routes information received to the appropriate personnel.
• Performs other duties as assigned.
• Participates in 75% of staff meetings as evidenced by attendance records.
• Completes competency assignments as evidenced by in-service attendance records.

Essential Functions - ER Specific

• Operates or supervises safe operation of specialized patient care equipment including but not limited to the defibrillator, suctioning equipment, pleur-evac, ventilator, central monitoring system, and cautery.
• Assessment: Performs initial triage assessment to include rapid, systemic collection of data related to the patient’s chief complaint.
• Initiates accurate and on-going assessment of problems of patients within the emergency care system.
• Analysis/Plan: Initiates triage assessment to analyze and determine acuity, patient care area, and appropriate interventions.
• Nurses assigned triage are to have a minimum of one year of emergency department experience, completed
• triage training requirements initially and annually and demonstrate the ability to:
• Use a valid and reliable triage system to assign triage acuity and implement appropriate interventions according to organizational policy.
• Document relevant data and triage acuity and communicate significant findings to appropriate team members.
• Assesses the skin integrity on trauma, nursing home residents, and incapacitated patients that are admitted to the Emergency center.
• Demonstrates knowledge of cardiac monitoring, identifies cardiac dysrhythmias and begins initial treatment appropriately.
• Demonstrates knowledge of emergency procedures including , but not limited to chest tube insertion, central line placement, Ewald tube placements, suturing and the ability to assist physicians in the emergency center.
• Assists the Emergency Department Director in the development, implementation, and evaluation of performance improvement indicators to improve patient outcomes and the work environment.
• Responds to Code Blue events in other areas of the facility.
• Patient Population Served- Pediatric/Adolescent/Adult/Geriatric
• Demonstrates knowledge of patient population served development norms and addresses abnormal findings.
• Demonstrates knowledge of appropriate assessments and planning of care for patient population served.
• Demonstrates competency and knowledge of appropriate equipment for patient population served.
• Demonstrates appropriate airway management and suctioning technique for patient population served.
• Demonstrates appropriate awareness for suspected abuse/neglect for patient population served and takes measures to report them according to protocol.
• Identifies and plans for appropriate safety precautions to be taken to prevent injury in the patient population served.
• Demonstrates competency and knowledge in the proper technique for the administration of medication for the patient population served.
• Demonstrates knowledge of appropriate technique to obtain vital signs and is able to interpret norms for the patient population served.
• Demonstrates knowledge of location and use of emergency equipment and drugs for the patient population served.
• Provides education to patient/family based on identified learning needs of the patient population served.

ORGANIZATIONAL EXPECTATIONS

T.J. Pledge

I Will Show Compassion

• see all patients, family members, coworkers, physicians, and anyone else at T.J. as my customer.

• recognize that each and every interaction I have at T.J. Regional Health matters

• show kindness and compassion towards my customers at all times

• be sensitive to the personal and private needs of every customer

I Will Cooperate With Others

• maintain zero tolerance for abusive behavior

• listen and be willing to accept fault when I make a mistake

• never underestimate the power of an apology

• refrain from blame and judgment

• bring a sense of calm to stressful situations

I Will Collaborate With Others

• value myself and every coworker as an equal part of one GREAT team working together

• treat others in a way that I would like to be treated

• participate only in conversations that are courteous, respectful, and reflect positively on my teammates and T.J. Regional Health

• foster a calm and pleasant atmosphere, and refrain from gossip, rumors, and insults

• speak honestly, seek truth, and act with integrity towards my teammates

• value the uniqueness and expertise that each team member contributes to the whole

• meet the need of the moment, regardless of whether or not it is considered part of my job

I Will Communicate

• smile at everyone

• always introduce myself, my role, and my purpose use body language, eye contact, and tone of voice that shows respect in every interaction

• follow the 10/5 rule: always acknowledging people at 10 feet away with a smile and always greeting people at 5 feet away

• escort any customer in need (visitors, patients) to their destination

I Will Adapt To Change

• be a part of the solution when I am presented with a challenge

• embrace change and set the example for those around me

• accept openly when there are changes that T.J. Regional and/or I have no control over

• manage the expectations of others by explaining duration and next steps as often as needed

I Will Be A Champion

• serve with passion

• view myself as an owner of T.J. Regional Health and act accordingly

• take responsibility for the physical appearance of T.J. Regional Health, including my work area

• go out of my way to daily thank and compliment my customers and coworkers

• dare to make a difference and be exceptional

• constantly try to improve myself and T.J. Regional Health

• speak positively about T.J. Regional, while at work and in public places outside of work