Registered Nurse, Emergency Room, Per Diem, 16 hours a month, 2 Holidays per year bei Athol Hospital
Athol Hospital · Athol, Vereinigte Staaten Von Amerika · Onsite
- Professional
- Optionales Büro in Athol
Hours: Per Diem, 16 hours a month, 2 Holidays per year
- Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals.
- Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures.
- Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard.
- Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning.
- Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary
- Appropriately delegates and supervises nursing interventions performed by others.
- Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.).
- Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards.
- Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care.
- Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.).
- Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents).
- Identifies ethical issues in care and develops plan to address.
- Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures.
- Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale.
- Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication.
- Performs and documents initial assessment upon patients’ arrival and implements triage protocols as needed.
- Identifies patients at risk for potential/alleged abuse.
- Initiates safety plans for domestic violence, child, and elder abuse patients.
- Completes required mandated reporting in a timely manner.
- Collects and documents forensic evidence as per policy.
- Maintains chain of evidence per policy and procedures
- Completes mandated reports for stabbings, gunshot wounds, burns, and sexual assault per policy and procedure.
- Maintains knowledge of Disaster Policy and Procedure.
- Identifies patient at risk for violent behavior and appropriately implements non-violent intervention (i.e. Code 100).
- Demonstrates knowledge of the indications for, alternatives, monitoring and documentation of restraint to use.
- Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner.
- Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips.
- Performs accurate and timely identification of cardiac arrhythmias.
- Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols.
- Demonstrates skills associated with initiation and maintenance of the intubated patient including, suctioning, troubleshooting, and weaning.
- Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance.
- Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD.
- Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication.
- AS in nursing required, BS in nursing preferred.
- 3-5 years ED experience preferred.
- Registered Nurses, Current MA license
- ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire
- AHA PALS within six (6) months of hire
- TNCC, ENPC and CEN preferred