Emergency Department - Registered Nurse

Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team.

Job Responsibility

• Maintains constant vigilance over patients care to ensure that safety precautions/needs are followed (Side rails up, call lights and bedside stand within reach, etc.);
• Correctly identifies medication: action; dosage; side effects and implications for the patient;
• Participates in planning for discharge and coordinates referrals, as appropriate;
• Assesses level of pain and pain management;
• Documents the plan of care and collaborates with physicians and other health team members
• Communicates and documents psychological status and care plan; support group, counseling services, social services.
• Performs other procedures related to skin care, as necessary.
• Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient's condition and/or treatments, as appropriate;
• Keeps accurate documentation of patient's treatment, activity and condition, as well as patient's responses to medical and nursing interventions;
• Reassesses patients as needed and appropriately revises plan of care;
• Performs grade I-IV Decubitus Care
• Performs variance analysis related to outcome data for performance improvement;
• Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome;
• Uses clinical judgment in delegating assignments to the Patient Care Associate, Support Care Associate and Clerical Service Associate in providing patient care, and ensures that assignments are completed in a timely fashion
• Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction;
• Implements the plan of care
• Administers medications correctly and safely
• Administers and documents medication correctly;
• Identifies actual/potential patient problems;
• Demonstrates ability to measure effectiveness of care provided and documents same;
• Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies;
• Exercises professional skills related to the plan of care;
• Administers IVP medication as per department policy and procedure;
• Educates patients and significant others related to drug and food interactions.
• Correctly uses equipment necessary for patient care;
• Develops patient outcome statement (s) and establishes individualized patient goals.
• Applies scientific principles in performing procedures; carries them out safely, timely and efficiently;
• Participates in patient and family education
• Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient's chart and answers questions correctly and courteously;
• Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching;
• Designs, implements, and evaluates systems to improve care in Unit;
• Performs irrigations, consistent with Facility procedure;
• Evaluates the effectiveness of teaching by feedback from patient/family and documents same.
• Assists the Physician during treatments and/or diagnostic procedures;
• Evaluates care provided for patient outcome
• Makes accurate observations of patient's conditions during treatments/procedures.Reports and records same as appropriate;
• Provides for early discharge planning and appropriate referrals for post-hospital care;
• Provides a calm, quiet, restful atmosphere.Communicates effectively with the patient's family or caretakers;
• Identifies patient outcome
• Uses appropriate methods of documentation according to departmental policy;
• Meets standard on medication administration examination;
• Elicits perception of medical/nursing care and the expectation of care;
• Applies simple dressings, maintaining principles of aseptic technique;
• Assesses patient's psychosocial health status
• Determines coping mechanism, knowledge level, and ability to comprehend;
• Communicates/documents patient's physiologic health status and plan of care.
• Formulates the plan of care and establishes the priorities necessary to achieve expected outcome
• Demonstrates preparation of local solutions;
• Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate;
• Acts rapidly and effectively during any emergency situation, managing self, patients and other employees;
• Demonstrates preparation of I.V drips;
• Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team
• Provides the patient with an explanation of his/her condition as indicated;
• Develops criteria for measurement of patient outcomes;
• Provides emotional support to patient and significant other;
• Identifies care activities and establishes the priorities necessary to achieve expected outcome;
• Performs preventive skin care measures
• Correctly administers prescribed treatments;
• Identifies patient's need for teaching based on psychosocial and developmental assessment;
• Collaborates with the appropriate physician on patient's plan of care;
• Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status;
• Keeps accurate documentation of patient's treatment, activity and condition;
• Provides discharge instructions to patient and significant other.
• Applies warm & cold compresses, consistent with facility procedure;
• Performs related duties, as required.
• Accurately interprets and implements treatment regimen as prescribed by the Physician;
• Assesses the patient's physiologic health status
• Uses appropriate methods of documentation according to departmental policy.

• ADA Essential Functions

Job Qualification

• BCLS, ACLS, preferred.
• Current license to practice as a Registered Professional Nurse in New York State.
• Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months of employment, if hired after January 1, 2013 and obtain a BSN Degree within five (5) years of employment date.

• Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).