Registered Nurse: Emergency Room Nights

Under the general supervision of the Director of Emergency Services, is responsible for safe, effective and quality patient and family centered care in the Emergency Department.

Professionalism:

• Demonstrates ability to work independently and within a team environment
• Adheres to standards and applicable codes of conduct that govern behavior among peer and colleagues to create an environment promoting cooperation, respect and trust
• Maintains professionalism by conforming to the Huggins Hospital dress code
• Continues professional growth by maintaining education hours for license renewals
• Maintain certifications: ACLS, BCLS

Patient Advocacy:

• Develops and/or implements an individualized plan of care, including developmental and cultural needs
• Utilizes appropriate resources for non-English speaking patients, healthcare illiteracy, hearing and sight impaired individuals
• Take proactive steps to recognize and report suspected abuse/neglect including child, elder, sexual abuse, spousal abuse and reports same to supervisor and appropriate authorities
• Clear communication of patient plan of care and education at a level the patient, family, caregiver can comprehend

Clinical Competency:

• Plans, evaluates, directs and renders care according to established standards of care
• Incorporates evidenced based best practice into everyday clinical activities
• Performs medication reconciliation and administers medications safely and appropriately using the 5 rights of medication administration, leveraging technology and pharmacy resources
• Recognizes and performs nursing interventions to maintain the body's homeostasis (acid base balance, fluids and electrolyte imbalances, wound and tissue perfusion)
• In accordance with standing Emergency Department medical protocols and standing orders; enters orders, interprets and evaluates diagnostic tests to identify and assess patient's condition, communicates same treating provider
• Maintains accurate, detailed clinical nursing documentation, reports and records
• Within the scope of nursing practice, provides oversight of nursing care and ancillary nursing/healthcare team members
• Demonstrate flexibility, practice and collaboration to cross train in other departments
• Consistently utilizes clear, concise, professional communication in all interactions including: with patients, families, between disciplines, inter-departmentally and with outside agencies

Quality:

• Ensures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; make or recommend necessary adjustments - Follows Huggins Hospital's mission, vision and philosophy of care - Participates in quality review within the department and assists with performance improvement projects - Adheres to the standards of care as outline by the Emergency Nurses Association

Organizational Expectations:

• Attendance: Attendance is an essential job function; employee comes to work daily, on time, and completes scheduled shift
• HIPAA: facilitates to maintain patient confidentiality
• Internal communication: contributes to positive team performance and a culture of service excellence through effective communication, active listening, and respect
• Interpersonal relationships: maintains appropriate interpersonal relationships with staff, patients, and visitors at all times. Works as a team member with other departments.
• Safety: Practices workplace safety daily

Employee Engagement:

• Actively participates in all hospital Service Excellence initiatives and trainings

• Attends and participates in a minimum of 50% department staff meetings and signs off on review of 100% department staff meeting minutes

• Completes all required annual education on or before the due date

Knowledge Skills and Abilities: Individuals must possess these knowledge, skills, and abilities or be able to explain and demonstrate that they can perform the primary functions of the job, with or without a reasonable accommodation, using some combination of skills and abilities and possess the necessary physical requirements, with or without a reasonable accommodation, to safely perform the essential functions of the job.

• Minimal physical effort required with occasional light lifting to a maximum of 25 pounds; stooping; and pick, pinch, type, or otherwise work primarily with fingers

• Ability to effectively manage considerable mental stress

• Ability to express or exchange ideas by means of the spoken word

• Ability to receive detailed information through oral communication

• Ability to communicate effectively with co-workers and convey information in a clear, concise and accurate manner

• Familiarity with computer and other business machines

Qualifications:

Education: Graduate from an accredited nursing program, BSN preferred

Experience: One (1) year of Emergency Nursing experience preferred. Must be computer literate and fluent in electronic health record documentation

Job License and Certification:

o Current New Hampshire RN license

o BCLS

o ACLS

o TNCC Preferred

o PALS (Pediatric Advanced Life Support certification) preferred.

o NRP preferred