Registered Nurse Emergency Medicine - Tripler Army Medical Center

Job Title

Registered Nurse Emergency Medicine (Emergency Department)

Tripler Army Medical Center, HI

• Hours of performance may include shift work. Normal duty hours may include rotating 8, 10 and 12-hour shifts, 7 days per week including nights, weekends and federal holidays. Work will not exceed 12 hours in a 24-hour period and 80 hours in a consecutive 14-day period.
• Specific days, hours, and shift length will be scheduled by the designated government representative. The specific schedule for each two-week period will be provided one month in advance.

Degree/

Education:

• Contract RNs must be a graduate of a nursing program accredited by the American Association Colleges of Nursing or the National League for Nursing.
• If candidate is an international nurse graduate from jurisdictions other than the U.S.
• Must possess valid certification for Full Education Course-by-Course Report by the Commission on Graduates of Foreign Schools.

• Basic Life Support (BLS). Advanced Cardiac Life Support certification.
• Advanced Cardiovascular Life Support (ACLS)
• Pediatric Advanced Life Support (PALS).
• Online certification is unacceptable.

• Minimum of three years of experience as a registered nurse with at least one year of experience within the last three years in an Emergency Department or in a critical care area of four or more beds as a registered nurse.
• Waivers may be granted by MTF or department on an ad hoc basis.

Possess a current, unencumbered RN license from any state or territory of the United States.

The duties include but are not limited to the following:

• Knowledge of interpersonal relationships and the ability to maintain composure and react appropriately while relating to patients and families; to manage distraught, irritable, unreasonable or angry individuals; and to maintain positive rapport with all individuals involved in patient care.
• Ability to react with alertness and skill in any emergency situation, e.g., cardiac or respiratory arrest, hemorrhage, shock, severe physical trauma and psychiatric reaction.
• Serves as member of the resuscitation team.
• Assess patients' conditions for potential or life‑threatening crises. Distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment).
• Plan appropriate nursing care.
• Obtain patient history and pertinent family history.
• Document plan of care and care given in patient's medical record.
• Utilize appropriate nursing personnel to assist in delivery of care when indicated (LPNs/paraprofessionals).
• Transcribe or verify transcription of physician orders.
• Carry out prescribed physician orders and document in patient medical record.
• Communicate pertinent patient data to charge nurse and/or physician as appropriate.
• Reassess patient's condition and revise plan of care based on identified nursing problems.
• Possess knowledge of the pharmacology of emergency drugs, anticipated results, usual dosages, and their location on crash cart.
• Administer medications by any ordered route. Assess and document patient response to medications administered.
• Instruct patient/family regarding prescribed medications/therapies and surgical/diagnostic procedures that must be accomplished.
• Give inhalation therapy treatments, with knowledge of medications utilized in this treatment and reactions.
• The ability to interpret and intervene cardiac rhythms to include recognizing lethal rhythms and their implications.
• Assess patient/family knowledge level, implement plan of instructions and record patient/family demonstrated level of understanding.
• Operate defibrillator, EKG machine and cardiac monitor.
• Contract nurse shall administer blood and their competencies for blood administration will be verified.
• Interpret pertinent Jab values.
• Use electronic thermometers, infusion and Patient Controlled Analgesia pumps and various other pieces of medical equipment.
• Provide nursing care to a group of patients with other individuals assisting him/her, which may include making patient care assignments.
• The ability to initiate life‑saving measures in the absence of a physician.
• Identify impending or existing emotional or psychiatric crisis and provide appropriate intervention.
• Successful completion of certification for the following tasks.
• Recognition of life‑threatening arrhythmias;
  Defibrillation;
  Emergency cardioversion.
• Independent administration of emergency drugs (monitor, mix, administer, titrate).
• Drawing and interpretation of arterial blood gases.
• Suctioning
• Operation of Emergency Room equipment.
• Observes, manages patient now through the Emergency Room. Triage patients, referring to appropriate level of care.
• Uses cardiac monitoring equipment; interprets and responds appropriately to data.
• Perform arterial punctures.
• May be required to work in Critical Care Unit, PACU, Medical or Surgical Wards/Clinics.
• This position is mission essential.