RN, Registered Nurse - Emergency Room

Summary:

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS
  
  Competencies:
  
  Leader of Self, Leader of Others, or Leader of Leaders.
• Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention, and evaluation for assigned patients.
• Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
• Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
• Documents patient history, symptoms, medication, and care given.
• Assesses learning needs and provides education to patients, family members, and/or caregivers; identifies issues and resources.

CORE COMPETENCIES

Standard I:
Utilizes the Nursing Process

• Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families.
• Communicates findings to appropriate healthcare team members.
• Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice.
• Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals.
• Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s).
• Performs timely reassessment and documentation.
• Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population.

Standard II:
Patient Throughput & Patient Flow Process

• Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow.
• Utilizes appropriate systems of communication and tools to facilitate the discharge process.
• Coaches on tools and techniques for checking, cross-checking, and validating orders to ensure accuracy.

Standard III:
Unit Operations

• Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift.
• Demonstrates good stewardship in proper use and maintenance of equipment and supplies.
• Assesses departmental staffing needs; actively participates in resourcing efforts.
• Educates and trains others on the operations, ethics, and regulations within the industry.

Standard IV:
Safe Practice/Quality Care/Regulations

• Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes.
• Demonstrates accountability for nursing research and quality improvement activities.
• Provides evidence-based nursing care.
• Communicates patient information effectively across the continuum of care.
• Educates and trains others on the operations, ethics, and regulations within the industry.
• Knowledge of federal, state, and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities.

TECHNICAL COMPETENCIES

Clinical Policies and Standards

• Follows a specific set of standards and associated clinical procedures.
• Analyzes policy and standards documentation and ensures organizational compliance.
• Provides feedback for improvement of procedures.
• Assists in the development and implementation of specific procedures.
• Works with control and monitoring mechanisms, tools, and techniques.

Health Information Documentation

• Shares experiences with maintaining paper and electronic patient documentation.
• Walks through the steps and procedures for receiving, validating, and updating patient records.
• Describes the flow of information between various stations or units.
• Discusses the functions, features, and document flow of…