PRN Registered Nurse; Nights

Summary

Under general supervision, delivers care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation, in accordance with established protocol and / or as ordered by the emergency room physician. Works in cooperative effort with physician and other members of clinical staff to ensure effective patient care delivery and achievement of desired patient outcomes. Effectively interact with patient and significant others, while maintaining the standard of professional nursing.

Provides care for patients presenting with various types of illnesses and/or injuries requiring emergency attention and must be able to recognize and effectively treat life-threatening conditions.

1. Provides direct and individualized nursing care to patients based on the application of scientific nursing principles. In addition to general nursing care, responsibilities include (but are not limited to):

2. Collects information regarding chief complaint and / or current symptoms, as well as a detailed patient history, and documents findings in the patient medical record. Reports findings to the healthcare provider.

3. Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans.

4. Performs triage and assessments, while considering both physical and psychosocial elements

5. Manages basic life support needs and stabilizes patients until the attending physician is available, based upon nursing standards and protocol.

6. Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology.

7. Documents nursing care as appropriate in the patient medical record.

8. Works directly under physicians, assisting them during exams, procedures, diagnostic testing and treatments.

9. Prepares and administers medications as ordered by the physician, (oral, subcutaneous, intravenous / infusion, intramuscular) and records administration and such other relative data in the medical record. Reports adverse reactions to medications or treatments in accordance with the policy regarding the administration of medications by a licensed registered nurse

10. Provides IV infusion / therapy in accordance with physician orders, performs 12-lead EKG, venipuncture and IV initiation, blood draws, cardiac and pulse oximetery monitoring, applies oxygen using the appropriate delivery system, administers nebulized treatments.

11. Assists physician with management of critical patients

12. Assists physician with procedures including but not limited to laceration repair (any complexity), any procedure requiring moderate sedation, Incision and Drainage (I &D), cardiac arrest, intubation, chest tube insertion, foreign body removal (any part of the body), live birth or spontaneous aborted fetus and tissue, records time of death and birth, assists Administration in reporting death in the emergency room as needed

13. Keeps accurate records of procedures, including moderate sedation flow sheet, CPR/Code Blue flow sheets/record

14. Maintains and makes appropriate and correct entries into applicable clinical logs and records as required by facility policy and procedure.

15. Cleans and bandages wounds, applies splints.

16. Reviews discharge instructions with the patient and, as needed, provides patient education and training including wound care, crutch training, use of nebulizers or inhalers, and other types of training.

17. Reviews all discharge instructions with patient and take vital signs prior to discharge to ensure patient is stable and records results in the patient medical record.

18. Provides basic, bedside nursing care.

19. Assists administration in maintaining proper / par-level supplies and appropriate medical equipment to care for patients.

20. Reports any suspected abuse to the appropriate agencies.

21. Initiates patient education plan, as prescribed by physician. Teaches patients and significant others how to manage their illness/injury, by explaining: discharge instructions, post-treatment home care needs, diet/nutrition/exercise programs, self administration of medication and rehabilitation, as well as provides referrals to other healthcare professionals for follow-up treatment.

22. Displays professionalism while completing multiple urgent tasks in a timely manner.

23. Records all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms.

24. Performs other position-related duties as assigned, depending on assignment setting.

25. Reports safety violations, work injuries, or work hazards to administration.

26. Accounts for on hand narcotics amounts at each shift change in the presence of a qualified healthcare professional, i.e., RN, physician and records narcotic count into appropriate log.

27. Logs medication inventory and removal of medications for administration as required by pharmacy policy and ensures…