Emergency Department Registered Nurse Day Shift Mitchell County Hospital District

Job Title

Emergency Department Registered Nurse

Emergency Department

DON & ADON

Non-Exempt

Assists with the activities of the Emergency Room. Assists the Emergency Room Director and in reviewing, revising, or establishing procedures, techniques, and policies for the Emergency Room. Keeps abreast with the latest knowledge, techniques, and technological equipment in the field of Emergency Room nursing care. Provides Emergency Room nursing care to patients. OSHA blood borne pathogens class I, and other required training.

• Education: Graduate of an accredited School of Professional Nursing.
• Personal Job Related
  
  Skills:
  
  Effective oral and written communication skills.
• Licensure, Registry or Certification: Registered Nurse currently licensed by the State of Texas. CPR, PALS, and ACLS required. CEN and TNCC preferred. (TNCC required within 1 year of hire.)
• Experience: Prior
  
  Work Experience:
  
  One year experience as a Professional Registered Nurse preferred.
• Physical and Mental Requirements: Duties of the position require extended periods of standing and walking. Bending, stooping, twisting, reaching, and lifting up to 50+ pounds. Occasional lifting or supporting patients who may suddenly become weak or helpless.

Note:

The original contained a table-based list of essential duties. The core responsibilities are preserved below in a flat, readable format.

• Plans, assesses, directs and participates in the delivery of emergency room nursing care.
• Participates in setting standards for patient care and nursing practice in emergency room nursing.
• Records, evaluates, and treats cardiac arrhythmias appropriately.
• Manages the patient with respiratory insufficiency and/or difficulty including assisting with intubations, basic interpretation of ABG results, proper suctioning techniques, and assuring proper endotracheal tube placement, assembling appropriate O2 supplies/equipment, and having knowledge of the various O2 apparatuses.
• Consistently titrates drug therapies, recognizes interactions, obtains written hemodynamic parameters, and exercises judgment regarding frequency of recording all monitored values.
• Cares for the patients with invasive lines (central, arterial, cut downs) and assembles, calibrates and assists with insertions.
• Demonstrates ability to care for the patient with a head injury including complete neurological assessment with documentation, medications, positioning.
• Cares for patients requiring invasive procedures of thoracentesis, chest tube insertion, including assembly of equipment, explanation of procedure to patient, and assisting physician with insertion.
• Manages care of patients requiring intravenous antithrombolytic agents according to established procedures.
• Manages care of patients with fractures including CSM checks below injury with documentation, proper body alignment, and assisting with casting.
• Manages patients with medical diagnoses (R/O MI, Diabetes, COPD, GI Bleed, etc.) including stating pathophysiology for specific diagnosis, documenting nursing interventions on the ER form, stating signs and symptoms of complications for diagnosis and notifying physician of any changes in condition in a timely manner.
• Performs triage and medical screening on multiple patients, evaluates and prioritizes them according to hemodynamic stability, loss of limb, and treats appropriately.
• Interprets lab values including hemoglobin, hematocrit, platelet count, white count, electrolytes, and clotting times.
• Provides psychosocial care to the patients and family.
• Provides care appropriate for the neonate and the pediatric, adolescent and geriatric patients served based on knowledge of growth and development over the life span.
• Assesses and interprets data on neonate, pediatric, adolescent and geriatric patients’ status to identify requirements relative to age-specific needs and provides care per departmental policy.
• Gives technical and direct support to those supervised who plan and administer nursing care.
• Arranges for transport of patients by air / ground ambulance.
• Accurately maintains and records the use of controlled substances.
• Partici…