Staff RN - Emergency Room

  • Porter Medical Center
  • 115 Porter Drive Middlebury Vermont 05753 United States
  • Posted: Apr 18, 2019
Full-time Nursing

Job Description

UNIT RN - EMERGENCY DEPARTMENT: Full-time (72 hours per pay period), evenings/nights with rotating weekends.  Eligible for full benefits.  VT RN licensure required. BLS, ACLS, and previous ED experience preferred. TNCC, ENPC to be completed within six months of hire.

The RN is responsible for direct and indirect professional nursing care to patients, serves as patient advocate, and provides teaching, counseling and emotional comfort to patients and family members.  Provides direct care to assigned patients in conformance with hospital policies, professional standards, physician orders, and approved plan of care.  Responsible for indirect nursing functions and activities of assigned nursing personnel.  Functions within limits of Vermont Nurse Practice Act, Code of Ethics for Nurses, and hospital and nursing department policies and procedures.  Supports philosophy, objectives, and goals of nursing department.  Nursing process will be utilized in the provision of patient care.

Salary Range: Min/Hour: $25.29 Mid/Hour: $30.83 Max/Hour: $37.58
 
DUTIES  
CLINICAL PRACTICE     

  • Assesses physical, psychological, and social dimensions of patients.  Applies knowledge of illnesses, injuries, and diseases and uses available resources in the assessment process.  Provides a written assessment of patients seeking emergency care.  Triage, assessment shall include a rapid, systematic collection of data relative to patient’s chief complaint.  From initial assessment, ensures immediate/urgent needs are met.    
  • Documents specific physician and nursing orders, specifying expected patient outcomes. Ensure all orders and patient assessments are completed.  Evaluate and re-evaluate interventions.  Utilizes all available resources in planning care and consults as necessary, with clinical specialists, supervisors, physicians, etc.   Develops a discharge plan which uses all available resources.  Encourages auxiliary resources to ensure continuity of care for patient’s being discharged (Social Services, Home Health services and other as deemed necessary).
  • Provides teaching to patient/significant other in collaboration with other disciplines.  Documents that teaching has been done when completing charts.  Promotes use of specialty resources for continuum of care.  Appropriately uses interpretive services for hearing impaired and foreign languages to ensure accurate exchange of information and data throughout the ED visit.
  • Complete documentation (including signatures) of ED, observation visit, etc. is entered into the Electronic Medical Record (EMR) in a timely manner.  For example, current vital signs, interventions, re-evaluation after intervention, additional interventions following re-evaluation.  Appropriate completion of written chart/verbal report (nurse to nurse using SBAR) with every patient admitted and/or transferred to another facility and/or returning to facility of habitat, with the exception of emergent transfers that will have further information faxed and/or the STEMI patient that charting will be completed during the transfer by the RN.
  • Reviews/evaluates effectiveness of plan of care and adjusts plan as indicated.  Determines level of accomplishment toward expected outcomes and effectiveness of nursing intervention. Reviews and evaluates personal nursing practice as compared to standards of care and original plan of care as supported by peers and other resource personnel.  Use of standard of care via ACLS, TNCC and ENPC.
  • Maintains the patient’s dignity, confidentiality, and right to privacy, and serves as a patient advocated. 
 
CLINICAL MANAGEMENT
  • Provides a safe and secure environment for patients, personnel and visitors by compliance with Hospital Safety policies i.e., infection control, fire and electrical safety.  Follows Joint Commission and CMS regulations.  For example, restocking crash carts ensure equipment in assigned area is functioning properly (emergent ACLS and trauma equipment, accu-check machine).  Check crash carts and adjunct equipment that is necessary in emergent situations.
  • For Codes/traumas, able to be a team leader for ACLS/trauma patient and comfortable with implementation and use of infrequently used equipment. (Rapid infuser, transcutaneous and Central Line.
  • Able to manage multiple patients in the code/trauma area and in assigned area.  Able to prioritize and have effective time management skills.
  • Able to act as the transport nurse for critical, STEMI and/or Trauma patients
  • Able to function as a triage nurse with the following expectations:
    • consistent triage times of 2 to 6 minutes
    • consistent ability to identify ESI Level 1 - 5 patients
  • Acts as a resource person regarding patient care, specialty areas, orientation, and teaching of staff and procedures/techniques unfamiliar to them.  Seeks assistance when unfamiliar with procedure
  • Accountable for own conduct and promotes effective working relationships among staff and between other disciplines and departments
  • Participates in the Performance Improvement activities of the department.  Participate in PIP data collocation, offers suggestions on aspects of care to be monitored, and suggests/follow specific actions to insure full compliance with criteria/standards
  • Provides care in a manner that leads to a high level of patient and family satisfaction with health care services
  • Ensures that written communication is complete for transfer to another department or facility
 
COMMUNICATION
  • Effectively communicates verbally and collaborates with all members of the health care team regarding patient care needs.
  • Keeps private/personal conversations to a minimum in open areas (hallways).
  • Maintains professional collaborative communication with team members within department and organization ensuring patient needs as priority.  Demonstrates peer respect in discussing and/or verbalizing disaccord in private areas and maintaining professional respect by using chain of command to resolve issues.
  • Participates in nursing/hospital committee work
 
PROFESSIONAL BEHAVIOR
  • Maintains required certifications for critical area, i.e. ACLS, TNCC, ENPC, and NRP.  Proactively maintains annual self-study components for specific area of expertise as well as hospital wide requirements (annual review, CPR, Conscience Sedation, Respiratory Fit Testing, Unit specific competencies
  • Assesses personal learning developmental needs, shares this with the Nurse Manager and/or Clinical Nurse Educator for the development of a strategy.  Plans and implements strategy to meet identified needs and modifies as appropriate.   Seeks opportunities and identifies resources to take courses in triage, take recertification courses, etc. to expand knowledge base
  • Attends In service and Continuing Education programs
  • Performs his/her job in a safe manner as defined in any and all applicable PMC policies specific to the job including but not limited to policies addressing universal precautions, use of PPE, safe lifting/ergonomics, handling of hazardous materials
  • Notifies direct supervisor of infractions of policy, procedure, laws and regulations as they are identified.  Notifies supervisor’s manager of same if supervisor does not correct or  
    resolve issue within a reasonable time frame.  Notifies Corporate Compliance Officer of any issues that continue to be unresolved