ER Registered Nurse - PRN
ACH EMPLOYMENT SERVICES LLC
Pearland, TX
Job Summary:
The Emergency Room Nurse provides direct and indirect patient care in the emergency care setting and provides care that reflects initiative, flexibility and responsibility indicative of professional expectation with a minimum of supervision. The Emergency Room Nurse can triage safely, rapidly and accurately, every patient that enters the emergency care system.
Essential Duties and Responsibilities:
- Determine priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the system.
- Communicate with Emergency Department physicians about changes in patient's status, symptomatology and results of diagnostic studies.
- Able to respond quickly and accurately to changes in condition or response to treatment.
- Maintain awareness of current ER operational policies and procedures which impact position responsibilities.
- Demonstrate current comprehensive and professional knowledge and skills in conformation with recognized nursing standards including the Patient Bill of Rights standards for patientcare and the Nurse Practice Act
- Provide direct patient care, evaluate outcomes, consult with other specialists as required and adjust nursing care processes as indicated to ensure optimal patient care.
- Able to perform a head-to-toe assessment on all patients and reassessments as per policy, including pediatric, adolescent and geriatric patients and the general patient population.
- Able to use triage process to ensure timely and appropriate care to patients and accurately assign triage categories.
- Able to adequately assess and reassess pain, utilize appropriate pain management techniques, and educate the patient and family regarding pain management.
- Able to monitor the hemodynamic status of patient and correctly interpret the results.
- Demonstrate knowledge of cardiac monitoring to identify dysrhythmias.
- Able to interpret the results of moderate and waived tests and take appropriate action on test results
- Maintain current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition
- Maintain accurate and continued nursing documentation including patient histories, conditions, treatments, responses and assessment of changes
- Perform all aspects of patient care in an environment that optimizes patient safety and reduce the likelihood of medical/health care errors
- Interact professionally with patient and family and involve patient and family in the formation of the plan of care.
- Formulate a teaching plan based on identified learning needs and evaluate effectiveness of learning, including family in teaching as appropriate.
- Maintain a safe, comfortable and therapeutic environment for patients and families in accordance with ER standards.
- Ensure an adequate stock of supplies and proper functioning of equipment.
- Assist in cost containment through appropriate ordering and conserving of supplies and equipment.
- Perform quality control procedures and maintain records on these checks.
- Perform calibrations in compliance with manufacturer’s requirements.
- Ensures proficiency testing specimens are done in compliance with policy.
- Oversees documentation of temperatures/humidity checks
- Maintains current appropriate and needed policies and procedures.
- Demonstrate knowledge of new testing methods, products and instrumentation; remain informed on all current technologies.
- Maintain inventory of necessary supplies and submit orders for restocking as needed.
- Demonstrate the values to team concept on a consistent basis.
- Interact professionally with all department members, physicians, staff, administration and supportive staff.
- Responsible for documenting correct information for compliance purposes.
- Remain knowledgeable about appropriate testing procedures
- Perform other duties as assigned
Qualifications, Education Experience, Skills:
EDUCATION & EXPERIENCE
- Graduate of an accredited school of nursing
- At least 3-5 years of Emergency Room, strongly preferred.
LANGUAGE/MATH/REASONING ABILITY
- Ability to read and comprehend simple instructions, short correspondence, and memos.
- Ability to write simple correspondence.
- Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization
- Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
- Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
- Ability to deal with problems involving several concrete variables in standardized situation.
COMPUTER SKILLS
- Basic computer skills
CERTIFICATE/LICENSES
- • Current RN license within the state of practice
- Current BCLS, ACLS, and PALS Certification
Physical Demands:
- Moderate physical activity performing somewhat strenuous daily activities of a primarily product/technical nature.
- Exerting up to 25 pounds of force occasionally to lift, carry, pull, or otherwise move objects Manual dexterity sufficient to reach/handle items, works with the fingers, and perceives attributes of objects and materials.
- Physical: ascending or descending stairs, ramps and the like, using feet and legs and/or hands and arms; maintaining body equilibrium to prevent falling when walking, standing or crouching on narrow, slippery or erratically moving surfaces; bending legs downward and forward by bending leg and spine; using upper extremities to press against something with steady force in order to thrust forward, downward or outward; standing, particularly for sustained periods of time; using upper extremities to exert force in order to draw, drag, haul or tug objects in a sustained motion; raising objects from a lower to a higher position or moving object horizontally from position to position; substantial movements(motion) of the wrist, hands, and/or fingers in a repetitive manner
Work Environment:
- The work environment is in a comfortable indoor area.
- Conditions such as noise, odors, cramped workspace and/or fumes could sometimes cause discomfort.
- Frequent periods of concentrated or focused attention will be needed to interpret visual, auditory and sensory inputs.
- May be exposed to such occupational hazards as communicable diseases, radiation, and disoriented or combative patients.