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Emergency Department RN

3 months ago

Toccoa GA, United States Stephens County Hospital Full time

Full Time - Registered Nurse - Emergency Department - 7PM - 3AM - Days will Vary
About us: For the past 85 years, Stephens County Hospital has been a trusted name in the community, striving for excellence and delivering professional and compassionate care. Our dedicated staff of approximately 475 employees has a heart for healthcare and realizes how precious the gift of good health can be.
Stephens County Hospital is a 96-bed acute care hospital located in Toccoa, Georgia. We are nestled in the beautiful foothills of Northeast Georgia where our family-oriented community offers many cultural and civic opportunities as well as numerous outdoor activities.
Stephens County Hospital is a member of the Georgia Hospital Association, American Hospital Association and Georgia Alliance of Community Hospitals. Stephens County Hospital is fully accredited by the Joint Commission, the nation’s premier healthcare monitoring agency.
Full Time - Registered Nurse - Emergency Department - 7PM - 3AM - Days will Vary
Education:
Graduate of an approved diploma, associate or bachelor nursing program.
Emergency Room experience preferred.
The Staff Nurse provides care to patients of the indicated ages:
Toddlers (Two to Four Years) Adult (19 to 69 Years)
Child (Five to Nine Years) Geriatric (70 and Above)
Evaluates and documents signs and symptoms of distress.
Equipment competency:
External pacer/defibrillator, Plaster splinting, EMS radio equipment, Gastric lavage equipment, Infant scales, Cast cutter, Hare traction splinter
Chest tube insertion, Suturing, Peritoneal lavage, Tracheotomy, Lumbar punctures, Thoracentesis, Central line insertion, GYN exams, Traction placement, Application of casts/splints, Sexual assault exams
Stocks supplies of department each shift.
Nutritional Screening, Fall/Risk, Functional, Pain, Skin Integrity, Cultural/Spiritual, Psycho-social, DVT Risk, Suicide, and Pneumococcal/Flu.
Identifies complex problems in the assessment and initiates the plan of care utilizing nursing problems when appropriate.
Reviews and updates plan of care to reflect changes in patient status.
Implements the physician’s orders promptly and appropriately with understanding of the purpose of each as it relates to the patient’s plan of care.
Reports abnormalities or instability of the patient’s condition in a timely manner to appropriate persons (charge nurse, physician, director, administrative supervisor, CARE Team).
Ensures readiness of chart for procedure or surgery (pre-op checklist, lab, EKG, x-ray and documentation in the nurse’s notes).
Responsible with assistance of patient and/or family for surgery site marking by provider if applicable.
Coordinates the care and preparation of patients for procedures, treatments or surgery (proper prep, dress and premedication).
Assesses the patient upon return from surgery or other procedures and documents findings in the patient care profile.
Performs verification (time out) prior to invasive procedures as designated by policy.
Performs and documents hourly rounding, or as appropriate for unit.
Ensures the patient’s hygienic needs are met (AM care, PM care, toileting, etc.).
Implements and monitors restraint use per policy.
Administers emergency resuscitation of patients in cardiac arrest.
Implements and maintains standard or high fall risk precautions as indicated.
Confirms two patient identifiers (name, date of birth and/or hospital number) when providing care and specimen collection.
Makes appropriate staff assignments to include coverage for patient care during meals and breaks.
Acts as liaison between physicians, patients, visitors and staff.
Assumes responsibility for completeness and quality of nursing care provided by staff assigned to the unit
Administers medications in a safe, timely manner and correctly documents their administration.
Utilizes two patient identifiers before giving medication according to policy.
Records the patient’s response to the medications in the patient care profile when appropriate.
Identifies and reports adverse drug reactions per policy.
Resolves all discrepancies before end of shift. Performs venipuncture per policy.
Checks and documents status of IV/INT per department policy.
Demonstrates proper use of IV equipment.
Adheres to medication reconciliation policy.
Obtains narcotics from PYXIS/Pharmacy and documents administration and wastes per policy.
Assesses/monitors PCA patients per policy.
Gathers information pertinent to the medication(s) ordered: actions, purpose, normal dosage and route, common side effects, time of onset and peak action, nursing implications.
Reports and records pertinent information related to nursing plan of care.
Demonstrates proficient use of computer and adheres to departmental policy.
Records accurately in the medical record nursing actions: Reflect care given to the patient, Observations made about the patient, Patient’s response to treatments or medications, Restraints, Pain Management.
Repeats and verifies all verbal/phone orders and test results.
Includes family and/or significant other in health teaching when possible.
Reviews home care instructions with patient or responsible party and document same in the patient care profile/discharge form.
Initiates consultation with other health care professionals.
Utilizes effective communication skills with patients, families, Charge Nurse, Medical Staff, Director, Administrative Supervisor, peers and co-workers in a pleasant positive manner.
Delivers hand off communication when care provided or level/location of care changes.
Assumes relief charge nurse, team leader or patient care responsibilities as necessary.
Demonstrates flexibility and adaptability rotating to another shift or unit when need arises.
Supports the philosophy, policies and procedures of the Division of Nursing.
Assumes responsibility for completeness and quality of nursing care provided by his/her team members including private duty nurses, nursing students and supplemental staff.
Participates in Nursing Service Quality Improvement activities in evaluating patient care (QI studies, monthly monitoring, etc.)
Remains in compliance with hospital Hand Hygiene Policy.
Reports staff deficits related to compliance with Infection Control practice (non-compliance with hand washing, isolation procedures, and maximum barrier precautions.)
Complies with policies regarding vascular lines (dressing changes, appropriate insertion techniques.)
Maintains knowledge of hospital acquired infection rate and measures being taken to decrease incidence.
Teaches patients and families regarding infection prevention and transmission.
Administers antibiotics timely specifically related to SCIP, community acquired pneumonia and CAUTI measures.
Assures timely collection of patient cultures.
Cleans equipment appropriately between patient and/or staff use.
Assesses and interprets data relative to patient’s age.
Involves parents in administration and planning of care.
Determines and documents head circumference.
Evaluates and documents for signs/symptoms of abuse and neglect.
Determines and documents immunization status.
Provides equipment specific to patient’s age and size.
Assesses and interprets data relative to patient’s age.
Involves parents in administration and planning of care.
Evaluates and documents for signs/symptoms of abuse and neglect.
Determines and documents immunization status.
Involves child in own care when possible.
Provides equipment specific to patient’s age and size.
Child (5 to 9 Years)
Assesses and interprets data relative to patient’s age.
Involves parents in administration and planning of care.
Evaluates and documents for sign/symptoms of abuse and neglect.
Determines and documents immunization status.
Provides equipment specific to patient’s age and size.
Recognizes child’s need to exercise some control.
Recognizes the child’s need for independence and potential for being attracted to dangerous situations.
Assesses and interprets data relative to patient’s age.
Evaluates and documents for signs/symptoms of abuse and neglect.
Determines and documents immunization status.
Provides equipment specific to patient’s age and size.
Involves patient in decision making and planning for care and teaching.
Uses proper medical terminology.
Evaluates self-care abilities/limitations and identifies need for additional safety measures.
Adult (19 to 69)
Evaluates self-care abilities/limitations and identifies need for additional safety measures.
Assesses and interprets data relative to patient’s age.
Evaluates and documents for signs/symptoms of abuse and neglect.
Provides equipment specific to size of patient.
Involves patient in planning of care and educational needs.
Evaluates self-care abilities/limitations and identifies need for additional safety measures.
Evaluates and documents for signs/symptoms of abuse and neglect.
Assesses and interprets data relative to patient’s age.
Provides equipment specific to size of patient.
Implements skin integrity and/or risk to fall protocols.
Ability to compile, code and categorize, or verify information/data
Ability to maintain confidentiality of all medical, financial, and legal information
Maintain regulatory requirements, including all state, federal and local regulations.
Comply with all organizational policies and standards regarding ethical business practices.
Participate in performance improvement and continuous quality improvement activities.
Attend regular staff meetings and in-services as needed.
Stephens County Hospital is an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition, carrier status or any other legally protected status.
Job Type: Full-time
Employee assistance program
* Flexible spending account
* Night shift