Registered Nurse- Medical
4 weeks ago
36 Work Shift:
Rotating (United States of America)REGISTERED NURSE - EMERGENCY DEPARTMENT Job Description:
REGISTERED NURSE - EMERGENCY DEPARTMENT
The emergency nurse initiates accurate and ongoing assessment of physical, psychological and social problems of patients within the emergency care system. Obtains initial focused subjective and objective data through history taking, physical examination, review of records and communication with health care providers, significant others and caretakers, as appropriate. Documents relevant data for every patient as appropriate to the nature and severity of illness or injury. Communicates significant data to appropriate personnel throughout the patients emergency department experience.
The emergency nurse analyzes assessment data to formulate nursing diagnoses and identify collaborative problems for each patient. Identifies nursing diagnoses/potential complications based on signs and symptoms recognized during a focused, systematic assessment. Documents nursing diagnoses/potential complications on each patient. The emergency nurse formulates a plan of care for the emergency patient based on assessment data and nursing diagnoses/potential complications. Develops a plan of care for each patient, in collaboration with the patient, significant others and other health care providers, based on current scientific knowledge and in accordance with the established standards of emergency nursing care. Identifies priorities for nursing interventions. Communicates plan of care to other health care providers to ensure continuity of care.
The emergency nurse implements a plan of care for the emergency patient based on assessment data and nursing diagnoses/potential complications. Implements plan of care for each patient b. Accurately implements physician orders in accordance with each patients priority of care. Performs appropriate patient monitoring and documents patients response to intervention. Seeks assistance/guidance when confronted with nursing procedures not yet mastered.
The emergency nurse evaluates and modifies the plan of care based on observable patient responses and attainment of expected outcomes. Evaluates and documents patients response to interventions and changes in patients condition and revises plan of care as appropriate in collaboration with the physicians and other health care providers.
The emergency nurse assists the patient and significant others to obtain knowledge about illness and injury prevention and treatment. Documents patients understanding of discharge plan of care. Notifies physician and/or appropriate resource personnel of any barriers to patient compliance with discharge plan of care. Assists patients and significant others in the identification of factors that place them at risk for illness and injury. The emergency nurse collaborates with other health care providers to deliver patient-centered care in a manner consistent with safe, efficient and cost-effective resource utilization. Assigns tasks or delegates care based on the needs of the client and the knowledge and skill of the provider selected; Assists the patients and significant others in identifying and securing appropriate services available to address health-related needs; social service consultation, home care services, case management consultation, mandatory reporting. Ensures that supplies and equipment are readily available and in working order: completion of equipment checklists as assigned. Ensures that patient charges are accurate and reflect the care that the patient received: pharmacy, level of care charges. Demonstrates knowledge and compliance with practices that protect the health care provider and reduce the spread of infection in the emergency care setting: use of standard precautions, isolation procedures. Recognizes the potential for violence in the emergency setting and institutes appropriate action: use of Protection Services, CPI techniques.
The emergency nurse triages each patient and determines priority of care based on physical, psychological and social needs as well as factors influencing patient flow through the emergency care system. Performs focused assessment of chief complaint on each patient in a timely manner according to established triage guidelines. Documents triage assessment, including appropriate subjective and objective data. Differentiates severity of patient complaints and assigns appropriate triage acuity levels. Identifies and initiates nursing interventions per established protocol. Reassures the patient according to acuity and established procedures and revises the acuity level based on new information or changes in assessment data. The emergency nurse engages in activities and behaviors that characterize a professional leader. Accepts accountability and responsibility for maximizing department operations and patient outcomes using sound judgement. Adjusts staff assignments according to assessed nursing capabilities and responsibilities, patient acuity/level of need, volume and flow within the department. Demonstrates and provides unified leadership in the department by encouraging staff to discuss issues with appropriate management personnel who can assist with problem solving. Demonstrates knowledge of department operational policies including, but not limited to: informed consent for treatment, patient transfer, COBRA legislation, patient confidentiality, patient restraint and the departments scope of practice.
The emergency nurse recognizes self-learning needs and is accountable for maximizing professional development and optimal emergency nursing practice. Attends 50% RN/department staff meetings annually. Attends Emergency Department RN Competency Review Course annually. Attends hospital-based Education Fair annually. Pursues continuing education/certifications in the specialty of emergency nursing to enhance nursing practice. Participates on at least one department based committee and/or assists in facilitating formal or informal learning experiences for professional peers and students in a courteous, supportive manner. Participates in Quality Improvement initiatives to measure and improve quality of care.
Graduation from an NLN accredited school of nursing
Current registration in the Commonwealth of Massachusetts
Interpersonal skill in interacting with patients, families, and a multi-disciplinary team of health-care personnel.
Minimum of 3 years medical-surgical nursing experience (ED experience preferred)
Certification in Emergency Nursing (required after 2 years of employment)
Non-ExemptAs a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Equal Opportunity Employer/Veterans/Disabled Job Type: Regular
Time Type: Full time
Work Shift: Rotating (United States of America)
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