PRN ER Nurse

Job Title:

Emergency Room Nurse

Department:

Emergency Room

Reports To:

ER Nurse Manager

FLSA Status:

Non-exempt

Revision Date:

12/14/2022

Position Summary

The Emergency Room Nurse provides direct and indirect patient care in the emergency care setting and is able to respond quickly and accurately to changes in condition or response to treatment.

 Provides care that reflects initiative, flexibility and responsibility indicative of professional expectations with a minimum of supervision.  Is able to safely and accurately triage every patient that enters the emergency care system.  Determines priorities of care base on physical and psychosocial needs, as well as factors influencing patient flow through the system.  Communicates with Emergency Department physicians about changes in the patient’s status, symptomatology and results of diagnostic studies and critical lab values. 

Essential Duties & Responsibilities

• Maintains awarenes of current hospital and departmental operational polices and procedures which impact position responsibilites.
• Demonstrates current comprehensice and professional knowledge and skills in conformation with recognized nursing standards, emergency nursing standards, including the Patient Bill of Rights statards for patient care and the Nurse Practice Act.
• Provides direct patient care, evaluates outcomes, consults with other specialist as required and adjusts nursing care processes as indicated to ensure optimal patient care.
• Uses triage process to ensure timely and appropriate care to patients.  Accurately assigns triage categories.  Triage notes must indicate level of distress and duration of complaint to justify classification.
• Ability to perform a head-to-toe assessment on all patients and reassessments as per policy.  This includes adult, pediatric, adolescent and geriatric patients.  Ability to prioritize needs based on assessments.
• Ability to adequately assess and reassess pain. Utilizes appropriate pain manaagement techniques.  Educates the patient and family reguarding pain management.
• Ability to monitor hemodynamic status of patient and correctly interpret the results.
• Demonstrates knowledge of cardiac monitoring to identify dysrhythmias.
• Maintains medical and surgical asepsis during all procedures.
• Directs and assists in maintenance and handling of special equipment and instruments.
• Adapts nursing procedures to meet the needs in caring for pediatric, adolescent, adult and geriatric patients.
• Identifies physical symptoms and changes and utilizes critical thinking to take appropriate actions in a timely manner.
• Assessment and reassessment of the patient is clearly and concisely communicated in documentation. Documentation meets current standards, policies and procedures and is completed within current shift.
• Communicates all Clinical laboratory/Imaging Service reports to the Emergency Department Physician.
• Established and maintains effective communication and good working relationships with co-workers for the patient benefit and environment.
• Accrately records, handles and labels specimens.
• Medication administration using the (5) rights.
• Dosage calculation when preparing and/or administering medication.
• Administer medication via : IM, IV, Sub-Q, Orally, Topical and Rectally.
• Perform patient and caregiver education.
• Perform other duties as assigned.

Safety/Infection Control

• Demonstrate knowledge of and adhere to regulations and policies and

procedures pertaining to safety, emergency preparedness, infection control, OSHA, fire safety and hazardous materials

Performance Improvement

• Participate in performance improvement activities as necessary

Customer Service

• Maintain confidentiality of patient related issues and adhering to all HIPAA rules and regulations.
• Demonstrate effective interpersonal skills
• Treat all patients, visitors, and staff members fairly and with respect
• Utilize effective communication methods and skills
• Explain all procedures, treatments, and care while remaining aware of language barriers
• Able to perform care in non-judgmental manner and recognize discrepancies between patient and personal beliefs

Company Policy

• Ensure personal appearance is business casual and professional at all times
• Responsible for wearing identification badge at all times which must be visible and above the waistline
• Attend all required meetings and in-service education
• Remain flexible in staffing patterns and resolution of staffing conflicts; participates in temporary assignments
• Compliance with attendance standards
• Demonstrate flexibility when changes in assignments are necessary

EDUCATION & EXPERIENCE

• RN Licensure in the State of Texas, with an Associate’s degree required and a Bachelors degree is preferred.
• 1 year clinical experience in Emergency Department, ICU or Acute Care preferred.
• BLS, ACLS, PALS certifications

• 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 and subtract two digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume, and distance
• 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 situations
• Ability to perform medication dosage calculations.

• Basic computer skills

• BLS
• ACLS and PALS will need to be obtained within 30 days of DOH

Competencies

• Professional Maturity: The ability to separate emotional feelings from the real issues at hand
• Responsibility: The ability to accept choices you have made and the results they have led to
• Communication: The ability to write and speak effectively; actively listens to others, and give feedback
• Flexibility: Demonstrate responsiveness and adaptability following change initiatives
• Intelligence: Understand information and apply new knowledge
• Energetic: Exhibits high levels of energy and enthusiasm
• Organized: Efficient in structuring tasks to be accomplished
• Computer Savvy: The ability to use technology efficiently and effectively
• Customer Service: The ability to enhance customer satisfaction
• Job Knowledge/Technical Knowledge: Knowledgeable of current role and technical systems, and the impact it has on the organization
• Integrity and Respect: Demonstrates upmost level of integrity
• Interpersonal Communication: Writes and speaks effectively based on the psychological, relational, situation, environmental and cultural dynamics within the situation
• Collaboration and Partnership: Encourages participation from team members
• Manages Change: Demonstrates flexibility with changing environments
• Problem Solving: Resolve issues in a timely manner
• Attention to Detail: Follows procedures to ensure entry of data
• Organization: Uses time efficiently by prioritizing and planning work activities
• Judgment: Ability to make independent decisions
• Teamwork: Works with others to accomplish objectives and shows support for decisions
• Quality: Sets high standards to ensure quality in work performed
• Accountability: Takes responsibility for adhering to all company policies, procures, and performance expectations

Physical Demands

• The physical demands for this position include: adequate vision, hearing, and repetitive motion
• Light physical activity performing non-strenuous daily activities of an administrative nature
• Ascending or descending stairs, ramps and the like, using feet and legs and/or hands and arms
• Substantial movements (motion) of the wrist, hands, and/or fingers in a repetitive manner
• Bending legs downward and forward by bending leg and spine

Work Environment

• Well-lighted, heated and/or air-conditioned indoor office setting with adequate ventilation

Employee Signature

Printed Name

Employee Signature                                                                                    Date