Graduate Nurse Emergency Room Night Shift

Applicants MUST have at least one full year of department-specific experience (working in an Emergency Department as a Registered Nurse) to be considered for this role.
South Shore Hospital's Emergency Center is ready to meet life-threatening conditions with lightning-fast care. Our Emergency Department is one of the busiest in eastern Massachusetts.
We’re staffed 24/7 with more than 350 health professionals—including physician assistants, nurse practitioners, nurses, social workers, case managers, and other specialists that support our team of board-certified emergency physicians.
For the region's youngest patients, our pediatric emergency service is the only one of its kind in the area, staffed around the clock by board-certified pediatric emergency medicine physicians and board-certified pediatricians affiliated with Boston Children's Hospital.
South Shore Hospital is the first and only verified and designated Level II Trauma Center south of Boston, including the Cape and Islands. Our designation as a Trauma Center also means our team can be paged by paramedics before a patient arrives, allowing these specialists to get prepared to deliver critical trauma treatment when seconds matter.
Ambulances transporting injured patients follow the Massachusetts Trauma Field Triage and Point of Entry protocol. This outlines that critically injured and ill patients are transported to the closest Trauma Center rather than to the nearest hospital, which may not be equipped to treat such conditions.
Stable and less critically injured patients from falls, car crashes and sports injuries also benefit from receiving care at a Trauma Center, because if needed, they will receive care by the same trauma experts and services.
South Shore Hospital's Emergency Center is ready to meet life-threatening conditions with lightning-fast care. Our Emergency Department is one of the busiest in eastern Massachusetts.
We’re staffed 24/7 with more than 350 health professionals—including physician assistants, nurse practitioners, nurses, social workers, case managers, and other specialists that support our team of board-certified emergency physicians.
For the region's youngest patients, our pediatric emergency service is the only one of its kind in the area, staffed around the clock by board-certified pediatric emergency medicine physicians and board-certified pediatricians affiliated with Boston Children's Hospital.
South Shore Hospital is the first and only verified and designated Level II Trauma Center south of Boston, including the Cape and Islands. Our designation as a Trauma Center also means our team can be paged by paramedics before a patient arrives, allowing these specialists to get prepared to deliver critical trauma treatment when seconds matter.
Ambulances transporting injured patients follow the Massachusetts Trauma Field Triage and Point of Entry protocol. This outlines that critically injured and ill patients are transported to the closest Trauma Center rather than to the nearest hospital, which may not be equipped to treat such conditions.
Stable and less critically injured patients from falls, car crashes and sports injuries also benefit from receiving care at a Trauma Center, because if needed, they will receive care by the same trauma experts and services.
Manages individualized, outcome oriented nursing care through the use of the nursing process. Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, in accordance with departmental and hospital policies and procedures
Essential functions are critical or fundamental to the performance of the job. Assesses and diagnoses patient and family needs in order to provide quality care to assigned patients by:

Initiating admission assessment within 8 hours of admission, identifies and documents patient/family/significant other teaching needs upon admission and throughout hospitalization.
Continues assessment/reassessment and identifies care needs within established nursing practice standards.
Plan of Care/Documentation/Discharge Planning
Develops, discusses, and communicates a prioritized problem list/plan of care for each patient, in collaboration with designated support persons in order to address all identified needs.

Develop, evaluate and update individualized plan of care for patient and documents outcomes.
Actively communicates plan of day via white board updating every shift.
Documents all patient care following the department of nursing policy, unit based standards and nurse sensitive indicators (falls, skin, pain).
Assesses/reassesses and documents patient's level of comfort utilizing the appropriate pain scale and the patient’s response to each intervention both pharmacological and non-pharmacological per South Shore Hospital policy.
Seeks help to represent patient/family when they are unable to represent themselves.
Seeks available resources to help formulate and understand ethical decisions.
Demonstrates knowledge of and follows SSH policies and procedures for administering, transcribing, and recording medications.
Completes medication reconciliation process following SSH policy and procedure.
Demonstrates proper procedure for the documentation of narcotic withdrawal, administration, verifies count, wastes per policy and resolves narcotic discrepancy.
Initiates and maintains IV access according to SSH policy and procedure.
Safety/Quality
Fosters a "Culture of Safety" through personal ownership and commitment to a safe environment.

Verifies patient identification with two identifiers prior to the start of any invasive procedure, including "time out", administration of care, medications, labeled specimens and documents confirming the correct patient, procedure, site, equipment, and consent
Adheres to universal precautions, makes appropriate use of personal protective equipment at all times and appropriately disposes of hazardous materials. Assesses each patient’s risk of falling throughout hospitalization using appropriate interventions to prevent falls.
Ensures environment meets regulatory requirements at all times (ie: no cardboard boxes on floor, equipment cords are secured and plugged into foot of bed).
Understands and is able to demonstrate individual roles and responsibilities in the event of hospital codes/emergency preparedness.
Holds oneself and others accountable for meeting quality improvement/quality standards.
Assumes overall responsibility for own professional development by incorporating evidenced-based practice, research, and performance improvement initiatives as a part of ongoing nursing practice.

Practices within the legal boundaries of MA Nurse practice Act. Active participant in unit based initiatives and/or hospital committees.
Assumes an active role in keeping informed about changes in hospital policy, procedure, and equipment.
Works with others/patients/families/healthcare providers/community to promote health and wellness.

Access Lotus Notes to review e-mail, learning management and other resources as applicable to RN role.
Utilizes all Meditech applications required by department and unit standards. (Works within legal, regulatory and ethical practice standards relevant to the position.
Complies with applicable policies and procedures.
Safeguards the privacy and security of patient information. The employee compiles will policies and procedures relating to SSH’s privacy and security programs.
Patient and Family Centered Care
Communicates and collaborates effectively with patients, families to promote patient health and well-being.
ACLS - Advanced Cardiac Life Support,PALS or ENPC - Pediatric Advanced Life Support or Emergency Nursing Pediatric Course.
Demonstrated proficiency in acute care nursing, knowledge, and skills
Graduate of an accredited School of Nursing-preferred
Minimum Work Experience
Previous Acute Care RN experience preferred