Registered Nurse-Emergency Room

2 weeks ago

West Point, United States Cape Fox Shared Services Full time

Registered Nurse-Emergency Room

Work Location: Keller Army Community Hospital, West Point, NY

Eagle Health is seeking a highly qualified professional to join our team in support of a government customer.

Work Hours: Sunday to Saturday - 12-hour shifts run 0645-1845 and 1845-0645. Additional hours may be added or reduced as required by patient demand

Core Duties:

  • Coordinate patient care in collaboration with a wide array of healthcare professionals
  • Facilitate the achievement of optimal outcomes in relation to clinical care, quality, and cost effectiveness
  • Ensure compliance with standards of care and practice in accordance with all DHA and MTF established policies, procedures, and guidelines
  • Perform physical exam and health histories
  • Provide health promotions, counseling, and education
  • Administer medications, wound care, and numerous other personalized nursing-based interventions
  • Direct and supervise care provided by other healthcare professionals
  • Accountable for making patient care assignments based on the scope of practice and skill level of assigned personnel
  • Complete all administrative daily assignments/duties as outlined by department leadership
  • Recognize adverse signs and symptoms and quickly react in emergency situations
  • Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization
  • Make referral appointments and arrange specialty care as appropriate
  • Conduct research in support of improved practice and patient outcomes
  • Documentation processing and attending to patient care comply with The Joint Commission (TJC) guidelines
  • Review, understand, and comply with established medical record procedures, regulations, and principles to carry out a variety of medical record functions such as compiling data, analysis, coding, and quality assurance
  • Comply with DHA and local hospital policies for maintaining a file system and updating records, which requires keeping weekly lists of all records and retiring records annually
  • Comply with DHA and MTF documentation requirements and policies regarding the release of information to outside agencies; prepare correspondence and summaries to a variety of requestors, such as the Veterans Administration Hospitals, Social Security Administration, and Insurance Companies. Employee must abide by the Privacy Act to determine what types of patient information can be released
  • Comply with DHA and MTF policy for return of records to the appropriate location
  • Electronic Health Record System- Mandatory use of medical database for keeping records, ordering of ancillary procedures, ordering of medications, writing doctor's orders, schedule follow-up visits and performing other required patient functions
  • Participate in quality nursing measures such as chart reviews, peer feedback, peer reviews, and suggestions to the Unit Practice Counsel representative
  • Comply with the standards of the Joint Commission, applicable provisions of law, and the rules and regulations of any and all governmental authorities pertaining to licensure and regulation of healthcare personnel and medical treatment facilities, the regulations and standards of medical practice of the MTF and the bylaws of the MTF's medical staff. Adhere to and comply with all DHA and local instructions and notices that may be in effect during the term of the contract

Specific Duties:

  • Provide urgent/acute/critical care to ill or injured patients of all ages with complex medical and surgical pathologies
  • Assume the responsibilities as Charge Nurse if no other Government Service or Military registered nurses are present, or if assigned those duties by the shift supervisor or other authorized individual
  • Administer blood/blood products and critical care medications (monitor, mix, administer, titrate) with the knowledge of actions and usual dosage of commonly used drugs
  • Recognize and respond to life threatening arrhythmias to include arterial blood gas draw and interpretation, hemodynamic pressure interpretation, perform synchronized/emergency cardioversion, apply noninvasive external pacemaker, perform emergency defibrillation; administer thrombolytic agents, provide naso-gastric and/or gastro-intestinal suction
  • Perform post-operative and sedation recovery and discharge within established criteria
  • Assist with and/or perform invasive procedures depending on scope of practice such as arterial punctures; blood draw from invasive monitoring lines; provide conscious (moderate) sedation, endotracheal intubation; administer prescribed medications to include respiratory, multiple medication drips and intravenous push drugs
  • Care for patients on ventilators, manage a wide range of procedures of an advanced nature and difficulty where there is high risk for infection, bodily functions, and mechanical assisted by life support equipment
  • Manages patients requiring hemodynamic monitoring: operate hemodynamic equipment safely and effectively, obtain hemodynamic variables, uses cardiac monitoring equipment; interprets and responds appropriately to data
  • React with alertness and skill in any emergency situation and initiate life saving measures in the absence of a physician
  • Possess knowledge of the pharmacology of most commonly used emergency drugs, anticipated results, usual dosages, and their location on crash cart
  • Serve as a member of resuscitation team or emergency code teams and rapid response
  • Observe, manage patient flow through the Emergency Room; triage patients, referring to appropriate level of care
  • Effectively document care provided on electronic charting
  • Crosstrain and float to alternate units during staffing shortage or needs
  • Participate in performance improvement projects, chart, and peer reviews

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