The Emergency Nurse is responsible for high quality individualized patient care in the Emergency Department requiring a broad range of knowledge and expertise in the treatment of patients experiencing medical emergencies ranging from low acuity (earaches) to full blown resuscitative encounters (acute stroke, cardiac arrest). Practices within the scope of RN licensure as defined by California Board of Registered Nursing, the Nurse Practice Act and Emergency Nurses Association standards of practice. Advocates for and participates in high quality patient care and patient experience.
Ability to perform critical care nursing role in emergency resuscitative efforts. Knows well and implements ACLS and PALS Algorhythms effectively and understands appropriate dosages, routes, expected responses as well as side effects and toxicity indicators. Primary member of Code Blue, Rapid Response and Code Stroke teams.
Performs accurate nursing assessments on all patients to include accurate triage with appropriate level assignment, home medication interrogation, psychiatric history, drug history and domestic safety. Performs targeted clinical assessment including vital signs and discharge assessment in the Electronic Health Record. Mandated reporter.
Accurately and safely administers medications utilizing medication administration scanning protocols for the Electronic Health Record. Assesses and documents patient response to medication according to organizational policy.
Administers vasoactive intravenous infusions.
Models professional behaviors consistent with Service Excellence standards: AIDET, white boards, hourly rounding, patient call backs. Adheres to organizational dress code policy and Code of Conduct.
Performs the following procedures: Foley catheter insertion; nasogastric tube insertion; peripheral intravenous line insertion; feeding tube insertion; management of central lines, chest tubes, endotracheal tubes and respiratory ventilators.
Performs Phlebotomy as needed to include proper asceptic technique, blood tube order of draw and protocol for blood culture sampling. Recognizes abnormal lab values, reports to MD and implements orders to correct abnormalities.
Adheres to and demonstrates personal accountability in implementing and maintaining the most current clinical and service standards. Maintains mandated professional certifications and annual educational requirements.
Consistently meets all attendance and tardiness standards. Adheres to all established break and meal period protocols. Plans PTO as indicated and per departmental policy. Is accountable to knowledge of posted schedule and makes changes to schedule per department policy.
Participates in quality protocols: sepsis, stroke, myocardial infarction and assists in data collection and chart review as assigned. Actively participates in performance improvement activities to mitigate identified issues.
Attends departmental staff meetings and Administrative forums.
Education: Graduate of accredited RN program. BSN preferred
Experience: Minimum of one year emergency room experience in acute care facility
Licenses & Certifications: California Registered Nurse, BLS, ACLS, PALS, CEN preferred
Required Skills & Knowledge: Proficiency in advanced resuscitative measures for patients experiencing acute stroke, cardiac arrest, severe sepsis and other emergency presentations. Knowledge of medications, indications, dosage ranges & side effects/toxicity used in emergency interventions. Ability to work accurately, quickly and under pressure while remaining highly professional.
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