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RN - Emergency Services
Department: Emergency Services
Schedule: PRN (not to exceed 28 hrs. per week)
Shift: Shift Varies
Job Details: - Licensure Required

 Job Code: 200

Facility: St. Joseph's Hospital - Highland, Highland IL
Department: Emergency Services (6711)
- Licensure Required

Promotes and restores patients' health by completing the nursing process, collaborating with physicians and multidisciplinary team members, providing physical and psychological support to patients, friends, and families, and supervising assigned team members.

- Identifies patient care requirements by establishing personal rapport with potential and actual patients and other persons in a position to understand care requirements.

- Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families.

- Promotes patient's independence by establishing patient care goals, teaching patient, friends, and family to understand condition, medications, and self-care skills, and answering questions.

- Assures quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following nursing philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations.

- Is knowledgeable in all aspects of management involving emergency patients including advance life support procedures.

- Functions as a primary member of the trauma team and is knowledgeable in all aspects of trauma care.

- Functions in the role of Triage nurse.

- Participates in inter-hospital and transports to and from outside agencies.

- Critical thinking to intervene with appropriate intervention for urgent/emergent care.

- Knowledge of hemodynamics.

- Basic IV and central line skills.

- Phlebotomy skills.

- Identifying and managing life-sustaining physiologic functions in unstable patients.

Essential Functions

-Ensures reported account of injury occurrence parallels actual injury assessment.

-Using critical thinking skills, correlates lab and diagnostic test with assessment.

-Formulates and implements plan of care according to identified needs.

-Identify expected patient outcomes by correlating assessment findings with clinical data.

-Identifies and addresses psychosocial needs of patients and families.

-Upon discharge, assess and document pain level.

-Complete discharge instructions, identify disposition needs including involvement of patient based on needs.

-Directs the implementation of the plan of care and is accountable for the quality of nursing care provided.

-Prioritize and delegate activities and orders based on patient’s age and needs.

-Demonstrate knowledge of specific standards of care, from the infant to geriatric patient, for conscious sedation patients, suicidal patients, trauma patients, rapid sequence intubation, seizure protocol and thrombolytic patients.

-Obtains and sets up appropriate equipment and supplies for anticipated diagnostic and therapeutic intervention, monitoring and examination.

-Document care provided.

-Document report received and assumption of care.

-Monitors and documents vital signs per policy and repeat vital signs if abnormal.

-Utilizes and updates patient care plan in planning and organizing care.

-Interpret age-related data such as lab results and heart rate to determine whether it is normal/abnormal for the age range of the patient and consult with other health care team members as necessary.

-Correlates assessment findings with diagnostic data to formulate a plan of care.

-Keep the physician informed of any outstanding lab/diagnostic test results or changes in the patient’s condition and document accordingly.

-Communicates order changes and updates specific patent care needs to applicable staff members in a timely manner.

-Keep patient and family informed of the plan of care every 30 minutes and document.

-Uses at least two patient identifiers (neither to be patient room number) whenever administering medications or blood products or when providing any other treatment or procedures.

-Verifies information for verbal or telephone orders or telephonic reporting of critical test results.

-Uses only affiliate approved abbreviations.

-Utilize appropriate “hand-off” communication tools.

-Demonstrates an understanding of the medication reconciliation protocol through the appropriate use of the “Medication Reconciliation” form.

-Intervenes appropriately regarding abnormal family dynamics.

-Refers to ancillary services and external agencies as appropriate.

-Makes necessary referrals.

-Documents evidence of abuse, violence or threats in a patient’s life and provide appropriate intervention.

-Demonstrates flexibility to anticipate the needs of co-workers and verbalize the need for help.

-Uses critical thinking and provides constructive feedback to assist in process improvement.

-Identifies issues in need of improvement.

-Classifies patient acuity on each chart and completes patient charge sheet and documents accurately.

-Utilizes supplies in cost efficient manner.

-Utilizes current research, literature and technology to demonstrate clinical expertise.

-Is accountable and flexible with workload to accommodate changes in patient census that occur through admissions and discharges, status changes and acuity through your shift.

-Acts as a positive professional role model and demonstrates adaptability to changing nursing trends.

-Participates in committee meetings as requested.

-Serves as a preceptor for new colleagues and mentors students and nurse externs in a clinical setting.

-Completes initial evaluation.

-Explain discharge instructions during patient teaching.

-Document teaching & patient's understanding.

-Participates in meetings and in-services.

-Demonstrates consistent ability to perform clinical skills required by patient care assignments.

-Adheres to all patient safety policies when administering “high risk” meds, and blood transfusions.

-Has a thorough knowledge of all instruments, equipment, policies and procedures.

-Sorts incoming correspondence and determine proper action or person to follow up.

-Acts as a liaison with billing office and patients to resolve billing problems.

RN (BSN preferred) with current license in the state of practice required. Practice within limits of Nursing Act.

Licensed as Registered Nurse in State of Illinois. CPR Certification. ACLS certification




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