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RN - Emergency Room
RN - Emergency RoomIntegrated Resources • Texarkana, TX, United States
RN - Emergency Room

RN - Emergency Room

Integrated Resources • Texarkana, TX, United States
[job_card.30_days_ago]
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  • [job_card.full_time]
[job_card.job_description]

Job Title : RN - Emergency Room

Job Location : Texarkana, TX

Job Duration : 3-4 Months(possibility to extension)

Shift : 7 : 00PM - 7 : 00AM

Job Summary :

  • The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation.
  • Provides routine and complex care, with the ability to on long-range goals or plans.
  • Continues to develop the ability to cope with and manage contingencies of clinical nursing.
  • Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.

Responsibilities :

  • Consistent with the ANA Product and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
  • Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
  • Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
  • Documents patient history, symptoms, medication, and care given.
  • Assess learning needs and provides education to patients, family members and / or care givers; identify issues and resources.
  • CORE COMPETENCIES :

    Standard I : Utilizes the Nursing Process :

  • Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families
  • Communicates findings to appropriate healthcare team members
  • Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice
  • Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals
  • Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s)
  • Performs timely reassessment and documentation
  • Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population
  • Standard II. Patient Throughput & Patient Flow Process :

  • Anticipates and plans for admission / discharge / transfer needs to facilitate patient flow
  • Utilizes appropriate systems of communication and tools to facilitate the discharge process
  • Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy.
  • Standard III. Unit Operations :

  • Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift
  • Demonstrates good stewardship in proper use and maintenance of equipment and Supplies
  • Assesses departmental staffing needs; actively participates in resourcing efforts.
  • Educates and trains others on the operations, ethics, and regulations within the industry
  • Standard IV. Safe Practice / Quality Care / Regulations :

  • Incorporates patient safety practices / guidelines to promote a safe environment resulting in positive patient outcomes
  • Demonstrates accountability for nursing research and quality improvement activities
  • Provides evidence-based nursing care
  • Communicates patient information effectively across the continuum of care
  • Educates and trains others on the operations, ethics, and regulations within the industry
  • Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities
  • TECHNICAL COMPETENCIES :

    1. Clinical Policies and Standards :

  • Follows a specific set of standards and associated clinical procedures.
  • Analyzes policy and standards documentation and ensures organizational compliance.
  • Provides feedback for improvement of procedures.
  • Assists in the development and implementation of specific procedures.
  • Works with control and monitoring mechanisms, tools and techniques.
  • 2. Health Information Documentation :

  • Shares experiences with maintaining paper and electronic patient documentation.
  • Walk through the steps and procedures for receiving, validating and updating patient records.
  • Describes the flow of information between various stations or units.
  • Discusses the functions, features and document flow of electronic documentation.
  • Transcribes verbal orders; explains techniques for ensuring their accuracy.
  • Explains health information documentation best practices and their rationale across health care practices.
  • 3. Medical Equipment :

  • Describes experience with basic medical equipment used in own unit or facility.
  • Uses standard diagnostic tools and techniques to resolves common equipment problems.
  • Educates patients about the appropriate use of home medical equipment.
  • Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety.
  • Inspects, troubleshoots and evaluates incoming equipment.
  • 4. Medical Order Processing :

  • Shares experiences with processing medical orders for one or more groups of patients or conditions.
  • Describes functions and features of the system used to enter, validate, update and forward medical orders.
  • Discusses common errors, their sources and procedures for correcting.
  • Explains considerations for entering and following standing orders.
  • Differentiates between standing orders and preprinted orders and considerations for each.
  • 5. Patient Chart Reading and Interpretation :

  • Describes experiences in reading and interpreting patient charts for patients on unit and under own care.
  • Reviews patients' charts for completion and accuracy; identifies and alerts to mistakes or omissions.
  • Recognizes unexpected readings and alerts nursing or medical staff.
  • Relates examples of mis-readings or misinterpretations and lessons learned.
  • Reviews, discusses and validates own interpretation with others.
  • 6. Patient Safety :

  • Shares experiences with ensuring safety for one or more patient groups or settings
  • Explains key features of safety guidelines and procedures for those groups and settings
  • Listens and responds to safety inquiries from patients and family members
  • Recognizes and addresses physiological and psychological signs of problems
  • Describes considerations for patients who can cause to harm to self, versus harm to others
  • Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time.
  • Job Requirements :

    1. Education / Skills :

  • Bachelor of Science Degree in Nursing, preferred.
  • 2. Experience :

  • 1 year of experience in the related nursing specialty preferred.
  • 3. Licenses, Registrations, or Certifications :

  • BLS required(AHA)
  • RN License in state of employment or compact
  • ACLS(AHA)
  • PALS
  • TNCC
  • Position Requirements :

    1. Education :

  • All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
  • New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and an Emergency Department-specific competency validation.
  • Yearly attendance at Annual Nursing Competency Day.
  • Completion of all annual competency verification requirements.
  • Crisis intervention training within 12 months of hire and maintain training annually thereafter.
  • Completion of an evidence-based triage curriculum at :
  • 12 months of hire for new graduate or inexperienced RNs (less than 1 year of nursing experience)
  • 3 months of hire for experienced RNs (more than 1 year of nursing experience)
  • 2. Licenses, Registrations, or Certifications :

  • Current PALS certification at time of hire for experienced RNs or completion by the end of the clinical orientation period for new graduate nurses and maintain certification thereafter.
  • Current ACLS certification at time of hire for experienced RNs or completion by the end of the clinical orientation period for new graduate nurses and maintain certification thereafter.
  • Crisis intervention training within 12 months of hire and maintain training annually thereafter.
  • For trauma designated facilities, current TNCC certification within 6 weeks of hire for experienced RNs or completion within 18 months of hire for new graduate nurses and maintain certification thereafter.
  • Work Schedule :

  • 7pm -7am, Rotating weekends, blackouts will extend contract, no block scheduling
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