ER RN: Mixed Shift (Full-time)

Education/Training:

Check ALL that Apply:

X

High school diploma or equivalent.

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Graduate of an accredited RN program.

X

BSN, preferred.

Experience:

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Minimum of two (2) years experience in the Emergency Department is preferred.

Special Skills, Licenses or

Certifications:

X

Current Colorado licensure as RN, in good standing.

X

Current AHA BLS certification for healthcare providers is required.   

X

Current TNCC certification is required.

X

Current ACLS certification or attendance and successful completion at next available course (within 3 months).

X

Current PALS certification or attendance and successful completion at next available course (within 3 months).

X

CEN (Certified Emergency Nurse) certification is preferred.

X

Basic computer knowledge (Microsoft Office, electronic health record).

Language Skills:

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Demonstrates ability to read, write, and clearly express one’s self in English 100% of the time.

X

Additional languages preferred.

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Demonstrates ability to listen.

X

Demonstrates ability to express or exchange ideas by means of spoken work, to impart oral information to others or the public and to convey detailed spoken instructions to others accurately, loudly, or quickly.

Work Environment:

X

Work is performed in a hospital setting with exposure to work stress, environmental stress and frequent interruptions; noise level is moderate; frequent daily communications with patients, employees, vendors and/or the public. 

Cross-Training of  

Position: 

X

PSMC cross-trains job positions.  This job description must cross-train to be able to effectively perform the job position(s) of:  RN: Med Surg.

Supervisory Responsibilities:

X

This position IS NOT responsible for supervising other personnel.

Job Hazards:

X

Exposure to blood, bodily fluids and communicable disease. 

X

Verbal or physical abuse.

X

Exposure to radiation, chemicals and hazardous materials.

X

Potential equipment and device / product hazards.

X

Physical strain due to lifting, moving and positioning patients and/or equipment. 

X

Liability due to current public consciousness. 

Culture:

Adheres to our standards of conduct and culture (WISER) as defined by our policies and procedures including maintaining, always, an attitude of positive teamwork, compassion, integrity, and respect for our patients, visitors and staff.   

Demonstrates commitment to service excellence and promotes positive patient, visitor, and employee experiences. 

Establishes and maintains effective working relationships with others (i.e., co-workers, supervisors, patients, visitors, vendors of PSMC and the public). 

Works effectively on PSMC/department team matters and recognizes situations which require teamwork. 

Quality:

Must consistently demonstrate compliance with organizational-wide competency statements and performance criteria based on established quality and key performance indicators. 

Safety:

Participates in employee training, disaster preparedness and emergency events. 

Reports potential safety issues as soon as possible. 

Demonstrates safe operation of equipment and uses supplies / materials / chemicals as directed by instructions for use. 

Wears non-slip footwear to prevent fall and/or injury. 

Follows established policies and procedures for employee illness and/or exposure to illness/disease.  Does not come to work sick. 

Service Excellence:

Demonstrates proper phone etiquette when talking on the phone for business. 

Answers phone messages promptly, by the end of the business day or as established by your department.

Demonstrates proper email etiquette when utilizing PSMC email account. 

Answers email messages promptly. 

Demonstrates a willingness to perform tasks and complete assigned work, does not leave unfinished tasks for others to complete.

Organization-Wide Requirements:

Complies with all PSMC policies including, without limitation, timely attendance, code for dress and decorum, no conflicts of interest, no harassment, fragrance free, use of personal devices at work etc. 

Complies with all PSMC and department procedures, rules and directives. 

Check email at least once daily when on-shift (full time employees); check email at least once weekly and/or when on-shift (part-time / per diem employees).   

Maintains strict confidentiality of all patients matters and recognizes situations where confidentiality should be maintained even if not legally required.  Note: All employees must sign a confidentiality agreement with PSMC stating that information will not be shared with any entity or individual unless authorized or necessary for patient care.  Breaches of confidentiality will result in immediate disciplinary action up to and including dismissal from employment. 

Possesses computer knowledge / skills and the ability to learn and adapt to new programs and software. 

Keeps personal contact information updated in Human Resources and in PayCom. 

Sets up desk phone in compliance with established PSMC protocol.  Assures name is associated with the phone assigned to you, if applicable. 

Utilizes away messages when you are not in the office and responding to calls, if applicable. 

Sets up email signature in compliance with established PSMC protocol.

Utilizes away messages when you are not in the office and responding to emails.

Demonstrates the ability to perform CPR 100% of the time.

Demonstrates the ability to work and multi-task at a rapid pace with numerous interruptions 100% of the time.

Displays the ability to work independently with high self-motivation and directional initiative.

Displays the ability to cope and remain calm in escalating circumstances.

Participates in departmental inventory process bi-annually.

Attends, at least, 50% of all scheduled department staff meetings.

Performs other duties, as assigned by a supervisor. 

Departmental Responsibilities:

Meets all standard job requirements.

Accountability:

Meets standards and clear expectations for the Emergency Department including, job performance, training, continuing education, certifications, conduct and adherence to district values.

Holds self and staff accountable in a consistent and respectful manner.

Follows all approved PSMC policies and procedures.

Interpersonal Skills:

Communicates effectively, keeping leadership and team members informed and involved.

Treats people with respect, recognizes individuality and is fair and equitable in all interactions.

Demonstrates critical thinking skills in problem solving tactics. Uses sound and fair judgement in a calm and professional manner.

Demonstrates adaptability and flexibility when new information becomes available.

Works collaboratively with others, communicates the department’s vision and strategy across all levels of the organization, and builds consensus around key initiatives and projects.

Establishes and maintains respectful and effective relationships with providers, employees, patients and managers/directors/Senior Leadership.

Ability to handle high stress situations, rapid pace, multiple issues, interruptions and matters requiring sensitivity.

Able to work independently, meeting essential job functions, deadlines and priorities, while also utilizing available resources when needed.

Departmental Operations:

Practices within the RN scope of care as defined by the State of Colorado.

Provides patient care, as ordered, within the RN scope of practice, including comprehensive patient assessment, patient care planning, initiating/directing treatments, reassessment/monitoring response, evaluation of care provided and patient/family education.

Assess patient’s clinical status at intervals according to facility or health care organization policies and procedures to include the patient’s:

• cardiovascular system;
• respiratory system and airway management needs;
• neurological system;
• hemodynamic stability;
• pain and comfort needs; and
• mental status.

Describes the underlying pathophysiology of commonly encountered disease processes.

Triages patients utilizing ESI (Emergency Severity Index) guidelines.

Describes the physiology associated with non-general anesthesia techniques and interventional or procedural interventions.

Monitors patients for changes in condition and reports any abnormal findings to the Emergency Department physician and/or surgeon.

Performs appropriate treatments (i.e. initiates IV, oxygen therapy, catheters, NG tubes, orthopedic braces, splints and devices and EKG, etc.) as ordered by physician in an accurate and timely manner.

Initiates appropriate nursing interventions in the care of the patient including but not limited to:

• managing patient recovery from anesthesia – deep sedation, conscious sedation and local anesthesia;
• protecting patient from injury caused by positioning, thermal sources, and extraneous objects;
• communicating the patient’s current status throughout the Emergency Department continuum of care;
• providing acute pain and comfort management as needed;
• administering medications correctly by implementing the 7-rights of safe medication practices (i.e., right patient, right medication, right dose, right time, right route, right indication, right documentation);
• performing interventions to maintain the integrity of the patient’s wound and tissue perfusion at or above baseline levels;
• performing interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems, and fluid, electrolyte, and acid-base balances at or above baseline levels;
• performing interventions to protect patient from infection;
• managing patient’s other co-morbid conditions as applicable;
• managing patient’s fluid as prescribed;
• assessing knowledge level of the patient and/or designated support person and providing education regarding expected psychosocial response, nutritional management, medication management, pain and comfort management, wound management, and expected responses to the treatment plan;
• involving patient and/or designated support person actively in decisions affecting his or her plan of care and the rehabilitation process;
• protecting the patient’s rights, dignity and privacy;
• providing age-specific, culturally competent, ethical care within legal standards of practice;
• providing consistent and comparable care regardless of the setting; and
• evaluation of the patient’s progress towards outcomes.

Performs nursing tasks, as ordered, including administration of medication, IV therapy, using appropriate technique and appropriate dose calculations.  Operates infusion pumps, and documents accurately in the electronic health record.

Administers IV infusion of medications prescribed by the provider.

Researches each medication to be given and knows the appropriate doses, times to be infused, side effects, and contraindications etc.

Utilizes resources such as Lexicomp, Nursing Drug Handbooks, and PSMC pharmacist to ensure patient safety.

Follows the seven (7) medication rights (right patient, right medication, right dose, right time, right route, right indication and right documentation) and reduces the potential for medication errors; successfully scans patient and medication prior to administration

(not < 85% of the time).

Demonstrates the ability to perform age specific nursing care by reviewing the History and Physical (H&P) and performs reassessments to identify any changes in patient condition. 

Ensures accurate completion of the Pre-Operative Checklist and gives face to face handoff to the OR Circulator before transfer of patient to surgery.

Ensures the patient signs consent for any invasive procedure prior to being medicated.

Initiates and completes all department specific, initial intake patient assessments following established documentation requirements in the electronic medical record.

Transfers care, when needed, following hospital procedure, utilizing the SBAR format.

Evaluates the patient’s general condition, including obtaining vital signs, height and weight and notifies the provider of any abnormal findings.

Demonstrates the ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management.

Promotes wellness by providing education materials to patients and communicating physician instructions and orders.

Works with the provider to reinforce patient education and prior patient teaching surrounding disease state, treatment plan, and medications.

Utilizes the National Patient Safety goals in providing patient care.

Ensures patients’ next appointments are scheduled, if needed, and appropriate follow-up is understood.

Triages patient phone calls, concerns appropriately and sends messages in the electronic health record to appropriate parties.

Participates in the coordination of care by bringing any concerns to his/her direct supervisor and/or the assigned medical staff providers.

Communicates effectively with ordering provider to ensure that all orders are accurate and complete.

Reviews all provider orders associated with a patient encounter, enters orders into the electronic health record as needed.

Demonstrates knowledge of treatment modalities used in general and department specific patient care.

Follows protocols for symptoms management and monitoring parameters based on selected therapies.

Performs approved nursing procedures as defined by specific department and successful completion of associated competencies.

Completes all Cerner documentation required in accordance with competencies, trainings, and PSMC policy and procedures.

Completes, verifies correct charges drop for each case, every day.

Utilizes eFax to process faxes.

Scans records into patient charts as appropriate.

Uses approved abbreviations.

Assists providers, other department, and hospital staff.

Demonstrates knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient’s status and interpret the information needed to identify each patient’s requirements relative to his/her age-specific needs.

Uses at least two identifiers when confirming the identity of each patient (i.e., name and date of birth).

Efficiently and accurately reconcile and document the patient’s current medications and allergies.

Efficiently and accurately complete and document necessary assessments / histories with the patient.

Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.

Formulates a teaching plan based on identified patient learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate, from admission to discharge.

Demonstrates knowledge of cardiac monitoring and can identify dysrhythmias.

Demonstrates the ability to take appropriate action based on rhythm interpretation.

Assists with department specific, provider performed exams and procedures.

Identifies and addresses psycho-social needs of patients and families. Appropriately adjusts care for patients of all cultural and religious backgrounds.

Carries out medical and surgical asepsis during treatments and special procedures. Utilizes universal precautions with all patients.

Reduces potential for infection by instituting appropriate level of infection precautions based on patient condition.

Consults other departments, as needed and as appropriate, to provide for an inter-disciplinary approach to the patient’s needs.

Demonstrates the knowledge of medications and IV fluids and/or blood products and their correct administration based on age of the patient and the patient’s clinical condition.

Utilizes required templates and/or forms when documenting within the electronic health record.

Presents / provides patients with appropriate patient education, discharge planning and visit summaries at the end of each visit.

Rooms all patients in a timely fashion and in a professional manner.

Demonstrate willingness to perform tasks and complete assigned work, does not leave unfinished tasks for others to complete.

Prioritizes tasks so that the most important tasks are completed first.

Initiates action to prevent the occurrence of any potential problems or nonconformities relating to patient care or supporting activities.

Initiates, recommends or provides solutions through designated channels.

Able to assist supervisor in oversight, supervision, education, and leadership of clinical support staff.

Serves as a mentor to other staff, providing continuous learning support.

Preps ED exam rooms for patients and maintains clean and sanitary exam/patient areas.

Stocks and maintains medical supplies in the ED exam rooms so necessary items are available for provider/patient.

Creates and maintains a sterile field for appropriate procedures.

Assists anesthesia with conscious sedation for procedures.

Performs appropriate treatments as ordered by physician in an accurate and timely manner.

Possesses the skills required to perform hemodynamic monitoring, pain management (i.e. PCA cardiac monitoring, vascular access device management and airway management).

Interprets information accurately from various noninvasive and invasive monitors.

Pursues professional growth and maintains specialized knowledge and skills in Emergency nursing practice by participating in Emergency Department professional organizations and on-going continuing education/in-service training with emphasis in practice.

Meets the qualifications as set forth herein.