Registered Nurse, Athol Emergency Room

Hours: Days Evenings 16 Hours minimum per month 1 holiday per year

$39.00 - $68.39

Disclaimer

• Assesses (and reassesses) plans implements and evaluates nursing interventions/plans of care/patient goals.
• Provides patient care based on standards of care standards of practice protocols and established policies and procedures.
• Respects each patient as an individual; provides care that fosters the patients sense of dignity and positive self-regard.
• Provides patient/family teaching based on identified learning needs readiness to learn and barriers to learning.
• Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary
• Appropriately delegates and supervises nursing interventions performed by others.
• Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources reassigns personnel as necessary recognizes need for emergency intervention etc.).
• Provides thorough timely and accurate documentation of all pertinent data therapeutic interventions and patient responses according to established standards.
• Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care.
• Promotes learning for colleagues and self (e.g. functions as preceptor instructor trainer attends professional development programs etc.).
• Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents).
• Identifies ethical issues in care and develops plan to address.
• Safely administers medications and intravenous therapy in accordance with physicians orders protocols policies and procedures.
• Assesses patient pain level upon admission and as necessary depending upon diagnosis utilizing the numerical pain scale.
• Reassesses effectiveness of pain control and notifies physicians as needed as well as documents assessment and patients response to medication.
• Performs and documents initial assessment upon patients arrival and implements triage protocols as needed.
• Identifies patients at risk for potential/alleged abuse.
• Initiates safety plans for domestic violence child and elder abuse patients.
• Completes required mandated reporting in a timely manner.
• Collects and documents forensic evidence as per policy.
• Maintains chain of evidence per policy and procedures
• Completes mandated reports for stabbings gunshot wounds burns and sexual assault per policy and procedure.
• Maintains knowledge of Disaster Policy and Procedure.
• Identifies patient at risk for violent behavior and appropriately implements non-violent intervention (i.e. Code 100).
• Demonstrates knowledge of the indications for alternatives monitoring and documentation of restraint to use.
• Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner.
• Safely administers vasoactive medications demonstrating understanding of dosage action use side effects and titration parameters associated with maintenance of critical drips.
• Performs accurate and timely identification of cardiac arrhythmias.
• Institutes monitors and documents thrombolytic and anticoagulation therapy standards and protocols.
• Demonstrates skills associated with initiation and maintenance of the intubated patient including suctioning troubleshooting and weaning.
• Accurately interprets arterial blood gases pulse oximetry and clinical features of impaired gas exchange and/or airway clearance.
• Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD.
• Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication.

• 3-5 years ED experience preferred.

• Registered Nurses Current MA license
• ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire
• AHA PALS within six (6) months of hire
• TNCC ENPC and CEN preferred