Baylor Registered Nurse Emergency Department Full Time Nights - Full-time / Part-time

Description

GENERAL SUMMARY:

The Registered Nurse is responsible for the coordination of patient care using a multidisciplinary approach to the Nursing process in accordance with the Hospital's Mission, physician and patient expectations. These duties will be performed in an acceptable manner according to the hospitals

mission, vision, goals and management expectations.

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:

The performance of this position requires substantial specialized knowledge, judgment, and nursing skill based upon applied principles of psychological, biological, physical, and social sciences which include, but not limited to:

1. Performs assessments and determines the total nursing needs of assigned patients.

* Follows the principals of AIDET in all patient and family interactions.

* Assesses patient/family needs in relation to presenting problem, care needs, physical condition and learning needs.

* Performs head-to-toe assessment on all patients and reassessments as per policy.

* Identifies problems and or/or nursing diagnosis and plans for nursing interventions.

* Anticipates patient care problems and initiates corrective actions.

* Recognizes abnormal diagnostic laboratory data, drug levels, blood gas values, and radiologic data and knows the significance of each.

* Recognizes the patient's and family's perception of hospitalization and health status.

* Identifies the patient's learning needs and implement appropriate measures to meet them including the family in the process. Educates patient/families regarding new medications including effects and potential side effects.

* Formulates a goal directed plan of care and develops appropriate nursing diagnosis based on needs specific to the standard of care and updates according to policy.

* Implements appropriate diagnosis specific interdisciplinary plan of care (IPOC).

* Coordinates patient care to assure diagnosis specific quality measures are met.

* Accurately performs nursing actions to achieve patient care goals.

* Establishes priorities of patient care based on the needs of the patient.

* Implements a comprehensive patient care plan that includes baseline admission data, plans for treatment plans and goals for discharge.

* Implements specific interventions, treatments, and medications as defined in the plan of care and documents outcomes.

* Recognizes emergency situations and takes appropriate actions.

* Consistently uses tools available in the electronic medical record (EMR) to ensure patient safety and to optimize patient care:

* Performs real-time documentation

* Reviews task list at least every two hours. Initiates and signs off physician orders promptly.

* Initiates diagnosis specific IPOCs and updates at least once per shift or change in patient condition.

* Performs bedside report using the Care Compass feature in the EMR at each hand-off report.

* Complies with national patient safety standards regarding patient identification prior to treatments and medication administration.

* Accurately administers all medications in a safe manner displaying competence in the use of an automated dispensing machine and mPPID technology where applicable.

* Accurately and safely performs and supervises the care of patients requiring complex interventions.

* Maintains aseptic technique, demonstrating knowledge of infection control practices.

* Accurately sets up, maintains, monitors and supervises use of IV pump, PCA pump, and epidural pump.

* Maintains a safe environment within the hospital for patients and families. Performs rounding according to the departmental plan on assigned patients to ensure control of pain, patient positioning, toileting and convenient placement of supplies and equipment.

* Incorporates new procedures and philosophies into one's work performance.

4. Evaluates quality of patient care and outcomes based on care and treatments administered.

* Conducts and/or participates in multidisciplinary patient care conferences.

* Coordinates the activities of the interdisciplinary team.

* Confirms patient's understanding of care and treatments received.

5. Accepts responsibility for one's own professional standards.

* Accepts and adjusts to changes imposed by government regulations, consumer demands, professional organizations, and other external/internal forces.

* Accepts responsibility for one's own actions by initiating the risk report mechanisms.

* Maintains current clinical, technical, professional competencies, certifications and licensure requirements.

* Attends a minimum of 75% of scheduled staff meetings annually.

* Attends mandatory hospital in-services

* Complies with departmental, divisional and hospital policies and standards.

* Handles emergencies, staffing shortages, shift rotations and floating assignments professionally.

* Demonstrates awareness of the rising costs of health care by using supplies and equipment in a responsible manner.

* Maintains equipment in its proper working condition, identifies malfunctioning equipment and takes appropriate action.

* Reviews current literature and other available resources.

* Seeks and accept constructive criticism and implement actions designed for self-improvement

* Shows self-direction and leadership by functioning without the need for close supervision.

Qualifications

KNOWLEDGE AND SKILLS REQUIRED:

* Mental and emotional stability, demonstrating a courteous and calm approach to all contacts with patients, visitors, and health care team members.

* Mature judgment and the ability to handle confidential information within Florida Hospital guidelines and applicable regulations.

* Personal qualities such as kindness, compassion, understanding, integrity, respect, sense of humor, discretion and confidentiality.

* Ability to communicate verbally in English and in written form with persons of varied backgrounds in a respectful, effective and professional manner.

* Ability to learn and apply computer related applications and programs, including using electronic keyboards and other peripheral devices.

* Ability to communicate verbally in English and in written form with persons of varied backgrounds in a respectful, effective and professional manner.

* Critical thinking / problem solving skills

* Teamwork, tact and conflict resolution

* Organizational, multitasking and prioritization skills

* Ability to provide leadership, direction, and solve complex problems

* Performs accurate documentation within the electronic medical record

* Ability to demonstrate proficiency in clinical skills, multi-tasking, and a professional bedside manner

* Knowledgeable in assigned areas of patient care including health promotion and maintenance

EDUCATION AND EXPERIENCE REQUIRED -- All:

* Minimum of Diploma in Nursing

ICU, PCU, CPCU:

* Minimum of ADN

CCU:

* Minimum of BSN or MSN

* Skill and Knowledge include but not limited to care for the critically ill patients with cardiopulmonary or multisystem failure illnesses:

* CRRT

* IABP

* Impella Device

* Induced Hypothermia Therapy

EDUCATION AND EXPERIENCE PREFERRED:

* BSN or MSN

* Previous healthcare experience

* Previous experience in designated department

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

* Current Florida RN License

* BLS -- condition of employment

Emergency Department

* ACLS prior to or within 90 days of employment or transfer

* PALS/ENPC prior to or within 12 months of employment or transfer

* NRP/STABLE prior to or within 12 months of employment or transfer for Lake Placid & Wauchula campuses

* CPI prior to or within 6 months of employment or transfer

* TNCC required prior to or within 12 months of employment or transfer

CCU, ICU, PCU, CPCU & CIU:

* ACLS prior to or within 90 days of employment or transfer

* Basic EKG Class prior to or within 90 days of employment or transfer

* Basic Critical Care Course prior to or within 9 months of employment or transfer

CDU:

* ACLS prior to or within 90 days of employment or transfer

* Basic EKG Class prior to or within 90 days of employment or transfer

Pediatrics

* PALS/ENPC prior to or within 90 days of employment or transfer

Obstetrics (L&D, Post-partum & Nursery)

* ACLS within 90 days of employment or transfer

* NRP within 90 days of employment or transfer

* AWHONN Introduction to Fetal Monitoring prior to or within 90 days of employment

* AWHONN Intermediate Fetal Monitoring prior to or within 12 months of employment

* AWHONN Advanced Fetal Monitoring prior to or within 18 months of employment

Psychiatry:

* CPI prior to or within 90 days of employment

* Introduction to Behavioral Health 8 hour training within 30 days of employment or

transfer

LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:

* Specialty certification

Emergency Department

* NIMS training: modules 100, 200 700, & 800 - completed within first year of employment - recommended

FHHD RESPONSIBILITIES

* Establishes and maintains courteous, tactful and professional level of interpersonal skills necessary to deal effectively with:

* Patients

* Guests

* Medical staff

* The public

* Co-workers

* External business associates

* Exhibits positive ICARE Values & Workforce behaviors:

* Integrity: I am honest and ethical in all I say and do!

* Compassion: I will exceed my customer's expectations by providing spiritually driven,

compassionate care.

* Accountability: I hold myself accountable for all my actions.

* Respect: I treat every individual as a person of worth, dignity and value.

* Excellence: I will exceed the expectations of the patients and family we serve and measure

this service through continuous surveying of patient satisfaction.

* Demonstrates effective communication skills; is able to report and convey required information either verbally or in writing; maintains required level of confidentiality; consults with and/or advises appropriate personnel of situations requiring follow-up or attention.

* Conforms to all Adventist Health System corporate/Florida Hospital Heartland Division organizational and departmental policies and procedures including but not limited to:

* Mission

* Vision

* Values

* AHS Code of Conduct as outlined in the "Guidelines for Employees" handbook.

* Establishes and maintains a history of regular attendance; makes appropriate use of PDO, and observes department call-in procedures for absence; establishes and maintains punctual work habits. Exhibits timely arrival and departure and dependable time habits including meal and other breaks.

* Attends/participates in mandatory facility-wide and department training/meetings as required (including but not limited to: Net Learning, safety training, etc.). Is able to demonstrate and apply knowledge of fire, safety, security and disaster procedure regulations as presented in orientation and as pertains to each work area.

* Supports departmental and organizational Mission through:

* Appropriate use of resources

* Providing assistance to team members

* Accepting work or schedule assignments

* Participating in process and performance improvement as required

* Required to respond to emergency situations (i.e., disasters, hurricanes, etc.) by reporting to department and staying until the crisis is over or your position is covered by incoming personnel. This is a mandatory requirement. Refusal to respond may result in termination.

9. Contributes to the successful achievement of department-stated goals and objectives and will

facilitate staff cohesiveness and communication.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.