Registered Nurse - Patient Surge, Emergency Department

Job Summary / Purpose

In accordance with our mission and core values, the registered nurse will perform care requiring specialized knowledge, judgment, and nursing skills based on the application of the nursing process. The RN uses assessment skills to ensure multidisciplinary patient care and teamwork to meet established practice guidelines, unit specific policies, and regulatory standards.

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• MedSurg/ Telemetry experience required
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• Emergency Department experience preferred
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Essential Key Job Responsibilities 

1. 
   
2. ASSESSMENT
3. 
   

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• Performs complete patient assessment.
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• Recognizes significant changes in patient status and seeks appropriate resources.
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• Coordinates or collects physiologic monitoring data: vital signs, monitor results, lab and diagnostic test results. Performs ongoing assessment according to unit policy.
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• Documents assessment in compliance with hospital policy.
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2. 
   
3. MAINTAINING PLAN OF CARE
4. 
   

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• Initiates the Patient Goal/Problem List or Clinical Path on admission.
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• Develops Plan of Care to support the patient goals and the medical plan of care.
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• Evaluates and documents the patient’s response to the plan of care and makes changes asappropriate. Collaborates with a multidisciplinary team to coordinate and plan provision of patient care.
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3. 
   
4. MAINTAINING PATIENT TREATMENTS
5. 
   

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• Obtains and/or verifies all physician orders for procedures, medications, and therapies.
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• Assures the presence of consent and its documentation for procedures, therapies, and research protocols. 
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• Assures the presence of appropriate supplies to perform the ordered procedure or therapy.
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• Performs or assists in procedures and therapies according to policy and procedures. 
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• Assesses the patient’s needs for medication prior to administration.
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• Assesses patient allergies and medication incompatibilities.
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• Verifies, administers and documents medication according to hospital policy.
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• Evaluates and documents a patient's response to procedures, therapies and medications.
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• Monitors the patient care record for accuracy and completeness of data provided by care team members.
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• Coordinates and documents communication between patient, significant others and multidisciplinary team members in order to support the plan of care.
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• Ensures effective and wise use of resources, monitoring for cost containment. 
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• Facilitates appropriate length of hospital stay.
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4. 
   
5. TEACHING
6. 
   

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• Assesses the patients and significant other’s knowledge base, ability and readiness to learn based on their developmental age. 
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• Identifies and utilizes multidisciplinary team members to provide comprehensive education for patients, self and others.
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• Incorporates teaching principles and methods appropriate to knowledge base, ability and readiness to learn and based on developmental age.
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• Demonstrates knowledge in area of teaching and available resources for patient and staff education. 
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• Documents patient education in the patient care record.
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• Evaluates the teaching process. Documents staff education per policy.
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5. 
   
6. LEADERSHIP
7. 
   

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• Participates in peer review.
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• Provides learning opportunities and contributes to the orientation of team members, PRN personnel and students.
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• Identifies and implements educational opportunities for the staff.
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• Serves as a preceptor and role model for new employees and students. Utilizes conflict resolution to promote a cohesive team.
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• Delegate’s assignments based on changes in census, staffing, patient, and unit needs. Enforces hospital/department specific policies.
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• Maintains current knowledge of clinical and operational hospital policies and practice updates.
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• Engages in a therapeutic relationship with patients and develops healthy interpersonal relationships among colleagues. 
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• Identifies the most important needs to be met each shift within the context of available resources.
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• Demonstrates accountability for their individual nursing practice.
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6. 
   
7. UNIT-SPECIFIC COMPETENCIES
8. 
   

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• Provides care to patient population utilizing research findings and evidence based practice. 
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• Unit required certifications must be obtained within six months of hire.
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• For any unit requiring CPI, it must be obtained within three months of hire.
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• Meets all unit-specific yearly skill requirements within acceptable timeframe.
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Minimum Qualifications

Required Education and Experience:

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• Graduate of an accredited school of nursing.
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• Must have 1 year of Med Surg/ Tele experience
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• Must be clinically competent in one of the following areas: Emergency Department, Critical Care, OB
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Required Licensure and Certifications:

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• Active, unencumbered Registered Nurse license in the state of Ohio or multistate licensure
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• BLS required within 30 days of hire
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Required Minimum Knowledge, Skills, Abilities and Training: The RN must possess demonstrated knowledge, training and skills necessary and appropriate to the neonate, child, and adolescent, adult and older adult. They must demonstrate communication and interpersonal skills, and the ability to deal effectively with multidisciplinary team members, patients, significant others, and physicians. Must possess effective decision making, assessment and critical thinking skills. Team leaders and charge nurses must be able to set priorities and effectively delegate/coordinate multidisciplinary care based on the needs of the patient, census, staffing and unitneeds.