Registered Nurse (RN) Emergency Room (ER) - Permanent - Monticello, IL

Position: Registered Nurse (RN) Emergency Room (ER) - Permanent    
Location: Monticello, IL
Pay Range: $57,000.00 to $86,000.00 per year

Essential Duties and Responsibilities:

Performs comprehensive, age-specific patient assessments and reassessments according to hospital policy and nursing standards.
Provides care to patients across the lifespan, including pediatric, adolescent, adult, and geriatric populations.
Assesses, reassesses, and manages pain utilizing evidence-based interventions and patient/family education.
Develops, implements, and evaluates individualized plans of care.
Recognizes and responds appropriately to changes in patient condition and treatment responses.
Performs nursing interventions within the scope of licensure and demonstrated competency.
Ensures all patient care activities support patient safety and reduce the risk of medical errors.
Provides patient and family education based on identified learning needs and evaluates understanding.
Demonstrates knowledge of growth and development principles and provides age-appropriate care.

Emergency Department Clinical Responsibilities:
Performs triage assessments and accurately assigns acuity levels based on established triage standards.
Demonstrates proficiency in cardiac monitoring, rhythm interpretation, and emergency interventions.
Assists providers with emergency and bedside procedures, including:

·       Moderate sedation
        Central venous catheter placement
        Lumbar puncture
        Chest tube insertion
        Intubation
        Other procedures within departmental scope

Administers medications safely and accurately according to physician/provider orders and medication administration standards.
Adheres to medication safety practices and established medication administration rights.
Initiates, monitors, and discontinues intravenous therapies as appropriate.
Prepares admixture medications during pharmacy off-hours according to organizational policy.
Applies splints, immobilization devices, and orthopedic equipment as indicated.
Participates in emergency response, stabilization, and transfer of patients requiring higher levels of care.
Assists in managing behavioral health and psychiatric emergencies, including crisis intervention and coordination of patient placement.
Performs respiratory support procedures and therapies, including:

·       CPAP
        BiPAP
        High-flow oxygen therapy (Vapotherm)
        Mechanical ventilator management within scope and competency
Utilizes approved clinical resources and technology for medication identification and verification.

Documentation and Communication:
Maintains accurate, timely, and complete patient documentation in the electronic medical record
Documents patient assessments, treatments, interventions, responses to care, and changes in condition.
Communicates effectively with physicians, advanced practice providers, leadership, coworkers, patients, and families.
Facilitates interdisciplinary collaboration to meet patient care needs.
Reports critical information promptly and follows established chain-of-command procedures as necessary.

Patient Advocacy and Customer Service:
Treats patients, families, visitors, and coworkers with dignity, courtesy, and respect.
Demonstrates sensitivity to cultural, ethnic, spiritual, psychosocial, and individual patient needs.
Encourages patient and family participation in care planning and decision-making.
Serves as an advocate for patients and families.
Maintains professional boundaries and supports a patient-centered care environment.

Department Operations:
Performs crash cart checks and required daily equipment logs.
Assists with stocking patient care areas and maintaining adequate supply levels.
Ensures equipment is clean, operational, and ready for patient use.
Participates in departmental rounding activities.
Assists in maintaining a safe, organized, and therapeutic environment.
Supports cost-effective utilization of supplies and equipment.
Completes emergency department callback activities as assigned.
Completes required state and organizational reporting responsibilities.
Collaborates with other departments to meet patient and organizational needs, including:

·       IV start
       Patient transfers
       Lift assistance
       Emergency and campus response activities

Medical-Surgical Department Support:
Provides nursing care and support to Medical-Surgical patients as needed.
Functions competently within established cross-training guidelines and departmental competencies.
Assists with staffing and patient care needs during periods of fluctuating census or staffing shortages.

Quality Improvement and Professional Development:
Participate in quality improvement, patient safety, and performance improvement initiatives.
Identify opportunities to improve patient outcomes and operational effectiveness.
Maintains current nursing knowledge through continuing education, in-service programs, professional literature, and educational opportunities.
Maintains required certifications and licensure.
Demonstrates accountability for professional growth and lifelong learning.

Other Duties:
Performs additional duties and responsibilities as assigned consistent with the employee’s education, training, experience, licensure, and demonstrated competencies.

Professional Requirements:

·      Adheres to organizational policies, procedures, and standards of conduct.

·       Maintains a professional appearance and complies with dress code requirements.

·       Reports to work as scheduled and demonstrate reliability and accountability.

·       Completes all mandatory education and competency requirements within designated timeframes.

·       Attends required departmental meetings, educational programs, and annual reviews.

·       Maintains positive working relationships with physicians, providers, coworkers, and leadership.

·       Represents the organization professionally within the community.

·       Actively participates in Continuous Quality Improvement (CQI) activities.

·       Maintains compliance with federal, state, and local regulations, accreditation standards, and hospital policies.

·       Complies with HIPAA and all patient privacy and confidentiality requirements.

·       Supports and promotes the mission, vision, values, and goals of the organization.

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