Registered Nurse Tier 1 (Union) ER

Appalachian Regional Healthcare Lexington, KY 40505, US

Overview

The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students.

Responsibilities

Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills
The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses.
Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension
The administration of medication, intravenous therapy and treatment as prescribed by a LIP
Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care.
Mentors and precepts students and orient new staff as assigned
Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information
Participates on various teams, committees or performance improvement initiatives
Ensures a safe and secure environment for patients, coworkers and self
Participates in Discharge Planning and Transition of Care (able to define pt needs)
Serves as a patient advocate and escalates patient related concerns timely
Timely documents pertinent findings in medical record
Assist patients in performing activities of daily living and functions as an active team member
Assumes responsibility for personnel professional development
Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude
Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted)
Functions as a positive influence, role model and adheres to professional code of conduct
Respects dignity and confidentiality of all matters relating to patients
Refer to Special Addendum and Staff Nurse Position Description
Performs other job duties as assigned.
Training for all personnel assigned to the Emergency Room shall consist of the following:
1.State and federal regulations related to emergency services.
2.Nursing management of trauma.
3.Nursing management of cardiac related disorders.
4.Performance of EKG procedures, EKG interpretation, and appropriate nursing intervention.
5.Pharmacological intervention (IV therapy).
6.Patient assessment (triage).
7.Nursing management of pediatric emergencies.
8.Medicolegal aspects, particularly related to proper documentation.
9.Nursing management of obstetrical emergencies.
10.Patient/family emotional response.
11.Cardiopulmonary resuscitation and airway management.

Qualifications

Associate's Degree Graduation from an accredited school of nursing. Required
Bachelor's Degree Preferred
Up to 1 year Preferred Minimum of one (1) year acute care nursing experience (1) year of experience should be relevant to specific department in which they will be working. Refer to addendums for additional requirements. Experience with Electronic Health Record Preferred. Preferred
Excellent interpersonal skills and ability to work with providers at all levels essential.
Able to communicate clearly in writing and verbally and effectively influence others to achieve necessary outcomes.
Demonstrated ability to follow direction and facilitate a working environment conducive to change, enabling positive outcomes in a highly complex system.
Exhibit Critical Thinking Skills
Must possess basic computer skills.
Ability to pass Medication Exam.
Completion of hospital approved training program and documented competence in emergency care procedures as determined by the Director of Nursing Services.
Moderate Sedation
Completion of Stroke Modules
Restraints
The nurse shall be adequately oriented to the unit policies, procedures, and equipment. Orientation shall include safety procedures, infection control practices and performance improvement monitoring.
Registered Nurse in State Required
BLS Required
De-Escalation Training within 6 months of hire Required
ACLS Required
Trauma Nurse Core Curriculum Certification Required
Pediatric Advanced Life Support Certification Required
NIH Stroke Certification Required
Advanced Dysrhythmia/EKG Required
Rural Trauma Team Development Course Preferred
Emergency Nurse Pediatric Course Preferred

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