Registered Nurse - Emergency Department - 36 Hours
Company: Mount Auburn Hospital
Location: Cambridge
Posted on: April 16, 2024
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Job Description:
When you join the growing BILH team, you're not just taking a
job, you're making a difference in people's lives.Job
Type:RegularScheduled Hours:36Work Shift:Rotating (United States of
America)REGISTERED NURSE - EMERGENCY DEPARTMENTJob
Description:REGISTERED NURSE - EMERGENCY DEPARTMENTPrimary
Responsibilities1. The emergency nurse initiates accurate and
ongoing assessment of physical, psychological and social problems
of patients within the emergency care system. a. Obtains initial
focused subjective and objective data through history taking,
physical examination, review of records and communication with
health care providers, significant others and caretakers, as
appropriate. b. Uses assessment techniques and criteria that are
pertinent to the patient's age-specific physical, psychological,
and social needs. c. Documents relevant data for every patient as
appropriate to the nature and severity of illness or injury. d.
Communicates significant data to appropriate personnel throughout
the patient's emergency department experience.2. The emergency
nurse analyzes assessment data to formulate nursing diagnoses and
identify collaborative problems for each patient. a. Identifies
nursing diagnoses/potential complications based on signs and
symptoms recognized during a focused, systematic assessment. b.
Documents nursing diagnoses/potential complications on each
patient. 3. The emergency nurse formulates a plan of care for the
emergency patient based on assessment data and nursing
diagnoses/potential complications. a. Develops a plan of care for
each patient, in collaboration with the patient, significant others
and other health care providers, based on current scientific
knowledge and in accordance with the established standards of
emergency nursing care. b. Identifies priorities for nursing
interventions. c. Communicates plan of care to other health care
providers to ensure continuity of care.4. The emergency nurse
implements a plan of care for the emergency patient based on
assessment data and nursing diagnoses/potential complications. a.
Implements plan of care for each patient b. Provides necessary
education regarding procedures, treatment regimens, and identified
outcomes to each patient and significant others. c. Accurately
implements physician orders in accordance with each patient's
priority of care. d. Performs appropriate patient monitoring and
documents patient's response to intervention. e. Demonstrates
prioritization and organizational skills in caring for multiple
complex patients simultaneously. f. Seeks assistance/guidance when
confronted with nursing procedures not yet mastered.5. The
emergency nurse evaluates and modifies the plan of care based on
observable patient responses and attainment of expected outcomes.
a. Evaluates and documents patient's response to interventions and
changes in patient's condition and revises plan of care as
appropriate in collaboration with the physicians and other health
care providers.6. The emergency nurse assists the patient and
significant others to obtain knowledge about illness and injury
prevention and treatment. a. Explains written instructions
regarding aftercare, follow-up and referrals to patients and their
significant others. b. Documents patient's understanding of
discharge plan of care. c. Notifies physician and/or appropriate
resource personnel of any barriers to patient compliance with
discharge plan of care. d. Assists patients and significant others
in the identification of factors that place them "at risk" for
illness and injury. 7. The emergency nurse collaborates with other
health care providers to deliver patient-centered care in a manner
consistent with safe, efficient and cost-effective resource
utilization. a. Assigns tasks or delegates care based on the needs
of the client and the knowledge and skill of the provider selected;
appropriate delegation to less experienced RNs and CA's b. Assists
the patients and significant others in identifying and securing
appropriate services available to address health-related needs;
social service consultation, home care services, case management
consultation, mandatory reporting. c. Ensures that supplies and
equipment are readily available and in working order: completion of
equipment checklists as assigned. d. Ensures that patient charges
are accurate and reflect the care that the patient received:
pharmacy, level of care charges. e. Implements safety procedures
for each patient in accordance with that patient's specific needs:
namebands, siderails, and appropriate level of observation
provided. f. Demonstrates knowledge and compliance with practices
that protect the health care provider and reduce the spread of
infection in the emergency care setting: use of standard
precautions, isolation procedures. g. Recognizes the potential for
violence in the emergency setting and institutes appropriate
action: use of Protection Services, CPI techniques.8. The emergency
nurse triages each patient and determines priority of care based on
physical, psychological and social needs as well as factors
influencing patient flow through the emergency care system. a.
Performs focused assessment of chief complaint on each patient in a
timely manner according to established triage guidelines. b.
Documents triage assessment, including appropriate subjective and
objective data. c. Differentiates severity of patient complaints
and assigns appropriate triage acuity levels. d. Identifies and
initiates nursing interventions per established protocol. e.
Reassures the patient according to acuity and established
procedures and revises the acuity level based on new information or
changes in assessment data. f. Maintains open communication with
Charge Nurse and Attending Physician regarding patient acuity,
flow, and bed availability. Institutes "modified triage" when
appropriate. g. Provides information about the patient's condition
to the patient and significant others as appropriate. Maintains
crowd control.9. The emergency nurse engages in activities and
behaviors that characterize a professional leader. a. Accepts
accountability and responsibility for maximizing department
operations and patient outcomes using sound judgement. b. Adjusts
staff assignments according to assessed nursing capabilities and
responsibilities, patient acuity/level of need, volume and flow
within the department. c. Identifies self as a resource person who
willingly shares knowledge and skills with colleagues and others.
d. Provides peers with constructive feedback regarding their
practice. e. Demonstrates and provides unified leadership in the
department by encouraging staff to discuss issues with appropriate
management personnel who can assist with problem solving. f.
Demonstrates knowledge of department operational policies
including, but not limited to: informed consent for treatment,
patient transfer, COBRA legislation, patient confidentiality,
patient restraint and the department's scope of practice.10. The
emergency nurse recognizes self-learning needs and is accountable
for maximizing professional development and optimal emergency
nursing practice. a. Attends 50% RN/department staff meetings
annually. b. Attends 50% inservices offered in the department
annually. c. Maintains BLS, ACLS certification d. Attends Emergency
Department RN Competency Review Course annually. e. Attends
hospital-based Education Fair annually. f. Pursues continuing
education/certifications in the specialty of emergency nursing to
enhance nursing practice. g. Participates on at least one
department based committee and/or assists in facilitating formal or
informal learning experiences for professional peers and students
in a courteous, supportive manner. h. Participates in Quality
Improvement initiatives to measure and improve quality of
care.Required Qualifications1. Graduation from an NLN accredited
school of nursing2. Current registration in the Commonwealth of
Massachusetts3. Interpersonal skill in interacting with patients,
families, and a multi-disciplinary team of health-care personnel.4.
Minimum of 3 years medical-surgical nursing experience (ED
experience preferred)5. Successful completion of stated
competencies6. ACLS certification7. Recommended Requirements: a.
Membership in professional organization, ie: ENA b. Certification
in Emergency Nursing (required after 2 years of employment)FLSA
Status:Non-ExemptAs a health care organization, we have a
responsibility to do everything in our power to care for and
protect our patients, our colleagues and our communities. Beth
Israel Lahey Health requires that all staff be vaccinated against
influenza (flu) and COVID-19 as a condition of employment. Learn
more about this requirement.More than 35,000 people working
together. Nurses, doctors, technicians, therapists, researchers,
teachers and more, making a difference in patients' lives. Your
skill and compassion can make us even stronger.Equal Opportunity
Employer/Veterans/Disabled
Keywords: Mount Auburn Hospital, Waltham , Registered Nurse - Emergency Department - 36 Hours, Healthcare , Cambridge, Massachusetts
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