Registered Nurse - Emergency Department
Company: Mount Auburn Hospital
Location: Cambridge
Posted on: April 24, 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:24Work Shift:Rotating (United States of
America)Job Description
Job Description
Primary Responsibilities
1. 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 Qualifications
1. Graduation from an NLN accredited school of nursing
2. Current registration in the Commonwealth of Massachusetts
3. 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 competencies
6. ACLS certification
7. Recommended Requirements: a. Membership in professional
organization, ie: ENA b. Certification in Emergency Nursing
(required after 2 years of employment)
Additional Job Description
Additional Job DescriptionJob Description:REGISTERED NURSE_MAH
Keywords: Mount Auburn Hospital, Waltham , Registered Nurse - Emergency Department, Healthcare , Cambridge, Massachusetts
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