Registered Nurse

Job Title: Registered Nurse (RN) Medical-Surgical and Emergency Room

Classification: Non-Exempt/Hourly

Reports To: Director of Nursing

Position Type: Full-Time

Hours Worked/Shift: Day Shift 6 am – 6 pm

3 days a week, weekend and holidays included.

Summary

The RN is responsible for the care of a specific group of patients during a twelve-hour shift and may supervise LPN’s or Nurse Aides who are assigned to the same group of patients.

The Emergency Department (ED) Nurse is responsible for the overall care of the Emergency Department patient, provides direct and indirect patient care in the emergency care setting reflecting initiative, flexibility, and responsibility indicative of professional expectation with a minimum of supervision. triage safely, rapidly, and accurately; determines priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the system; able to respond quickly and accurately to changes in condition or response to treatment.

Essential Functions

• Demonstrates ability to safely assist patients with transfer, lifting or rendering aid on the facility campus.
• Provide direct patient care, including treatments, daily care, etc. as ordered and/or per nursing judgment based on accepted nursing care standards and evidence- based practice. Complete a thorough admission assessment as well as assessments of each assigned patient each shift. Seek guidance from the Director of Nursing.
• Maintain an accurate and up-to-date record of patient activities, assessments and any changes occurring on his/her shift by charting per accepted policy.
• Make rounds on assigned patients at minimum of every two hours; preferably hourly. Ensure hourly rounding is completed by Nurse Aide.
• Make rounds with the attending physician on his/her patients.
• Start and maintain intravenous site and monitors intravenous medications; assist non-IV-certified LPNs with all intravenous medications; ensure intravenous medications administered appropriately and per certification regulation.
• Monitor medical conditions of assigned patients and report changes to the appropriate personnel.
• Verifies all assigned patient’s orders are acknowledged throughout the day and at the end of the shift.
• Assists providers with examinations, procedures and other processes related to care.
• Perform all basic nursing procedures involved with the position of a staff Nurse.
• Prepare, hang, monitor and discontinue intravenous fluids as ordered.
• Respond to all Code Blue situations and perform as directed by the Charge RN.
• Participate in conducting patient care conferences and maintain up-to-date care plans.
• Assume any additional responsibilities delegated by the Charge Nurse or the Director of Nursing.
• May be required to float to other departments as needed (Operating Room, Outpatient Therapy) and as appropriate per scope of practice.
• Responsible for monitoring, scheduling, distributing, and educating on any medication (all routes) as orders by the physician.
• Provide patient care, medication management, and order implementation to assigned patients.
• Assign specific patient care responsibilities to aides who are assigned the same patients for which the Staff Nurse is responsible.
• Handle problems concerning patients and personnel directly assigned to him/her, and report this to the Charge Nurse. Refer Intra- and Inter-departmental complaints and problems to the Risk Manager, Charge Nurse, or Director of Nursing.
• Provide input to the Director of Nursing concerning policies, procedures, patient care facilities, and equipment. Recommends improvements to the Charge Nurse and the Director of Nursing.
• Function as an effective public relations representative both inside and outside the hospital. Observes professional ethics.
• Adhere to departmental policies and procedures, Quality Assurance, and infection control standards.
• Ensures an adequate supply of supplies and proper functioning of equipment. Report problems or concerns to the Director of Nursing.
• Participate in educational programs, in-service meetings, and workshops.
• Attend monthly staff meetings and other hospital meetings as required.
• Demonstrates behaviors consistent with organizational mission and goals.
• Demonstrates behaviors that promote positive patient/staff relations.
• Comes to work as scheduled; arrives for work on time.
• Appearance is appropriate to job duties, wears identification on duty.
• Care of emergent and non-emergent patients.
• Critical thinking to intervene with appropriate interventions for urgent/emergent care.
• Care of the acute and chronically ill patients.
• Knowledge of hemodynamics.
• Advanced IV and central line skills.
• Identifying and managing life-sustaining physiologic functions in unstable patients.
• Knowledge of cardiac monitoring, identifies dysrhythmias, and treats appropriately.
• Completes assignments within SQSS.
• Approves timecard every week.
• Participates in Charge Nurse roles and responsibilities.
• Performs all other duties as assigned or requested.

Competencies

• Basic knowledge of anatomy, physiology, and medical terminology.
• Friendly and professional bedside manner.
• Multi-tasking skills.
• Effective oral, written, and reading communication skills.
• Understands legal implications of patient care.

Position Qualifications:

Minimum Education: associate or bachelor’s degree prepared nurse from accredited nursing school.

Minimum Experience: Will train newly graduated Registered Nurse. Must be able to work as a team.

Certifications/Licensures:

Active RN license in the state of Kansas before commencing employment. Basic Life Support must be obtained within 6 months of commencement of employment. Advance Cardiac Life Support, Pediatric Advanced Life Support, Neonatal Resuscitation, and Trauma Nurse Core Coarse must all be obtained within one year of commencement of hire.

Working Environment :

Prolonged, extensive, or considerable standing/walking; assists with lifting and moving patients; lifts supplies and equipment; considerable reaching, stooping, bending, kneeling, and crouching. Regularly exposed to the risk of blood-borne diseases/illness; may be exposed to various patient elements.

Push/Pull

10-25 pounds: Never

25-50 pounds: Never

50-100 pounds: Never

100+ pounds: Never

Lift/Carry

0-10 pounds: Occasionally

10-20 pounds: Occasionally

20-50 pounds: Never

50-100 pounds: Never

100+ pounds: Never

Stand: Occasionally

Walk: Occasionally

Sit: Occasionally

Squat/Kneel: Occasionally

Bend: Occasionally

Physical Demands :

Reasonable accommodations may be made to enable individuals with disabilities to perform the position accountabilities without compromising patient care or departmental efficiency. However, should it de determined that the employee cannot meet the position accountabilities with or without accommodation, it is the right of GRMC to release the individual under Kansas “Employment at Will” doctrine

Professional Requirements:

Adheres to policies, procedures, and always maintains confidentiality. Attends annual in-services completes annual education in a timely manner. Represents GRMC in a positive, professional manner on the job, electronically and in the community. Complies with all hospital policies regarding ethical business practices; communicates the mission statement & core values of GRMC both on and off the job.