Under the general supervision of the Director of Emergency Services, is responsible for safe, effective and quality patient and family centered care in the Emergency Department.
Clinical Competency:
- Plans, evaluates, directs and renders care according to established standards of care
- Incorporates evidenced based best practice into everyday clinical activities
- Performs medication reconciliation and administers medications safely and appropriately using the 5 rights of medication administration, leveraging technology and pharmacy resources
- Recognizes and performs nursing interventions to maintain the body's homeostasis (acid base balance, fluids and electrolyte imbalances, wound and tissue perfusion)
- In accordance with standing Emergency Department medical protocols and standing orders; enters orders, interprets and evaluates diagnostic tests to identify and assess patient's condition, communicates same treating provider
- Maintains accurate, detailed clinical nursing documentation, reports and records
- Within the scope of nursing practice, provides oversight of nursing care and ancillary nursing/healthcare team members
- Demonstrate flexibility, practice and collaboration to cross train in other departments
- Consistently utilizes clear, concise, professional communication in all interactions including: with patients, families, between disciplines, inter-departmentally and with outside agencies
Professionalism:
- Demonstrates ability to work independently and within a team environment
- Adheres to standards and applicable codes of conduct that govern behavior among peer and colleagues to create an environment promoting cooperation, respect and trust
- Maintains professionalism by conforming to the Huggins Hospital dress code
- Continues professional growth by maintaining education hours for license renewals
- Maintain certifications: ACLS, BCLS
Patient Advocacy:
- Develops and/or implements an individualized plan of care, including developmental and cultural needs
- Utilizes appropriate resources for non-English speaking patients, healthcare illiteracy, hearing and sight impaired individuals
- Take proactive steps to recognize and report suspected abuse/neglect including child, elder, sexual abuse, spousal abuse and reports same to supervisor and appropriate authorities
- Clear communication of patient plan of care and education at a level the patient, family, caregiver can comprehend
Quality:
- Ensures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; make or recommend necessary adjustments - Follows Huggins Hospital's mission, vision and philosophy of care - Participates in quality review within the department and assists with performance improvement projects - Adheres to the standards of care as outline by the Emergency Nurses Association
Organizational Expectations:
- Attendance: Attendance is an essential job function; employee comes to work daily, on time, and completes scheduled shift
- HIPAA: facilitates to maintain patient confidentiality
- Internal communication: contributes to positive team performance and a culture of service excellence through effective communication, active listening, and respect
- Interpersonal relationships: maintains appropriate interpersonal relationships with staff, patients, and visitors at all times. Works as a team member with other departments.
- Safety: Practices workplace safety daily
Employee Engagement:
- Actively participates in all hospital Service Excellence initiatives and trainings
- Attends and participates in a minimum of 50% department staff meetings and signs off on review of 100% department staff meeting minutes
- Completes all required annual education on or before the due date
Knowledge Skills and Abilities: Individuals must possess these knowledge, skills, and abilities or be able to explain and demonstrate that they can perform the primary functions of the job, with or without a reasonable accommodation, using some combination of skills and abilities and possess the necessary physical requirements, with or without a reasonable accommodation, to safely perform the essential functions of the job.
- Minimal physical effort required with occasional light lifting to a maximum of 25 pounds; stooping; and pick, pinch, type, or otherwise work primarily with fingers
- Ability to effectively manage considerable mental stress
- Ability to express or exchange ideas by means of the spoken word
- Ability to receive detailed information through oral communication
- Ability to communicate effectively with co-workers and convey information in a clear, concise and accurate manner
- Familiarity with computer and other business machines
Qualifications:
- Graduate from an accredited nursing program, BSN preferred
- One (1) year of Emergency Nursing experience preferred
- Must be computer literate and fluent in electronic health record documentation
- Current New Hampshire RN license Required
- BLS, ACLS, PALS Required
- TNCC and NRP Preferred
