Registered Nurse - ER

Primary Responsibilities / Accountabilities :

Applying the principles of the nursing process and working within the policies / procedures of the Patient Care Services Department and the Medical Center, the staff nurse is a registered nurse (RN) who, as the patient's primary nurse, is responsible and accountable for :

• The overall management of the nursing care provided, assuring competent, compassionate and cost-effective patient care from admission to discharge;
• Assuring the safety, comfort, personal hygiene and protection of patients and performing disease prevention and restorative measures;

Responding to medical and environmental emergencies "

Provides competent, compassionate and cost effective patient care in accordance with unit, department, hospital policies, scientific principles, sound nursing practice / process, nursing objectives and standards of care :

Plans / coordinates delivery of care to maximize efficient care delivery ensuring the safety, comfort, personal hygiene and protection of patients and maintaining a safe environment

Sets priorities for and provides patient care in routine and complex situations

Serves as liaison between nursing and medical staff to facilitate collaborative approach to patient care

Coordinates involvement of patient, physician, family and other health team members to manage patient care, hospital resources and services to achieve optimal level of patient care

Sets priorities, initiates and directs emergency interventions in a calm, efficient and competent manner

Exercises clinical judgment and critical thinking in all aspects of the nursing process and unit activities; develops creative solutions to problems :

Administers treatments, medications and performs nursing skills in a timely manner

Maintains current knowledge of patient care status and monitors patient's perception of care through clinical rounds

Assures physicians are informed of significant changes in patient's condition

Analyzes, inputs and integrates the patient acuity levels in accurate and timely manner

Demonstrates knowledge and ability to effectively interact with patient population served

Assessment

Conducts initial and ongoing assessment of the patient / family including consideration of biophysical, psychosocial, spiritual, environmental, self-care, educational and discharge planning factors :

Completes nursing assessment (coordinates completion of other required screening assessments) within 24 hours of admission

Ensures nursing process is carried out on an individualized goal-directed basis to meet all patient needs including patient assessment (including pain, age-appropriate factors), patient care plans, patient / family education, discharge planning, disease prevention and restorative measures

Observes patient's physical condition and behavior, interprets information and ensures patient's acuity levels are identified / documented

Identifies, observes and monitors patients at risk for untoward events and implements precautions / activities to reduce the risk and avoid events

Evaluates / re-evaluates, through observation and communication, the effectiveness of plan of care

Modifies the plan, as appropriate, in collaboration with patient / family, physician and other disciplines

Planing

Develops the patient's plan of care as it relates to biophysical, psychosocial, environmental , self-care, educational and discharge needs in collaboration with patient and family, physician and other disciplines :

Develops / implements plan of care and timely interventions based on patient / family interview, observation, chart review and consultation with other health team members

Documents / communicates patient assessment, plan of care, outcomes and other pertinent information with other health team members

Evaluates / re-evaluates, through observation and communication, the effectiveness / outcomes of the patient's care plan in collaboration with patient / family, physician and other disciplines :

Modifies plan, communicates and initiates follow-up activities as appropriate

Certifications : CA RN License

CA RN License

ACLS

PALS

NIHSS