RN, Registered Nurse - Emergency Room - PRN

Summary:

The Registered Nurse (RN) provides professional nursing care for the comfort and well-being of patients. The Registered Nurse (RN) prepares equipment and assists physician during examinations and treatments. The Registered Nurse (RN) administers prescribed medications, changes dressings, cleans wounds, and monitors patient vital signs. The Registered Nurse (RN) observes and maintains records on patient care, condition, reaction, and progress.

The Registered Nurse (RN) participates as primary nurse, associate nurse, a team member or team leader in the planning and implementing of patient care. The Registered Nurse (RN) directs and assists in carrying out safe aseptic technique and procedures. The Registered Nurse (RN) offers leadership and direction to all support staff within department.

The Emergency Department of CHRISTUS Spohn Hospital Kleberg is a 12-bed unit organized and designed for the immediate treatment of emergency medical and/or surgical conditions. We have a Medical provider 24 hours per day with An Advance Practitioner 9 hours per day. The Emergency Department had been designated a Level IV Trauma Center by Texas Department of Health. The department is responsible for initiating lifesaving procedures in all types of emergency situations and for providing emergency care for other conditions, including chronic medical problems and minor injuries and illnesses. After emergency measures are implemented the patient may be transferred within the hospital, to another institution, or discharged home. Our average daily census is 60. The most frequent medical diagnoses seen are R/O Myocardial Infarction, Congestive Heart Failure, Pneumonia , Cardiovascular conditions, cardiopulmonary conditions, Diabetes Mellitus, Hepatitis, Pancreatitis, URI and Urosepsis. The most frequent surgical conditions are appendicitis, fractured hip and spontaneous abortion.

The ER staff work closely with the community by providing education on disease process and safety measures. We also volunteer our time and service to help out our local naval base during events such as “Wings over Texas” and our surrounding areas with events such as, “Beach to Bay.” Our team has been recognized for exceeding the goal for treating a MI or stroke patient. They have made changes to the overall flow in the ER to improve the door to doctor times and over all patient experience. We have earned the Silver Award from the American Heart Association for our Stroke Care.

Responsibilities:

Patient Care Planning

Develops comprehensive nursing care plan which addresses all significant needs and problems identified through nursing assessment.
Prepares nursing elements of the interdisciplinary care plan prior to the initial team conference.
Reviews and updates nursing care plan and collaborates with team members as changes occur.

Patient Care Provision

Implements patient care as planned in nursing care plan and interdisciplinary care plan.
Sets priorities based on knowledge of patient acuity and patient needs.
Provides safe and therapeutic care and seeks resources when appropriate.
Safely performs and accurately documents procedures, consistent with established nursing policy and procedure.

Patient Care Evaluation

Evaluates patient response to interventions and attainment of goals in collaboration with interdisciplinary team.
Evaluates progress toward nursing goals and revises goals as needed on a weekly basis.
Completes nursing progress note for assigned patients on a daily basis.
Completes nursing flow sheets for assigned patients on a daily basis.

Teaching

Evaluates education needs of patient and significant others and documents their response to teaching.
Utilizes, adapts, and revises teaching resources to meet patient education needs.
Explains procedures, tests, and disease process to patients and families as needed.
Acts as role model for health care students and other team members.
Acts as preceptor to assigned orientees.
Assists in orientation of new staff by sharing knowledge and experience.

Patient Care Communication

Reports and documents accurately and concisely to appropriate persons the patient's condition.
Maintains patient confidentiality.
Applies basic verbal and nonverbal skills to maintain open, effective communication among care team members, patients, and significant others.
Encourages direct discussion between staff members when differences occur and seeks assistance to arbitrate differences as needed.
Gives and accepts constructive feedback appropriately.
Identifies actual and potentially unsafe patient care practices, reports them in the designated manner, and suggests alternatives.

Other duties as assigned

Requirements:

A. Education/Skills

• Associate's Degree in Nursing

B. Experience

• One year experience in nursing preferred.

C. Licenses, Registrations, or Certifications

• Current Texas State RN License or Compact RN License
• BLS (American Heart Association)
• ACLS required at time of hire for experienced RNs. New graduate nurses must obtain ACLS by the end of the clinical orientation period.
• NIHSS required within 90 days of hire/transfer date
• De-escalation training required within 90 days of hire/transfer date
• TNCC required within 6 weeks of hire for experienced RNs. New graduate nurses must obtain TNCC within 18 months of hire/transfer date.
• PALS required at time of hire for experienced RNs. New graduate nurses must obtain PALS by the end of the clinical orientation period.

Work Type:

Per Diem As Needed

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