Registered Nurse - Emergency Department (36 hours)
Company: Mount Auburn Hospital
Location: Cambridge
Posted on: September 24, 2024
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Job Description:
Job Type: RegularTime Type: Full timeWork Shift: Day (United
States of America)FLSA Status: Non-ExemptWhen you join the growing
BILH team, you're not just taking a job, you're making a difference
in people's lives.Registered Nurse - Emergency DepartmentJob
Description:Primary Responsibilities1. 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 Qualifications1. Graduation from
an NLN accredited school of nursing2. Current registration in the
Commonwealth of Massachusetts3. 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 competencies6. ACLS certification7.
Recommended Requirements: a. Membership in professional
organization, ie: ENA b. Certification in Emergency Nursing
(required after 2 years of employment)As a health care
organization, we have a responsibility to do everything in our
power to care for and protect our patients, our colleagues and our
communities. Beth Israel Lahey Health requires that all staff be
vaccinated against influenza (flu) and COVID-19 as a condition of
employment. about this requirement.More than 35,000 people working
together. Nurses, doctors, technicians, therapists, researchers,
teachers and more, making a difference in patients' lives. Your
skill and compassion can make us even stronger.Equal Opportunity
Employer/Veterans/Disabled
Keywords: Mount Auburn Hospital, Cambridge , Registered Nurse - Emergency Department (36 hours), Healthcare , Cambridge, Massachusetts
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