Rural Hospital ER/Acute Care Nurse
733 Cedar Street Garberville, CA 95542
Rural Hospital ER/Acute Care Nurse
Summary/ObjectivenbspThe Registered Nurse RN employs intellectual interpersonal and technical skills utilizing the nursing process to assist patients of various ages in achieving maximum health potential. The RN functions as a health-team member through independent interdependent and dependent roles within the healthcare system. The Registered Nurse reports to the Director of Nursing.Essential FunctionsReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.1.nbspnbspnbspCustomer service presentation and responsibility: nbspnbspnbspnbspnbspnbspnbspnbspnbspnbspa.nbspnbspnbspnbspProfessional courteous responsive to patients/employees.b.nbspnbspnbspOffers team support maintains positive relationships.2.nbspnbspnbspPersonal conduct: Adheres to all facility policies including but not limited to: a.nbspnbspnbspnbspAttendance and reliability: Adheres to attendance punctuality and absence reporting requirementsb.nbspnbspnbspDress code: Complies with hospital/departmental standards maintains professional appearance wears ID badge while in facility at all timesc.nbspnbspnbspnbspConfidentiality: Maintains confidentiality of appropriate records per hospital policy and applicable law.3.nbspnbspnbspSafety/security/infection control: Demonstrates thorough knowledge of facility programs including but not limited to: a.nbspnbspnbspnbspSecurity codes and proceduresb.nbspnbspnbspInfection control procedures/Universal Precautions/Exposure Control proceduresc.nbspnbspnbspnbspDisaster preparedness/Fire safetyd.nbspnbspnbspHazardous materials managemente.nbspnbspnbspIllness and Injury Prevention and Reportingf.nbspnbspnbspnbspnbspProper body mechanics ergonomicsg.nbspnbspnbspEquipment/Electrical Safety4.nbspnbspnbspPOSITION SPECIFIC ACCOUNTABILITIES: REQUIREDMaintains skills and knowledge of registered nursing proceduresa.nbspnbspnbspnbspInitiates and updates patient care plans based on patient condition age/developmental status and progress involving the patient significant others and healthcare team members.b.nbspnbspnbspOrganizes interventions based on clinical priorities.c.nbspnbspnbspnbspAssures that patient and family receive adequate education to promote wellness during hospitalization and essential skills for safe self-care after discharge.d.nbspnbspnbspCoordinates all aspects of admission transfer and discharge with healthcare team.e.nbspnbspnbspDemonstrates competency in selected technical skills e.g. psychomotor skills equipment use and troubleshooting IV/IO insertion maintenance and discontinuation medication administration.h.nbspnbspnbspEffectively evaluates patient to recognize change in condition and intervenes appropriately.i.nbspnbspnbspnbspnbspPrepares and administers orally subcutaneously IV rectal IM or IO and records prescribed medications. Reports adverse reactions to medications or treatments in accordance with the policy. j.nbspnbspnbspnbspnbspCleanses bandages and splints wounds. 5.nbspnbspnbspMaintains awareness of role of the registered nurse in patient care: a.nbspnbspnbspnbspImplements patient plan of care including nursing physician and multi-disciplinary directives with concern for the patient’s emotional spiritual and physical needs.b.nbspnbspnbspEnsures that appropriate supplies and equipment are available accounted for and used in a cost-effective manner.c.nbspnbspnbspnbspTakes appropriate action and responds to urgent situations effectively.d.nbspnbspnbspRecords patients current vital signs and alerts ED physician or Clinic physician for abnormal vital signs in a timely manner.e.nbspnbspnbspOrganizes prioritizes and completes activities and assignments in an efficient and timely manner.f.nbspnbspnbspnbspnbspUses ALL work time productively in work-related activities.6.nbspnbspnbspWorks as a team member of the hospital staff: a.nbspnbspnbspnbspDemonstrates initiative in assisting others and performs other duties based on skill level and training orientation.b.nbspnbspnbspParticipates in department problem solving suggests improvements and facilitates changes.c.nbspnbspnbspnbspRemains flexible in staffing patterns routines assignments and schedule changes.d.nbspnbspnbspAttends 75 of all staff meetings and ALL required in-services.e.nbspnbspnbspDemonstrates effective oral and written communication skills and documents according to standards.f.nbspnbspnbspnbspnbspIdentifies limitations in own performance and uses resources to meet needs.Competencies1.nbspnbspnbspMaintains skills and knowledge of registered nursing procedures2.nbspnbspnbspSatisfactory completion of annual employee in-service3.nbspnbspnbspMandatory training programs attendance4.nbspnbspnbspMandatory reporting requirements compliance5.nbspnbspnbspPerformance Improvement programs compliance6.nbspnbspnbspProfessional Responsibility Program compliance7.nbspnbspnbspContinuing education requirements met: a.nbspnbspnbspnbspMaintains requirements for applicable licensure and job descriptionb.nbspnbspnbspSeeks to improve skills and abilities through self-education and/or attendance at training programs.8.nbspnbspnbspDemonstrates competency in selected technical skills e.g. psychomotor skills equipment use and troubleshooting IV therapy medication administration.9.nbspnbspnbspAge-specific competencies achieved: a.nbspnbspnbspnbspPediatric including neonateb.nbspnbspnbspAdolescentc.nbspnbspnbspnbspAdult d.nbspnbspnbspGeriatric 10. Maintains skills and knowledge of Emergency Room Nursing: requires cross-traininga.nbspnbspnbspnbspPerforms rapid triage assessment reflecting focused analysis of chief complaint.b.nbspnbspnbspAccurately assigns and documents triage level according to triage protocols.c.nbspnbspnbspnbspManages basic life support needs and stabilizes patients until the attending physician is available based upon nursing standards and protocols. d.nbspnbspnbspInitiates nursing measures and diagnostic studies according to triage protocols and provider orders.e.nbspnbspnbspUsing Nursing Diagnosis or protocols develops and utilizes a short term individual plan of care as appropriate for an emergency patient.f.nbspnbspnbspnbspnbspEvaluates care and reports to provider frequently timely and accurately.g.nbspnbspnbspPerforms competently in emergency situations including cardiac and/respiratory arrest major trauma disaster and multi-casualty incidents.h.nbspnbspnbspProvides emergency care to a wide range of ages including neonates infants pediatrics adolescents adults and the elderly.i.nbspnbspnbspnbspnbspMaintains competency in emergency nursing assuring that at least one-third of the state required CE units are relevant to emergency nursing.j.nbspnbspnbspnbspnbspMaintains competency in EMS radio protocols and appropriate interaction with EMS.k.nbspnbspnbspnbspReports all mandated reportable events.11. Maintains skills and knowledge of Infection Control Practice: requires cross traininga.nbspnbspnbspnbspConducts ongoing surveillance program for hospital and community acquired infections. Documents and reports to appropriate persons/groups.nbspAnnually evaluates effectiveness of program.b.nbspnbspnbspCreates reviews and revises policies and procedures to decrease the spread of infection and promotes understanding of infectious disease process among staff and patients/familiesc.nbspnbspnbspnbspAssures all state and federal guidelines for infection prevention are in place and being followed as appropriate.d.nbspnbspnbspOrients new employees to the principles of Infection Control with emphasis on prevention of infection and employee safety.e.nbspnbspnbspUpdates all staff in infection prevention isolation personal protection and other issues as needed.f.nbspnbspnbspnbspnbspCoordinates with and reports to Public Health Department as required.nbspReviews latest issues regarding local or regional epidemics and their management.g.nbspnbspnbspMonitors immunizations and ongoing infections among skilled nursing residents.h.nbspnbspnbspMonitors all cultures.nbspAssures appropriate antibiotics and patient follows up and education.i.nbspnbspnbspnbspnbspObtains continuing education in Infection Control annually.12. Maintains skills and knowledge of Employee Health Nurse Practice: requires cross-traininga.nbspnbspnbspnbspAssures new employee physicals immunizations fit-testing and screenings according to local state and federal regulations.nbspb.nbspnbspnbspManages employee post-exposure program including prophylaxis education follow-up as appropriate.nbspSupervisory Responsibility The RN registered nurse can supervise care provided by others ie. LPN/VN assistive personnel other RN’sWork Environment Patients need round-the-clock care working hours include days nights weekends and holidays. Nurses spend considerable time walking bending stretching and standing so they must follow proper body mechanics to guard against injuries. Our nurses are usually cross trained in more than one department and therefore must possess good stress coping skills and be able to relate to people of all ages and backgrounds. They must be able to work accurately around frequent interruptions. Nurses may face hazards from exposure to chemicals infectious diseases and bloodborne pathogens. In addition they treat patient that may be confused irrational agitated under psychosis and/or innbspPhysical Abilities/RequirementsRequires: ·nbspnbspnbspnbspnbspnbspnbspnbspVarious levels of activity: onbspnbspnbspContinuously: walking standing bending manual dexterity.onbspnbspnbspFrequently: twisting balancingonbspnbspnbspOccasionally: sitting squatting climbing kneeling lifting 0-50lbs carrying 0-50lbs pushing w/assistance 0-300lbs.·nbspnbspnbspnbspnbspnbspnbspnbspMust be able to see with or without corrective eyewear.·nbspnbspnbspnbspnbspnbspnbspnbspMust be able to hear clearly with or without assistance.nbspPosition Type/Expected Hours of WorkIncumbent will be scheduled based on operational need 12 hour day or night shifts and on-call shiftsTravelTravel is primarily local during the business day although some out-of-the-area and overnight travel may be expected. nbspRequired Education and Experience1.nbspnbspnbspGraduate of an accredited school of nursing.2.nbspnbspnbspKnowledge regarding the nursing process and its application including the assessment planning implementation and evaluation of nursing care.nbspPreferred Education and Experience1.nbspnbspnbspPrevious experience in emergency room patient care settingnbspLicenses/Certificates: Must possess a current RN license issued by the State of California. Unit- specific capabilities and/or certifications are required on hire or within the introductory period i.e. BLS ACLS and PALS.nbspAdditional Eligibility QualificationsRequires ability to read and interpret complex documents such as safety rules operating and maintenance instructions and procedure manuals ability to write complex reports. Knowledge of basic arithmetic and algebraic concepts such as proportions percentages and simple equations successful completion of pharmacology test with an overall score of 80 or greater.
Start Date: 9/30/2019
Shift: Day and Night Shifts available
Shift Length: Hours
Assignment Length: 13 weeks
Certifications: ACLS, BLS/BCLS, PALS
Certifications: Advanced Cardiovascular Life Support
Benefits: TACT Medical Staffing offers Day 1 Medical Insurance, Dental, Vision, Travel Reimbursement & many more!
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