Registered Nurse RN ER
Job Description
Summary
The RN functions primarily in direct patient care, and demonstrates “competent” clinical practice
This position triages patients, obtains patient history and vital signs and assesses patients
Acts independently to initiate immediate care in the absence of a physician in life threatening situations
Provides care for the acutely ill as well as the non-acute patient
Performs multiple procedures utilizing both complex and simple nursing skills and assists the physician with their procedures
Provides comfort, both physical and psychological, to the patient, their family and visitors
Provides discharge and follow-up instructions to the patient and family
Answers the ambulance radios and, without assistance, gives appropriate orders for pre-hospital care
Works with multiple types of sophisticated equipment and handles various types of patients in a frequently stressful environment.
Responsibilities
(25%)* Performs nursing assessments, intervenes appropriately and promptly, and participates in care planning.
(25%)* Regularly assesses patient�s/client�s needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice.
(20%)* Processes physician/provider orders accurately, completely, and in a timely manner, and does follow up regarding medication changes and order clarifications.
(15%)* Evaluates effectiveness of treatment plan and makes suggestions or facilitates changes in plan to improve patient care.
(15%)* Actively participates in updating/ revising the treatment plan in collaboration with other team members, utilizing current information.
OTHER DUTIES AND RESPONSIBILITIES:
Uses physical assessment techniques (auscultation, percussion, palpation, observation) to identify patients physical problems and their patient care needs.
Recognizes self-limitations and seeks out appropriate resources.
Possess clinical competence in airway management, cardiac monitoring, IV therapy, blood gas analysis, venipuncture and physical assessment.
Reassesses patient health status and identifies significant changes in conditions.
Individualizes plan of care.
Coordinates the prescribed plans with orders on healthcare team.
Communicates pertinent aspects of care to patient, family, or other healthcare workers.
Initiates home health referrals when appropriate.
Sets priorities and implements nursing measures which correlate with identified plan and standard of care.
Recognizes change in patient�s condition and takes action to manage, reduce, or eliminate symptoms and promote comfort.
Demonstrates respect for patient�s dignity and privacy.
Documents nursing intervention and patients response.
Maintains a safe patient environment and takes actions to prevent risk situations.
Provides for patient/family education � explains about all procedures, utilizes available educational materials, documents any instructions given to family.
Has effective interpersonal skills with customers.
Assists peers in patient care activities.
Recognizes stress in others and uses positive coping techniques.
Sets goals and prioritizes Emergency Department care to patients according to acuity.
Is accountable in following medical center policy and procedures and work attendance.
Participates in continuing education program, medial center NetLearning modules, and ED In-services and ED Skills Day.
MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft� Windows.
An employee may be required to participate in further learning opportunities offered by MyMichigan Health.
Other duties as assigned.
Certifications and Licensures
Credential:RN: Registered Nurse
Equivalent Experience:
Qualification Source:
Essential: true
Credential:ACLS: Advanced Cardiac Life Support
Equivalent Experience: Within 12 months of hire or transfer
Qualification Source:
Essential: true
Credential:TNCC: Trauma Nurse Core Course or ATCN
Equivalent Experience: Within 12 months of hire or transfer
Qualification Source:
Essential: true
Credential:PALS: Ped Advance Life Support
Equivalent Experience: Within 12 months of hire or transfer
Qualification Source:
Essential: true
Credential:BLS: Basic Life Support
Equivalent Experience: Within 1 month of hire or transfer
Qualification Source: AHA
Essential: true
Credential:ENPC: Emerg Nurse Pediatric Course
Equivalent Experience: Within 18 months of hire or transfer
Qualification Source:
Essential: true
Credential:FINGERPRIN: Fingerprinting
Equivalent Experience:
Qualification Source:
Essential: true
Credential:TEAM ADVANCED: Techniques for Effective Aggression Mgt
Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification)
Qualification Source:
Essential: true
Credential:NIMS IS 100: NIMS IS 100 Introduction Incident Command System
Equivalent Experience: Within 6 months of hire or transfer
Qualification Source:
Essential: true
Credential:NIMS IS 700: NIMS IS 700 Introduction National Incident Mgt System
Equivalent Experience: Within 6 months of hire or transfer
Qualification Source:
Essential: true
Required Education
Education: ASSOC
Equivalent Experience: Knowledge of nursing technique as normally acquired through completion of at least an Associate's Degree in Nursing culminating in licensure in the State of Michigan
Knowledge of nursing skills as normally acquired through 2 years experience working in the medical center or similar setting
Weekend RN positions require a minimum of two years experience.
Education Specialization: NRG
Essential: true
Other Information
EXPERIENCE, TRAINING AND SKILLS:
Knowledge of nursing skills as normally acquired through 2 years experience working in the medical center or similar setting.
Weekend RN positions require a minimum of two years experience.
Mandatory tuberculosis (TB) testing must be done annually.
Mandatory Occupational Safety and Health Administration (OSHA) training must also be completed annually according to the Exposure Control Plan.
PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:
Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.
Able to wear personal protective equipment that includes latex materials or ap