ER

Hrs Description: Nights 7pm -7:30am ; Duties: • Assesses patients on admission within specified time frames to include consideration of physical, psychosocial, cultural and spiritual needs • Reassess each patients health needs whenever warranted b the patients condition and at least every shift utilizing the nursing processes after obtaining a systematic database • Establishes a plan of care based on indefinite data from all appropriate sources • Reviews and updates the plan of care for each assigned patient utilizing data obtained from reassessments. • Administers oral, topical the parental medications utilizing the 7 rights • Assesses and documents effectiveness/untoward effects of medications and treatments. • Performs treatments and procedures with consideration of common nursing practice, hospital policy and procedure, sterile technique, standard precautions and patient privacy • Documents response to care and addresses pain management, discharge planning needs, educations and progress towards goals. • Documents in a legible and accurate manner to include date and time of entry, signature, and title. • Educates patient/family based on his/her assessed needs and uses “Krames” where appropriate • Interprets or analyzes diagnostic data and reports, and intervenes appropriately • Promptly communicates change in patients’ clinical condition to physicians and other health care team members as appropriate. • Uses SBAR communication for all handoffs • Demonstrates consideration of patient rights including confidentiality, safety and patient participation in plan of care • Evaluates and documents patient care provided and the effectiveness of patient teaching • Participates in multidisciplinary care planning • Demonstrates knowledge of application criteria for restrains and the ability to manage patients in restraints per policy • Follows the National Patient Safety Goals • Follows hospital policy on use of two patient identifiers • Understands Disaster Plan and own role • Understands how to activate the Rapid Response Team • Completes orientation to Life Safety Standards – Code Blue, Code Pink (infant abduction, Haz Mat Spills, Code Red (Fire), Oxygen shut off valve. • Follows hospital infection control policies. • Demonstrates knowledge of blood transfusion policy and documentation • Understand the Chain of Command and accesses it appropriately • Follows guidelines for Core Measures and Vaccine protocol • Washes hand before and after each patient contact • Possesses necessary skills and experience to perform advance patient  assessment at unit specific time frames and prioritizes and reprioritizes patient needs when necessary • Has experience in caring for patients across the age continuum from birth to geriatric age groups • Possesses necessary skills, competencies and education to respond to minor to life threatening illness or injury • Completes the ED skills checklist prior to completion of 1st scheduled shift • Exhibits an understanding of the patient flow through ED including Rapid medicine Evaluation (RME) • Is able to perform all necessary nursing activities related to admission/discharge • Learns and uses the chain of command within the ED • Understands the teaching/physician residency model for the ED • Possesses skill and knowledge base to safely administer high risk medications following hospital/ED policy • Understands how to document patient care in the ED flow sheet and other paperwork utilized • Maintains BLS, ACLS, PALS/ENPC when working in the ED  (TNCC/ATCN/CEN Highly desired)

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