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Emergency Department Registered Nurse position, 24 hours per week, night shift (11p-7:30a), rotating weekends and holidays. Manages individualized, outcome oriented nursing care through the nursing process in accordance with hospital policies.
Job Responsibility:
Manages individualized, outcome oriented nursing care through the use of the nursing process
Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, in accordance with departmental and hospital policies and procedures
Medication Administration: Demonstrates knowledge of and follows SSH policies and procedures for administering, transcribing, and recording medications
Completes medication reconciliation process following SSH policy and procedure
Demonstrates proper procedure for the documentation of narcotic withdrawal, administration, verifies count, wastes per policy and resolves narcotic discrepancy
Plan of care/Documentation/Patient Family Centered Care/Patient Experience: Develops, discusses, and communicates a prioritized problem list/plan of care for each patient
Develop, evaluate and update individualized plan of care for patient and documents outcomes
Initiating admission assessment within 8 hours of admissions, identifies and documents patient/family/significant other teaching needs upon admission and throughout hospitalization
Continues assessment/reassessment and identifies care needs within established nursing practice
Documents all patient care following the department of nursing policy, unit based standards, disease processes (CHF, PNA vaccines) and nurse sensitive indicators (falls, skin, CAUTI)
Assess/reassesses and documents patient's level of comfort utilizing the appropriate pain scale and the patient's response to each intervention both pharmacological and non-pharmacological per South Shore Hospital policy
Works on behalf of patient /family. Seeks help to represent patient/family when they are unable to represent themselves
Raises ethical questions and concerns with clinical team. Seeks available resources to help formulate and understand ethical decisions
Actively communicates plan of day via white board updating every shift
Facilitates discharge/transfer by goal of 12:00pm, communicates barriers utilizing chain of command
Safety/Quality: Foster's a "Culture of Safety" through personal ownership and commitment to a safe environment
Verifies patient identification with two identifiers prior to the start of any invasive procedure, including "time out", administration of care, medications, labeled specimen's an documents confirming the correct patient, procedure, site, equipment and consent
Complies with the current CDC hand hygiene guidelines through proper handwashing. Adheres to universal precautions, makes appropriate use of personal protective equipment at all times and appropriately disposes of hazardous materials. Maintains awareness of MSDS sheets and how to access
Ensures environment meets regulatory requirements at all times
Understands and is able to demonstrate individual roles and responsibilities in the event of hospital codes/emergency preparedness
Professional Development: Assumes overall responsibility for own professional development by incorporating evidenced-based practice, research, and performance improvement initiatives as a part of ongoing nursing practice
Obtains at least 5 contact hours per year in area of practice
Practices within the legal boundaries of MA Nurse Practice Act. Directs other licenses and non-licensed personnel as assigned
Displays the ability to accept and respond appropriately to feedback and recommendations for change
Demonstrates professional working relationships with colleagues from all disciplines to promote a positive/encouraging workplace
Critical Thinking: analyzes causes of problems, identifies and evaluates alternative solutions, and selects appropriate solution, and communicates appropriately and effectively utilizing chain of command
Accountable for being informed about changes in hospital policy and procedure
Technology: Utilizes technological solutions to work processes and practices
Access Lotus Notes to review email, learning management and other resources as applicable to RN role
Utilizes software applications required by department and unit standards
Accountable to understand how to operate in downtime
Compliance: Works within legal, regulatory and ethical standards relevant to the position
Complies with applicable policies and procedures
Safeguards the privacy and security of patient information. The employee compiles will policies and procedures relating to SSH’s privacy and security programs
Brings potential compliance issues to a manager, supervisor, director or VP
Complies with the mandatory education requirements of the compliance, privacy and security programs
Patient and Family Centered Care: Conveys respect for values, preferences, and expressed needs of the patient and family
Recognizes the patient, and family according to patient preferences, as important members of the health care team
Collaborates with the patient, and family according to patient preferences, in planning, implementing, and evaluating care
Welcomes the presence and participation of family members at all times according to patient preferences, regardless of rounds, change of shift, or other events on unit
Age & Culture: Possesses age and cultural knowledge and awareness
Considers the individual needs of each person with whom they interact
Interacts with sensitivity in the delivery of care/services of diverse populations as needed
Effectively utilizes resources to provide care/services - such as, interpreter services and on-line sources
Requirements:
Graduate of an accredited School of Nursing
Previous Acute Care RN experience preferred
RN - Registered Nurse license
Depending on department may require: Basic Life Support (BLS) Certification, Advanced Cardiac Life Support (ACLS) Certification, Emergency Response Training Certification, Neonatal Resuscitation Program (NRP) Certification, Pediatric Advanced Life Support (PALS), Trauma Nurse Core Course (TNCC), Trauma Care After Resuscitation (TCAR) Certification
ACLS (AHA) Advanced Cardiac Life Support Certification
Basic Life Support (BLS) Certification
INSTRUCTOR- Advanced Cardiac Life Support (ACLS)
INSTRUCTOR- Basic Life Support (BLS)
INSTRUCTOR-Neonatal Resuscitation Program (NRP)
INSTRUCTOR-Pediatric Advanced Life Support (PALS)
INSTRUCTOR-Trauma Nurse Core Course (TNCC)
Neonatal Resuscitation Program (NRP) Certification
OB- Emergency Response Training (ERT)
Pediatric Advanced Life Support (PALS) Certification
RN-Registered Nurse - Board of Registration in Nursing (Massachusetts)