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The TMC Emergency Department is the busiest Emergency Department in Southern Arizona, seeing at least 95,000 patients a year between both the adult and pediatric ED. We have a total of 54 beds separated into 4 pods (North, South, East, and West). Patients are placed into pods based on their triage acuity. The staffing ratio is 1:2 to 1:4 depending on the acuity of the patient. We follow the Emergency Severity Index (ESI) Guidelines for triage of all ER patients. We see a variety of patients within the department – everything from sore throats and simple lacerations to respiratory failure and STEMI patients. TMC has earned certification as a Comprehensive Stroke Center, accreditation as a Chest Pain Center, and the Gold Plus Achievement Award for stroke programs from the American Heart Association/American Stroke Association. There is a separate Behavioral Health Observation Unit located within the Emergency Department. The ED embraces the Lean Methodology and strives for a culture of continuous process improvement to create the best patient care experience for our community and a work environment that excels in teamwork and collaboration. All nurses are required to be CPR, ACLS, PALS, CPI and NIHSS certified.
Job Responsibility:
Coordinates patient care planning with other disciplines utilizing the principles of the nursing process and critical thinking skills
Provides direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated
Writes or obtains initial nursing histories, assesses patients' conditions and develops individual care plans
maintains patient documentation
Receives and reviews preceding shift reports and floor nurse reports
makes complete rounds of all units, and notes patients' condition
Notifies appropriate physician regarding any unusual or unexpected events or problems
Works with other members of the interdisciplinary patient care team, implements and reinforces patient instructional needs with patient and family
Evaluates outcomes of patient care, consults with other specialists as needed and adjusts nursing care processes as necessary
Identifies and resolves workplace health and safety issues
Provides appropriate, direct patient care utilizing appropriate aseptic techniques
May manage IV lines, ensure that sterile techniques are adhered to, and oversee patient movement and positioning
May perform the administration of pharmacological vasodilator medications for the purpose of nuclear myocardial perfusion imaging
Complies with policies, procedures, regulations, and standards and takes corrective action when violations occur
Orients, instructs, and educates assigned personnel
Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication
Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards
Requirements:
Graduation from a qualified, nationally-accredited nursing program
One year of nursing experience in an acute care setting preferred
Current RN licensure permitting work in the State of Arizona
Basic Life Support (BLS) certification required
Some departments require advanced life support certification (ACLS and PALS)
Additional certification may be required for some specialties
For Hospice & Pediatrics areas, valid Arizona Fingerprint Clearance Card within 6 months of hire
For Mental Health only Crisis Prevention Instruction (CPI) required
Knowledge of direct patient care and critical care procedures and techniques
Knowledge of exam indicators, contraindications and patient preparation
Skill in communicating in a clear and concise manner
Skill in reading 12-lead EKG
Skill demonstrated in assigned disciplines such as EP, directly involved in patient care
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals
Ability to complete routine reports and correspondence
Ability to listen and accurately interpret others’ communication or instructions
Ability to speak and communicate effectively
Ability to define problems, collect data, establish facts, and draw valid conclusions
Ability to interpret an extensive variety of instructions and deal with several abstract and concrete variables
NICU only: Ability to provide family centered developmentally appropriate care of newborns
Ability to handle the emotional stress associated with caring for a critically ill newborn or neonate
Ability to formulate a plan of care and support multidisciplinary collaboration
Nice to have:
One year of nursing experience in an acute care setting preferred