REGISTERED NURSE ER

Registered Nurse for Night Shift in the ER - 60 hours per pay period, every 4th weekend. Includes FT benefits: IPERS, Health Insurance, Dental, Vision, Life Insurance and Long Term Disability. PTO and Sick Leave begins to accrue 1st day of employment.

Humboldt County Memorial Hospital

Employee Job Description

Job Title: Registered Staff Nurse - Emergency Room Primary Function and Relationship to Total Organization:

Provides direct and/or indirect nursing care for individual patients. Communicates with and on behalf of the patients and coordinates patient care with other health team members. Organizes those aspects of nursing care for which she/he is accountable.

Reports to: Emergency Room Director

Supervises: LPN's, EMT's, ER Techs, Paramedics

Essential Duties and Responsibilities:

1. Patient admission interviews are completed within 30 minutes of triage. Nursing assessment includes an adequate account of past medical history and the event that brought the patient to the emergency department.
2. Triages patient and categorizes appropriately.
3. Anticipates changes in patient condition and recognizes the need for and performs emergency life-saving measures.
4. Nursing care is implemented as stated in written protocol or appropriate standards of care.
5. Prepares patient for examination by the physician and provides assistance as required.
6. Obtains all necessary signatures authorizing emergency treatment and release of information, payment source and any other consents applicable to specific situations.
7. Provides patient education as indicated related to illness, management of the disease process, preparation for admission, discharge or transfer according to their needs and abilities.
8. Documents the patient condition, nursing interventions, and the patient's response to intervention in the Electronic Medical Record.
9. Supervises patient care given by other team members in the Emergency Department. Intervenes with proper technique, procedure and safety precautions to ensure quality patient care.
10. Assesses the patient's current lab values and the implications of common lab values.
11. Administers prescribed medications and treatments in accordance with nursing standards and documents patient response.
12. Accompanies patient to other departments or nursing units as necessary.
13. Participates in non-direct patient care activities including education activities, quality improvement, standards development and review, hospital/nursing committees and other related activities.
14. Complies with hospital and nursing service policies.
15. Assists in the orientation and development of Nursing/ER personnel and students.
16. Demonstrates willingness to support staffing and scheduling needs.
17. Performs functions other that described above due to extenuating circumstances.
18. Trauma Alert Duties: Directs and organizes the efforts of the trauma team members while assisting to initially assess and stabilize the patient/patients.
19. Maintains skills for computerization of documentation and medication delivery.

Physical & Mental Requirements:

PHYSICAL/MENTAL CHARACTERISTICS REQUIRED BY ESSENTIAL AND MARGINAL TASKS

TASK

X

TASK

X

1.

Heavy lifting, 45 lbs. & over

X

19.

Pushing

X

2.

Moderate lifting, 15-44 lbs.

20.

Stooping

X

3.

Light lifting, under 15 lbs.

21.

Climbing stairs

4.

Heavy carrying, 45 lbs. & over

X

22.

Climbing ladders

5.

Moderate carrying, 15-44 lbs.

X

23.

Operating mechanical equipment

6.

Light carrying, under 15 lbs.

X

24.

Operating office equipment

X

7.

Straight pulling

X

25.

Operating motor vehicle

8.

Pulling hand over hand

26.

Ability to see

X

9.

Repeated bending

X

27.

Identify colors

X

10.

Reaching above shoulder

X

28.

Depth perception needed

X

11.

Simple grasping

X

29.

Hearing (with aid)

X

12.

Dual simultaneous grasping

X

30.

Hearing (without aid)

X

13.

Walking

X

31.

Ability to write

X

14.

Standing

X

32.

Ability to count

X

15.

Sitting

X

33.

Ability to read

X

16.

Crawling

34.

Other (please specify):

17.

Twisting

X

35.

Other (please specify):

18.

Kneeling

X

36.

Other (please specify):

RELATED WORK SITE AND ENVIRONMENTAL CONDITIONS

TASK

X

TASK

X

1.

Outside

13.

Dust

2.

Inside

X

14.

Grease and oils

3.

Travel a) car

15.

Solvents

16.

Radiant/electrical energy

b) van

17.

Slippery/uneven walking surfaces

c) bus

18.

Working around machines with moving parts and moving objects

d) plane

19.

Working around moving objects or vehicles

4.

Excessive heat

20.

Working below ground

5.

Excessive cold

21.

Working on ladders or scaffolding

6.

Excessive humidity

22.

Working with hands in water

7.

Excessive dampness/chill

23.

Vibration

8.

Dry atmosphere

24.

Working closely with others

X

9.

Excessive noise/intermittent

25.

Working alone

X

10.

Constant noise

26.

Longer or irregular work hours

X

11.

Silica, asbestos, etc.

27.

Other (please specify):

12.

Fumes, smoke, gases

28.

Other (please specify):

Minimum educational requirements:

Graduate of a state approved nursing program. Licensed to practice as a Registered Nurse in the state of Iowa. Successful completion of BCLS within 3 months of employment and ACLS, TNCC, PALS and ENPC within the first year of employment.

Work environment:

Works in well-lighted, air-conditioned nursing unit. Noise levels vary. May come in contact with hazardous chemicals or treatment modalities.

General Subjects of Concern:

1. Maintains a courteous and professional manner in dealing with patients, visitors, physicians and co-workers, as applicable.
2. Shows a positive attitude toward work schedules, department and hospital changes, assignments and other personnel.
3. Presents professional appearance in dress and grooming, complies with departmental dress requirements and wears hospital identification badge.
4. Conforms to hospital policy regarding use of sick time, personal days, notification of absence or tardiness.
5. Is cost effective in utilization of time, equipment and supplies.
6. Willingly cooperates with co-workers and other departments.

I have read, understand and have had these primary job responsibilities and job requirements reviewed with me. I confirm that I am able to perform these responsibilities and meet these requirements

1. without accommodations under ADA

1. with the following accommodations under ADA: ___________________________________

___________________________________________________________________________________ ___________________________________________________________________________________

Employee/Applicant __________________________________ Date _____________________

Acknowledged _______________________________________ Date _____________________