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SoutheastHEALTH Registered Nurse in Dexter, Missouri

Registered Nurse

Nursing - RN Dexter, MO Emergency Room Full-Time

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Description

Night ShiftProvide registered nursing care to the patients of the Emergency Department (ED) by performing a variety of tasks. They practice within the scope of services dictated by the Missouri Nurse Practice Act. The fundamentals of professional nursing apply throughout all role definitions. Specific functional tasks and delegations to lead and direct the environment and staff the ED are defined belowBegin

  • Welcome patients and perform sign-in entry to Emergency Department Information System (EDIS) or Electronic Medical Record (EMR) as needed.

  • Greet EMS personnel or escort patients to room

  • Complete patient documentation in EDIS or EMR

  • Collect data appropriate to patient complaint and history

  • Utilizes the nursing process in the delivery of patient care as follows:

  • Assess patients needing immediate attention or intervention and bring to attention of the Emergency Department Physician and/or Emergency Department Advanced Practice Registered Nurse

  • Implement appropriate nursing standards of care

  • After consultation with Emergency Department Physician and/or Emergency Department APRN, initiate appropriate pre-approved protocols

  • Evaluate patient status and responses to interventions and care to include, but not limited to:

  • Documentation of assessment/reassessment of patient per policy

  • Documentation of hourly rounding per policy

  • Documentation of vital signs per policy

  • Documentation of numerical pain score per policy

  • Plan patient disposition:

  • Discharge

  • Complete medication reconciliation

  • Facilitate patient education activities

  • Provide follow-up instructions

  • Admission/Transfer

  • Provide appropriate staff for transfer

  • Complete necessary admission/transfer paperwork

  • Exchange professional report for receiving unit/staff member

  • Perform patient status updates in EDIS or EMR

  • Advise physician and charge nurse of changes in patient’s condition or vital signs

  • Perform hourly rounding per policy to provide appropriate information for patients, family members, and significant others

  • Assist patient to prepare for exam by

  • Providing for patient comfort and privacy

  • Providing gown

  • Document and secure patient clothing, medications, and valuables per policy

  • Maintain a clean and safe work environment

  • Be familiar with procedures, equipment, specialty trays and setups including but not limited to the following:

  • Bag-valve-mask device

  • IV therapy

  • Suction

  • C-spine immobilization and log-rolling

  • Cardiac monitor

  • Defibrillator/pacer

  • Rapid Infuser

  • Warming devices

  • Central lines

  • Chest tube

  • Report to the charge nurse and obtain direction for the appropriate course of action to be taken to include, but not limited to the following:

  • Child abuse/neglect

  • Domestic violence

  • Elder abuse/neglect

  • Animal bites

  • Gunshot wounds

  • Highly communicable/infectious diseases

Demonstrates Professional Standards of Emergency Nursing Practice as follows:

  • Evaluates the quality and effectiveness of care

  • Participates in chart reviews/audits

  • Participates in process/procedural reviews

  • Provides and accepts constructive feedback

  • Demonstrates activities and behaviors that characterize professional status

  • Engage in peer evaluation of work performance

  • Participate in routine department meetings

  • Active participation in unit based work groups

  • Use critical thinking skills to recognize patient changes and updates appropriate physician or staff

  • If standard of care is not followed appropriately documents and reports to charge nurse and physician on duty

  • Good communication skills with family, patients, co-workers and visitors

  • Conducts self with courteous and professional behavior

  • Assist in assuring appropriate patient flow through the emergency department

  • Listens effectively and provides appropriate information to members of the department and other hospital personnel

  • Keeps current on policy changes

  • Follows department and hospital policies to include ED nursing standards

  • Is flexible and willing to accept new ideas and challenges

  • Performs other duties as assigned

Become

  • Bachelor's Degree in Nursing preferred from an accredited program

  • ACLS, PALS, or ENPC are required as soon as available

  • TNCC certification preferred

  • NRP or equivalent desired

  • Professional certification preferred

  • Licensed as a registered professional nurse in the State of Missouri

  • Currently certified in BLS

  • Must be able to read, write and speak English

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