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RN - ER

Cynet Health • Gardner, Massachusetts • $66.78 / hour • 5d ago

RN - ER

Profession: Nursing

Specialty: Emergency Room

Duration: 13 weeks

Shift: 7a to 7p, every other weekend, every other holiday

Hours per Shift: 36

Experience: 3-5 years of emergency department experience preferred

License: Current nursing license

Certifications: ACLS upon hire or active BLS card and must obtain AHA ACLS within 60 days of hire. AHA PALS within six (6) months of hire. TNCC, ENPC, and CEN preferred.

Must-Have: Associate's degree in nursing required; Bachelor’s degree in nursing preferred.

Description: Assesses and reassesses, plans, implements, and evaluates nursing interventions, plans of care, and patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual, providing care that fosters the patient's sense of dignity and positive self-regard. Provides patient and family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient and family for discharge, incorporating support systems and resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Prioritizes patient care, seeking assistance as needed from appropriate resources. Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions, and patient responses according to established standards. Provides timely and thorough report on assigned patients to other healthcare team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self, functioning as a preceptor, instructor, or trainer and attending professional development programs. Proactively identifies risk to patient safety and opportunities to reduce medical or healthcare errors, including the appropriate reporting of errors and incidents. Identifies ethical issues in care and develops plans to address them. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies, and procedures. Assesses patient pain levels upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, documenting assessments and patient responses to medication. Performs and documents initial assessment upon patient arrival, implementing triage protocols as needed. Identifies patients at risk for potential or alleged abuse and initiates safety plans for domestic violence, child, and elder abuse patients. Completes mandated reporting in a timely manner. Collects and documents forensic evidence per policy, maintaining the chain of evidence as required. Completes mandated reports for stabbings, gunshot wounds, burns, and sexual assaults per policy and procedure. Maintains knowledge of disaster policy and procedure. Identifies patients at risk for violent behavior and appropriately implements non-violent intervention protocols. Demonstrates knowledge of the indications for, alternatives to, monitoring, and documentation of restraint usage. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Safely administers vasoactive medications, demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Performs accurate and timely identification of cardiac arrhythmias. Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates skills associated with initiation and maintenance of the intubated patient, including suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by attending medical staff. Responsible for implementing components of relevant clinical protocols consistently and per protocol. Responsible for alerting management if there is a deviation from established clinical protocols for review and follow-up as needed. This document describes the major duties and responsibilities for this job and is not intended to be a complete list of all tasks and functions. It should be understood that employees may be asked to perform job-related duties beyond those explicitly described.

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