Registered Nurse Tier 1 (Union) ER

The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students.Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skillsThe performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses.Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehensionThe administration of medication, intravenous therapy and treatment as prescribed by a LIPSupervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care.Mentors and precepts students and orient new staff as assignedReports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent informationParticipates on various teams, committees or performance improvement initiativesEnsures a safe and secure environment for patients, coworkers and selfParticipates in Discharge Planning and Transition of Care (able to define pt needs)Serves as a patient advocate and escalates patient related concerns timelyTimely documents pertinent findings in medical recordAssist patients in performing activities of daily living and functions as an active team memberAssumes responsibility for personnel professional developmentUtilizes effective communication skills and active listening, exhibits compassionate and empathetic attitudePractices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted)Functions as a positive influence, role model and adheres to professional code of conductRespects dignity and confidentiality of all matters relating to patientsRefer to Special Addendum and Staff Nurse Position DescriptionPerforms other job duties as assigned.Training for all personnel assigned to the Emergency Room shall consist of the following:1.State and federal regulations related to emergency services.2.Nursing management of trauma.3.Nursing management of cardiac related disorders.4.Performance of EKG procedures, EKG interpretation, and appropriate nursing intervention.5.Pharmacological intervention (IV therapy).6.Patient assessment (triage).7.Nursing management of pediatric emergencies.8.Medicolegal aspects, particularly related to proper documentation.9.Nursing management of obstetrical emergencies.10.Patient/family emotional response.11.Cardiopulmonary resuscitation and airway management.Associate's Degree Graduation from an accredited school of nursing. RequiredBachelor's Degree PreferredUp to 1 year Preferred Minimum of one (1) year acute care nursing experience (1) year of experience should be relevant to specific department in which they will be working. Refer to addendums for additional requirements. Experience with Electronic Health Record Preferred. PreferredExcellent interpersonal skills and ability to work with providers at all levels essential.Able to communicate clearly in writing and verbally and effectively influence others to achieve necessary outcomes.Demonstrated ability to follow direction and facilitate a working environment conducive to change, enabling positive outcomes in a highly complex system.Exhibit Critical Thinking SkillsMust possess basic computer skills.Ability to pass Medication Exam.Completion of hospital approved training program and documented competence in emergency care procedures as determined by the Director of Nursing Services.Moderate SedationCompletion of Stroke ModulesRestraintsThe nurse shall be adequately oriented to the unit policies, procedures, and equipment. Orientation shall include safety procedures, infection control practices and performance improvement monitoring.Registered Nurse in State RequiredBLS RequiredDe-Escalation Training within 6 months of hire RequiredACLS RequiredTrauma Nurse Core Curriculum Certification RequiredPediatric Advanced Life Support Certification RequiredNIH Stroke Certification RequiredAdvanced Dysrhythmia/EKG RequiredRural Trauma Team Development Course PreferredEmergency Nurse Pediatric Course Preferred

Created: 2025-11-15