Emergency Department RN – Per Diem* (on call/as needed)

Emergency Department – RN – Per Diem*

*IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis.

POSITION SUMMARY:

Provides professional nursing care to patients utilizing established policies and procedures ensuring safe and effective care; provides age-appropriate care from infant through the geriatric patient; assesses, plans, implements and evaluates care in collaboration with the multidisciplinary care team; demonstrates the knowledge and skills necessary to identify and meet the individual needs of all patients served.

POSITION REQUIREMENTS:

• Minimum of an Associate’s Degree in Nursing Required, BSN Preferred.
• Current Nevada RN license.
• BLS, ACLS, PALS, required.
• STABLE recommended.
• 2-3 years previous Emergency Department experience required for overnight shift.
• Professional customer service skills.
• Ability to read and communicate in English, bilingual abilities preferred.
• Engaging communication skill with ability to comfortably interact with patients and collaborate with multidisciplinary care team.
• Demonstrate the skills and judgement necessary to implement medical plan of care for the patient.
• Assess and diagnose patient and family needs in order to provide quality care.
• Execute duties and responsibilities required to ensure the unique nature of the patient’s needs are addressed and provided for.
• Night Shift position, additional shift differential pay.

POSITION ESSENTIAL FUNCTIONS:

Patient Care

• Assesses and diagnoses patient and family needs in order to provide quality care to all patients.
• Provides patient care, evaluates outcomes, consults with others as needed and adjusts care plans as needed to ensure optimal care.
• Performs system assessments as designated and at appropriate intervals on all assigned patients, recognizing disturbed physiology and abnormal parameters.
• Identifies discharge planning needs of patient/family/significant other on admission.

Communication

• Develops, discusses, and communicates a realistic problem list (plan of care) for each patient, in collaboration with each patient/family/significant other in order to address all identified needs.
• Develops patient/family/significant other teaching and discharge plan as per unit standard.

Judgment

• Demonstrates the skills and judgment necessary to implement medical plan of care, nursing interventions, and procedures as necessary for the care of the patient.
• Demonstrates knowledge of hospital policies and procedures for administering, transcribing and recording medications.
• Demonstrates knowledge of commonly used meds: action1 dose, and side effects.
• Observes 10 rights of medication administration: right med1 right dose, right time, right route, right patient, right education, right documentation, right to refuse, right assessment, right evaluation.
• Demonstrates proper procedures in all methods of medication administration.
• Administers blood and blood products following hospital policy and procedures.
• Initiates and maintains IV access according to hospital policy and procedures.
• Assesses and documents IV site per unit standard.

Quality of Care

• Evaluates, identified problems, care provided and patient's responses are assessed in order to meet patient and family needs to ensure overall quality of care delivered.
• Assesses the patient learning needs, abilities, preferences, and readiness to learn.
• Assesses the patient/significant other's response to teaching plan in order to evaluate the effectiveness of the plan.
• Based on assessment, plan of care will remain the same or be modified to meet the patient/significant other's identified needs.

Scope of Service

• Performs all responsibilities/duties required by unit as defined in the scope of service, to ensure that the unique nature of the client is addressed. This includes, but is not limited to the age of the client served.
• Assesses, evaluates, and carries out nursing interventions and teaching for Emergency Department patients.
• Demonstrates skill and knowledge in nursing management of emergency situations.
• Demonstrates knowledge and skill in use of special equipment such as IV pump, Hotline, VS monitor, Cardiac monitor.
• Demonstrates knowledge of setting up and maintaining sterile field for n1inor OR procedures such as insertion of central lines, chest tubes, etc
• Demonstrates knowledge of current policies and procedures pertaining to vaccination of patients and the documentation of teaching done.
• Demonstrates knowledge and skill in specific areas of clinical experience, as applicable.

Documentation

• Maintains up-to-date and accurate documentation of nursing care provided to ensure the integration of information for use by the healthcare team to ensure quality care.
• Nursing assessment is complete and accurate within the emergency departn1ent unit standard.
• Nursing documentation is reflected in the integrated progress notes with an entry made per unit standard and when reassessment of the patient requires.
• Monitors and ensures accuracy of documentation in the patient EMR.
• Medication administration record must include title of nurse administering med, time given, reason for omission, site for injection (if applicable) and waste witnessed.
• Discharge plan accurately reflects patient and/or significant other's ability to manage care after discharge. Referrals are made based on identified needs.
• COBRA forms are complete and accurate.
• Demonstrates proper documentation of narcotics.
• All Physicians orders are acknowledged within EMR.

CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE

"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021 & 2022!

WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!