ER Nurse

Path/Unit: Emergent Care/Wells Urgent Care
Title: Staff Nurse
Directly reports to: Resource Nurse
Path Leader: Emergent Care Path Leader

I. General Summary

The Emergent Care/Wells Urgent Care Staff Nurse is a professional Registered Nurse who is accountable for the delivery of patient care. This includes assessing, coordinating and participating in total care and teaching for a specific patient population. Care is delivered in collaboration with the patient and family members, physicians, peers and other members of the health care team. The staff nurse sets the example for maintaining standards for the professional nursing practice in the clinical setting.

II. Principle Responsibilities and Duties

Staff RNs in Emergent Care/WUC treat patients of all age groups and are knowledgeable about developmental needs over the age span, and, where appropriate, incorporate findings into individualized care planning and are knowledgeable about age related equipment.

Staff RNs in Emergent Care/WUC maintain the standards of patient care/protocols and implement the Policies and Procedures of York Hospital and within the scope of the Maine Nurse Practice Act, ANA Code of Ethics, ENA Standard of Care and York Hospital Scope of Practice.

Staff RNs in Emergent Care/WUC understand the function in the collaborative practice model. They:

a) Communicate effectively with physicians, members of the interdisciplinary health care team, patients and families to assess, develop and carry out the comprehensive health plan.
b) Work with physicians to develop and carry out the medical plan of care.
c) Assist peers in the delivery of patient care and act as resources when professional nursing skills and judgment are needed.

Staff RNs in Emergent Care/WUC provide comprehensive patient care:

a) By assessing the patient's condition and related health care needs.
b) By assessing, initiating and/or assisting with emergency measures for apparent or sudden averse developments in the patient's condition.
c) By developing a teaching plan for the patient and appropriate family members, and by reviewing the LOGICARE discharge instructions with the same.
d) By administering medications and treatments in a timely manner and according to the plan.
e) By updating physician(s)/other nurses about changes in the patient's condition.
f) By using time and resources in an efficient way.
g) By promoting and utilizing good practices in infection control.
h) By acting as a patient and family advocate.

Staff RNs in Emergent Care/WUC participate actively for improvement of nursing practice and professional development by:

a) Attending and participating in staff meetings/committees or other ER/WUC based activities.
b) Establishing and pursuing individual professional goals.
c) Participating in the professional development of peers, i.e. orientation of new staff.
d) Acting as a professional role model in all aspects of performance.
e) Supporting and upholding the highest level of intra-staff communication and support so that there is not an atmosphere of intra-staff break down, dissolution or shift/differences.
f) Participating in all aspects of quality care and the evaluation of care through chart audits, peer reviews, staff surveys, patient call-backs and other related performance improvement projects.

Required knowledge, skills and abilities:

Graduate of an accredited school of nursing
Demonstrated IV competency
Emergent Care/WUC Path Orientation
York Hospital Orientation
Current Maine license
Annual Safety Review
Competency Completions in time frame given

Recommended knowledge, skills and abilities:

Certification in Emergency Nursing (CEN)
Trauma Nursing Core Curriculum
Emergency Nursing in Pediatrics or,
Pediatric Advance Life Support
Neonatal Resuscitation
Annual independent educational updates

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