Nurse (Clinical/Emergency)

Defense Health Agency (DHA) • Full-time • Honolulu, HI, US • 1w ago

Overview

Tripler Army Medical Center is seeking Clinical/Emergency Nurses to join our growing team! 

At Tripler, you will practice alongside civilian and military health care experts and experience unique professional opportunities. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care. 

Also known as the “big pink building on the hill”, Tripler is a 450 bed, Level II Trauma facility and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims.

Want to hear what it’s like to work at Tripler? Check it out: https://youtu.be/b6E1XBHlEyc

In addition to salary, employees will receive an 8.9% Cost of Living Allowance (COLA); subject to change.

Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/

Responsibilities

MAJOR DUTIES:

Serves as a Nurse Specialist in a Regional Level II Trauma Emergency Department (ED) providing the full range of professional nursing care and treatment to a wide variety of patients arriving in critical condition as a result of motor vehicle accidents, gunshot wounds, suicide attempts, cardiac arrest, respiratory distress, drug overdose, etc. Provides an advanced level of emergency nursing trauma care. Provides continuous observation and monitoring and must intervene to prevent complications to restore hemodynamic stability. Works as a Charge Nurse of main ED and in Acute Care Clinic. Provides initial and follow-up patient triage.

1. Assists the physician in the performance of Advanced Cardiac Life Support (ACLS) and other specialized procedures to include insertion of chest drainage tubes, tracheostomies, emergency thoracotomies, gastric lavage, suturing lacerations, etc. Independently recognizes life threatening situations and acts to correct these per protocols. Administers oxygen, intravenous fluids, blood transfusions and all types of medications during emergent events to include intravenous, intraosseous, subcutaneous, intramuscular, by mouth and rectal routes. Operates specialized medical equipment such as resuscitators, defibrillators, electrocardiographs, oxygen apparatus, intravenous pumps, and rapid intravenous infusers. Implements physician orders and initiates a nursing plan of care for individual patients. Assesses patient status and keeps physician informed of any change or need for additional treatment. Changes dressings, preps wounds, removes sutures, inserts urinary catheters, applies binders and bandages, applies splints, performs tracheostomy care. Collects urine, stool, sputum, and blood specimens. Prepares specimens for lab and transports as required. Obtains test results and informs physician. Arranges transfer of patients to appropriate patient care areas upon release by the physician. As ACLS provider, holds primary responsibility for critical patients during transfers within medical facility.

2. Independently instructs and demonstrates to patient/family/significant others how to provide self-care to include wound care, changing dressings, care of catheters. Instructs patient in self-medication of prescribed pharmaceutical agents. Reinforces physician instructions and encourages patient in maintenance of health and self-care. (5%)

3. As a Charge Nurse in the Emergency Department, performs a variety of administrative duties as an extension of and in support of the Clinical Head Nurse. Makes nursing care assignments to various skill levels of professional and ancillary health care personnel. Assigns staff to patient care duties based on patient condition/status, expertise and scope of practice. Monitors and oversees staff performance to ensure that work is accomplished in an acceptable and timely manner. Ensures that staff document legibly, accurately and completely within the patient record. Ensures that appropriate patient responses to medical/surgical emergencies are documented. Verifies and annotates all physician orders written during tour of duty. Advises attending physicians of significant changes in patient condition in a timely manner. Responsible for narcotic and medication accountability. Monitors and oversees staff during orientation/preceptorship periods. Responsible for all nursing operations within the Emergency Department in the absence of the Head Nurse. Makes independent triage decisions based on expert assessment and management skills for all patients seen in the Emergency Room.

4. Plans, oversees and facilitates nursing triage. Screens patient records to assess patient history and identify health related conditions and/or medications that may impact the patient health status. Screens patient laboratory data to ascertain abnormal results and notify the physician as appropriate. Ensures that authorization for procedure has been properly completed. Monitors patients or directs monitoring of patients during and after procedure. Coordinates patient referral to ancillary health care professionals -- Community Health Nurse, Social Work Services, Dietitian, Physical Therapy. Functions within the scope of practice for a professional Registered Nurse and hospital regulations and policies. Coordinates patient care activities, ensures effectiveness of nursing administrative operations. Follows quality improvement and internal control activities for the ambulatory setting to include risk appraisals, conducting chart reviews, identifying trends and reporting corrective actions. Receives, investigates and acts on patient complaints pertinent to Emergency Department matters.

Performs other duties as assigned.

Qualifications

Must be a United States Citizen

Must possess a valid Registered Nurse License that has not elapsed/expired.

Must have an Associates, Bachelors or Master’s Degree in Nursing. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained.

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