Registered Nurse
Emergency Department
0.60 FTE, 48 Hours a Pay Period
Nights, Hours between 7 pm - 7 am
Weekends: Every Third Weekend
Holidays: Every Third Holiday
Position Overview:
The Registered Nurse (RN) is a health care professional who is skilled in all aspects of the nursing process. They are adaptable to the myriad of needs of the individual and family during health and illness. The RN in the Emergency Department (ED) is responsible and accountable for the delivery of individualized nursing care for patients in the ED. The RN has an advanced understanding of the Nursing Practice Process including assessment, planning, implementation and evaluation of the ED patient, which they use while providing for the physical, psychological, social, spiritual, and educational needs of the patient and family. They modify the plan of care based on the needs of the patient, they consult with the medical staff about changes in the patient’s condition, and they accurately document all pertinent data in the Electronic Medical Record (EMR) and on the ED face sheet.
Essential Duties & Responsibilities:
- Keeps updated on current ED nursing practice, medications, and legal issues related to patient-based services.
- Provides safe and effective care to a myriad of acutely ill and/or injured patients:
- Is familiar with and able to use the emergency equipment in the department.
- Is knowledgeable of changing acuity levels. Is able to recognize signs of a patient in crisis and initiates necessary emergency action and sees through resolution.
- Is able to recognize the difference between normal/abnormal EKG’s.
- Acts as a triage nurse by assessing patients and categorizing their needs and reassessing them until they have been cared for (in the treatment rooms or the waiting room). The assigned triage role is typically introduced at 1 year following completion of RN orientation and assigned Emergency Medical Treatment and Active Labor Act (EMTALA) training. This may be introduced earlier or later if deemed appropriate. Clinical knowledge and customer service excellence is essential. Includes the patient, family, and/or significant other in the plan of care and provides basic timelines/expectations to help the patient understand what is to be expected as the ED visit progresses to completion. Uses good judgment in determining nursing actions that are in the best interest of the patient and makes decisions based upon scientific knowledge, nursing experience, and patient information.
- Communicates effectively with patients, families, medical staff, co-workers, and staff from other departments.
- When acting as the charge nurse, the RN is responsible for the unit management for the shift. The charge nurse is responsible for the following:
- Acts as a resource to staff and works with the ED Leader for problem solving and improvement efforts in the unit.
- Facilitates the assignments and delivery of nursing care as needed.
- Assesses adequate staffing and determines the need to call in additional staff for high demand and will send staff home/place a RN on call when appropriate. The Charge RN will assure all absent time is tracked on the ED A1/low census log.
- Assigns staff members a specific function during emergency situations.
- Keeps department leadership informed in a timely manner regarding occurrences/incidents on shift. Uses critical thinking skills, policy, and procedures for decision making.
- Uses standard work protocols as a guide and holds colleagues accountable to the standard work.
- The Charge Nurse position is typically introduced 1 year following completion of orientation. This role may be introduced earlier or later as deemed appropriate.
- Follows recommended infection control procedures when caring for patients.
- Is constantly vigilant to the safety needs of patients and taking necessary precautions as warranted.
- Reports malfunctioning equipment promptly and removes from the patient care area to maintain a safe environment.
- Conforms to the Nurse Practice Act. Must complete FEMA emergency preparedness training IS-100 and IS-200 training within 6 months of hire. EMTALA training is required upon hire and annually thereafter.
Supervisory Responsibilities:
No direct reports
Skills and Experience:
Required:
- Associates or Bachelor’s Degree in Nursing
- BLS Certification
- ACLS
- RN License - MN
- Certification in ENPC or PALS, TNCC, and Non-Violent Crisis Intervention are required within the first year of employment.
- ACLS-EP is acceptable for the experienced ACLS provider (6 years or more of ACLS Certification)
- All required certifications must remain current once initially obtained
- Basic Computer Skills: Word, Excel, Outlook, Patient Information Database (Cerner)
Preferred:
- One year of Emergency Department, Critical Care, or Acute Nursing Care is preferred
Internal Applicant Policy:
It is the policy of Winona Health to work with employees in an equitable fashion regarding promotions, transfers, and position reclassifications.
Any employee wishing to apply for another available position at Winona Health must submit an application for consideration through the internal application portal. Employees requesting to change positions should have successfully completed at least six (6) months in their current position. Employees currently in the formal disciplinary process may be required to meet with the Director of Human Resources to determine eligibility to request transfer. The employee’s past performance, experience, training and qualifications will be considered in transfer/hiring decisions. Consideration for transfer or promotion is not a guarantee of transfer or promotion. Employees may be given a chance to interview for a position when they meet the minimum position qualifications.
Disclaimer:
Winona Health is an equal opportunity employer. Winona Health does not refuse to hire, discharge, or discriminate against a person with respect to tenure, compensation, terms, upgrading, conditions, facilities, or privileges of employment because of race, color, creed, religion, sex, age, national origin, marital status, genetic information, status with regard to public assistance, membership in a local discrimination commission, sexual orientation, disability, veteran status, or any other prohibited basis of discrimination under applicable local, state, or federal law. Winona Health does not tolerate retaliation against any employee, patient/resident, physician, or other individuals pursuing concerns regarding Civil Rights issues. Winona Health adheres to ALL pertinent governmental policies and legislation including the Civil Rights Act of 1964, Title VII, as amended, and the Minnesota Human Rights Act.
