Registered Nurse I - ED, committed per diem

Greenwich, CT
Nov 2, 2018

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Job Description

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
EEO/AA/Disability/Veteran
Summary:
The Registered Nurse practices within the Patient and Family Centered Care Model will assess, plan, implement and evaluate care for patients, coordinate ancillary staff and collaborate with interdisciplinary health care team.
The\nEmergency Department at Greenwich Hospital is committed to providing\nhigh-quality patient-centered care to our surrounding communities. Servicing\nportions of Connecticut and lower Westchester County, Greenwich is a preferred\nhealthcare organization because of its high level of dedication in upholding a\nculture of safety. Our Emergency Department team is a group of highly qualified\nand skillful individuals consisting of RN\u2019s, nursing technicians, physician\nassistants, and board certified physicians who are committed to maximizing the\npatient experience. We evaluate and treat over 42,000 patients a year and have\ndedicated areas of the department to facilitate patient flow and throughput.\nOur Behavioral Health Unit, located inside the Emergency Department, is staffed\nwith trained nurse clinicians and nursing resource assistants that are experts\nin patient de-escalation techniques. Patients with chest pain are expedited\nthrough our Clinical Decision Unit to ensure the appropriate cardiac\nevaluation, testing, and treatment. Greenwich Hospital is embarking on an\nexciting journey with our state of the art Emergency Department Renovation\nproject, and we are looking for dynamic individuals to join our team committed\nto nursing excellence.
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\nIn our Emergency Department, you will hear the strong voice of nursing. The\nvalue of teamwork goes above and beyond bedside tasks that the staff diligently\nand effortlessly perform. We thrive under pressure and rely on the diverse\nlevel of knowledge and expertise that our colleagues bring forward to enhance\nour clinical practice

Responsibilities:
  • 1. Nursing Practice/Nursing Process
  • 1.1 Delivers and coordinates safe, competent, and effective patient focused care demonstrating knowledge and clinical proficiency within their practicing specialty area.
  • 1.2 Performs individualized, age specific, population specific and culturally sensitive patient focused care through the use of the nursing process.
  • 1.3 Communicates patient''s condition and the initial and revised plan of care with nurses and other members of the multidisciplinary team using SBAR techniques and bedside shift reporting assuring continuity of care.
  • 1.4 Develops plan of care upon admission and reviews/updates daily based on multidisciplinary findings and physician orders.
  • 1.5 Manages decision making situations by recognizing the acuity and complexity of patient condition and their environment.
  • 1.6 Evaluates and directs care during hospitalization, and assists in designing a comprehensive discharge plan for patients with the multidisciplinary team.
  • 1.7 Documents nursing care in the electronic medical record according to professional standards of documentation and Greenwich Hospital policy.
  • 1.8 Respects and preserves patient/designated surrogate rights based on a code of ethics or ethical framework (e.g., safe, compassionate, competent care; informed decision making regarding daily/end-of-life care; dignity; privacy, confidentiality; and accountability).
  • 1.9 Identifies needs of patient/family for support systems/resources and make appropriate referrals.
  • 1.10 Demonstrates responsibility and accountability for ensuring best practices and delivery of nursing care according to ANA standards.
  • 1.11 Administer medications, calculate doses when appropriate and maintain current knowledge of medications and IV therapy.
  • 1.12 Assess and reassess pain, intervening with appropriate pain management therapies.
  • 1.13 Initiate and maintain oxygen therapy per physician orders, non-invasive blood pressure and oximetry.
  • 1.14 Provides patient and family education specific to their needs and appropriate to the care, treatment, and services provided.
  • 1.15 Assess and reassess patient''s risk for falls, initiating approprate fall prevention monitoring.
  • 1.16 Performs staging of wounds and treatments for patients with acute and chronic wounds.
  • 1.17 Completes annual skills competency validation.
  • 1.18 Completes mandatory hospital education and training.
  • 2. Professional Integration
  • 2.1 Serves as a positive professional role model demonstrating accountability and responsibility through professional behavior.
  • 2.2 Demonstrates respect of others beliefs and values in a diverse workplace.
  • 2.3 Acknowledges each individual''s dignity and value to the unit/organization.
  • 2.4 Demonstrates commitment to offering nursing services of superior quality and value.
  • 2.5 Continues to update knowledge on current national trends and evidenced-based practice.
  • 2.6 Effectively and efficiently allocate resources, including cost management activities.
  • 2.7 Understands the role of nursing within Greenwich Hospital
  • 2.8 Provides mentoring of new staff member to promote effective team relationships.
  • 2.9 Projects a professional demeanor.
  • 2.10 Maintains 8 hours of continuing education each year (not including mandatory education).
  • 2.11 Maintains a consistent record of punctuality.
  • 2.12 Maintains an acceptable record of attendance for a professional nurse.
  • 3. Leadership
  • 3.1 Uses effective communication, time management and prioritization skills.
  • 3.2 Accountable for decision making related to patient and staff safety.
  • 3.3 Acts as a charge nurse in the absence of nurse manager/clinical coordinator.
  • 3.4 Delegates work assignments to nursing staff and allied healthcare workers appropriately.
  • 3.5 Provides feedback to nursing staff and allied healthcare workers when appropriate.
  • 3.6 Uses problem-solving skills within the work environment.
  • 3.7 Supports nurse manager''s leadership and management style.
  • 4. Communication/Collaboration
  • 4.1 Demonstrates a commitment to honor and respect the dignity of each person within their department/unit
  • 4.2 Uses effective communication skills when working with others to create an atmosphere of collaboration.
  • 4.3 Promotes teamwork and cooperation through open communication skills and problem-solving techniques.
  • 4.4 Expresses self clearly, courteously, concisely and intelligently.
  • 4.5 Accepts suggestions and feedback from others.
  • 4.6 Seeks opportunities for continuous professional development.
  • 4.7 Attends 75% of staff/department meetings per year.
  • 4.8 Remains informed about Staff/department communication and events through meeting minutes and posted communications.
  • 5. Quality/Performance Management
  • 5.1 Contributes to department effectiveness by offering suggestions and ideas that improve performance.
  • 5.2 Collaborates with co-workers to improve department efficiency.
  • 5.3 Uses creativity and originality to create an environment of service excellence.
  • 5.4 Recognized as a model of excellence as described in the Seven Standards of Exceptional Service.
  • 6. Support of Unit Goals
  • 6.1 Dedicates work time in the areas of leadership, education, nursing practice or performance management to support advancement of unit goals in agreement with the Nurse Manger.
    Other information:

    EDUCATION:

    Graduate from an accredited school\nof nursing; BSN strongly recommended.

    EXPERIENCE:

    1-3 years experience and ED RN experience preferred.

    LICENSURE:

    RN in State of Connecticut or Permit; Basic Life Support (BLS)

    SPECIAL_SKILLS:

    ACCOUNTABILITY:

    Participates in the coordination of patient care services.
    Demonstrates ability to plan, organize and evaluate using good judgement. Is dependable and accountable.
    COMPLEXITY:

    Approachable, objective, collaborative relationships with all levels of staff and clients.
    PHYSICAL_DEMAND:

    May be exposure to infectious diseases. Will be exposed to physical, mental and emotional illness as well as end of life conditions and death. Moderate stress and risk of injury from patient care.
    Standing/walking for more than half of the day. Frequently bending, reaching, pushing, pulling, twisting and lifting. Must be able to assist pushing/pulling/lifting patients ranging from five (5) to three hundred (300) pounds.

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    Job Info

    Job: 2843

    Department: Emergency Department
    Category: Nursing-staff
    Sub Category: EMERGENCY DEPARTMENT
    Status: Committedper Diem
    Shift: AS NEEDED
    Hours: 12.00