Registered Nurse, ER- Day Shift ($10k Bonus) - Belle Glade, FL - ED - Emergency Department
Company: Lakeside Medical Center
Location: Belle Glade
Posted on: August 6, 2022
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Job Description:
Registered Nurse, ER- Day Shift ($10k Bonus) - Belle Glade,
FL
Overview
This position provides safe and effective nursing care and
treatment to patients in the Emergency Services Department.--
Employees are part of a managed care team and works collaboratively
with ancillary personnel in the provision of proper medical
services and treatment.-- This position is responsible for
assessing the patient, planning the care and evaluating the
effectiveness of nursing interventions in accordance with
established regulations, policies, nursing standards and medical
instructions.
Responsibilities
Essential Functions:Provides nursing care to meet the needs of the
patient population served as qualified; i.e., neonatal, infant,
child, adolescent, adult, and geriatric patients.Delivers age
appropriate patient care within defined hospital and emergency care
standards for assessment, care planning, interventions, and
reassessment, and delegates care appropriately to other team
members and support staff. Performs duties with a clear
understanding of the JCAHO Safety Goals and delivers care with
patient safety as a goal.-- Follows hospital policies guiding
compliance with National Patient Safety Goals.Demonstrates
understanding and commitment to hospital's mission, philosophy,
standards, policies and procedures.-- Recognizes all staff,
physicians and visitors, as well as, patients as customers and
provides courteous and respectful service.Participates in the
orientation and mentoring of new staff members recognizing
importance of bringing new staff into a friendly and supportive
work environment.Maintains competencies and participates in
required training and in-services for unit. Ensures completion of
continuing education requirements in subjects pertinent to
emergency nursing or position related information.Delegates and
supervises care appropriately to CNAs, Paramedics and Unit Clerks
with follow up and feedback procedures to ensure quality of care.--
Initiates appropriate actions as needed.Assists manager and other
staff members to maintain competence and skills for procedures
assigned and assists in validation of skills and competence of new
staff members prior to delegation of patient care.Demonstrates an
understanding of responsibility of emergency plans and is available
for patient care as needed or scheduled when hospital emergency
preparedness plans are activated.Works cooperatively with ancillary
departments in ensuring the patient's care is safe, following
protocols as applicable.Participates with team members and manager
to identify opportunities for improvement in patient care
processes.Utilizes and ensures staff uses supplies efficiently,
following infection control procedures, avoiding waste and follows
patient charging procedures.Serves as an example for team members
in cost saving practices.Ensures the placement of identifying
arm-band on patient upon patient's arrival in the Emergency
Services Department.Follows the Universal Protocol for prevention
of wrong site, wrong procedure and wrong person surgery.Provides
informed consent for procedures and aspects of care in accordance
with policies, procedures and regulatory guidelines.Utilizes
patient care equipment safely, following hospital policy and
procedure.-- Reports any identified equipment breakdown or
malfunction by hospital policy.-- Maintains cleanliness of
equipment after use.Serves as a leader for change, positively
promoting new systems and changes implemented which improves the
hospital and the service provided to its patients.Participates in
hospital community activities and helps portray a positive image of
the hospital in the community.Documents and reports any complaints
from patients, physicians and visitors to supervisor as guided by
hospital policies and procedures.-- Checks code cart and performs
monitor/defibrillator checks each shift.Verifies medication
discrepancies are not present at the end of the shift.Follows and
adheres to EMTALA guidelines in arranging for transfer of a patient
to another healthcare facility.Screens all patients for the
appropriate acuity and priority level in a timely manner.Assesses
each patient for potential abuse, suicidal or exploitation.--
Reports to proper authority any concerns of abuse, neglect, suicide
or exploitation.Evaluates emotional needs of the patients with
appropriate referrals.Explains all procedures and care plans to
patients, and as appropriate to family.-- Ensures patient and/or
family are educated for appropriate health maintenance.Performs
home medication reconciliation with the appropriate
documentation.Orders initial lab tests and x-rays by established
protocols or per physician orders.-- Ensures patients are
appropriately prepared for tests.Obtains and transcribes
physician's orders in a timely and accurate manner ensuring all
tests are ordered appropriately and efficiently.Completes
assessments and documentation of all patients.Evaluates
clinical/diagnostic reports and reports variances to the Physician
and documents same.Assess patient's care status frequently and
charts patient's vital signs and notifies physician of abnormal
ranges as well as any significant changes.Develops plan of care and
patient focused goals with the patient and family as appropriate,
ensuring patient understanding and involvement in their
care.Verifies any patient allergies prior to administration of
medications.Communicates effectively with other patient care
providers and team members for efficiencies and safety of care
through appropriate ordering procedures, preparing patients for
surgery and other procedures, communicating fall potential and
other risk identifiers.Utilizes patient restraints appropriately
following the hospital's policies and procedures.Assesses lung
sound in patients to evaluate pulmonary status by
auscultation.Observes cardiac rhythm and initiates ACLS protocol
defibrillates patients safely in accordance with regulations,
policy and accepted procedureAssesses each patients' pain and
documents utilizing the approved pain scale.-- Documents
reassessment of pain post-treatment and at time of
discharge.Reviews with the Physician all critical lab values and
documents patient's plan of care.Documents and maintains all
patient care records and related required documentation.--
Maintains records and communications with respect to patient's
privacy.Follows policies for administration of high-risk drugs,
patient identification, documentation and taking telephone orders
with read back and communication of critical values/diagnostic
results.Documents the administration of medicines including dosage,
medicine route, medicine site, and patient's response as required
in the documentation system.Arranges for patient interviews with
Surgeon and Anesthesiologist in preparation for surgery, and
remains available to answer any questions the patient may have or
arrange for more information from the Surgeon.Performs time out
procedures on all invasive procedures at the bedside as
needed.Communicates and completes documentation for effective
handoff of patients care (SBAR) for admission or transfer of
patient to another health care facility.Utilizes good communication
skills, critical thinking and checkpoints for teamwork.-- Provides
patient information timely and effectively during shift report and
with patient's hand-offs.Discharges patients including the plan of
care for follow up requirements. Completes discharge instructions
with information regarding food and drug interaction.Provides
nursing care to patients with either hard or soft splinting
devices; assesses circulation, mobility, and neurological status of
patients.-- Applies splints and bandages per physician's
orders.Performs waived testing per policy and completes associated
documentation.Follows proper aseptic techniques in all medication
preparation and administration.Utilizes needle-less system in
providing patient care as appropriate in accordance with policies,
procedures and regulatory standards.Starts IVs and delivers IV
medications to patients as needed.-- Runs and calculates IV
drips.Documents the date and time all IV tubing on initiation of IV
infusions.Completes control tests on Accu Check machine
daily.Performs bedside blood glucose monitoring per physician order
and/or hospital policy.Performs NG tube insertion and performs
gastric suction per hospital policy and procedures.Performs port
flushes, injections and blood transfusions as needed.Dresses
patient wounds as needed utilizing appropriate method of
care.Collects specimens following hospital policy and
procedure.Utilizes personal protective equipment in performing
duties where actual or potential exposure to hazardous conditions
may be present.Reports variances in care and/or medication
administration for quality improvement.Performs duties in
accordance with pathogen transmission practices; i.e., follows hand
washing procedures and utilizes protective equipment
effectively.Participates in the cleanliness of the work
environment.Follows the cleaning and disposal policies and
procedures for all hazardous waste.Participates in the hospital
Utilization Management Program by assisting with discharge
planning, reporting to case managers and keeping patient, family,
physician and other personnel informed.Delivers patient care in
accordance with established infection control standards for patient
placement, IV therapy, medication administration and the
performance of all patient procedures; demonstrating adherence to
hand washing policy.Follows guidelines for performance improvement
and demonstrates understanding of participation in the Core
Measures for Lakeside Medical Center and for documentation review
and restraint review process.Participates in department's QI
activities on a daily basis.Ensures availability of age appropriate
supplies and equipment.Completes pre-operation checklist.Witnesses
consents for surgery, anesthesia and special procedures as per
hospital policy.Transports patients to appropriate care locations
utilizing monitoring if indicated.Floats to other units as
required.Emergency duty may be required of the incumbent that
includes working in special needs or Red Cross shelters or to
perform other emergency duties including, but not limited to,
responses to threats or actual disasters, man-made or natural.
Qualifications
Education:-- Nursing degree from an accredited nursing school
required.Experience:-- One (1) year of acute care nursing
experience as an RN preferred.Certification:Current BLS
certification required, ACLS and PALS required within six (6)
months of hire date. Advanced certification such as CEN preferred
Cardiac Proficiency Certification preferred.Licensure:State of
Florida, Registered Nurse license required.--Health Care District
of Palm Beach County is proud to be an Equal Opportunity Employer
and Drug Free Workplace. We embrace diversity and do not
discriminate based on--race, religion, color, national origin,
gender (including pregnancy, childbirth, or related medical
conditions), sexual orientation, gender identity, gender
expression, age, status as a protected veteran, status as an
individual with a disability, or other applicable legally protected
characteristics.
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Keywords: Lakeside Medical Center, Miami , Registered Nurse, ER- Day Shift ($10k Bonus) - Belle Glade, FL - ED - Emergency Department, Healthcare , Belle Glade, Florida
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