Registered Nurse Emergency Room FT Nights

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Company: Northern Dutchess Hospital

Location: Rhinebeck, NY 12572

Description:

Description

Position at Northern Dutchess Hospital

Summary:

The Registered Nurse provides direct patient care that is guided by the American Nurses Association (ANA) scope of practice. A Registered Nurse collaborates with patients, family/significant others, peers, physicians, and other members of the interdisciplinary healthcare team in the delivery of healthcare services to patients. The Registered Nurse assesses the patient's needs, care plans, implements, and evaluates the medical and nursing regimens in accordance with the hospital and nursing philosophy, policies/procedures, and standards. They demonstrate leadership skills and commitment to professional accountability and growth.

Responsibilities:

1. Completes patient assessment and reassessment as clinically indicated:

a. Documents detailed information incorporating the plan of care, interventions and outcomes reflecting the patient's physical, mental, and emotional status.

b. Ensures appropriate documentation based on the level of care the patient is receiving to include transfer/discharge documentation as indicated.
  • Follows the five Rights of Medication Administration. Verbalize to patients/family/significant other the medication they are receiving. Assesses the patient prior to administering medications noting allergies, parameters, potential side effects, effectiveness and intervening as needed. Reassesses and documents response according to hospital policy.
  • Coordinates and supervises the delivery of nursing care, including the delegation of tasks:
  • Maintains accountability for care delegated.
  • Actively works to promote a culture of safety:
  • Assesses patients for potential safety risks.
  • Adheres to hospital policies and procedures regarding patient safety. Initiate's interventions related to the risk factors identified.
  • Conducts bedside shift report and bedside rounds with peer on assigned patients at change of shift.
  • Demonstrate quality by documenting the application of the nursing process in a responsible, accountable, and ethical manner.
  • Ensures patient hand-off as appropriate when leaving for breaks.
  • Assesses learning needs of patient/family/significant other. Plans and provides appropriate instruction using applicable teaching methods. Assesses and documents patient/family/significant other response to teaching.
  • Cares for specific patient populations, despite location, as necessary.


  • Deliver Patient Centered Care:
  • Embrace the cultural diversity and difference of patients and team members.
  • Respect the dignity of all individuals through the maintenance of the caring relationship.
  • Maintains open lines of communication inclusive of actively listening.
  • Meets accreditation, regulatory, and compliance responsibilities related to the position.
  • Works to promote a culture of learning and growth:
  • Seek experiences and formal and independent learning activities to maintain and develop clinical and professional skills and knowledge.
  • Teach others to succeed through mentorship.
  • Performs other duties as assigned within the state nursing scope of practice.

  • Education: ASSOCIATE'S LVL DGRE

    Other Information:

    ' Current and unobstructed New York State Registered Nurse (NY Hospitals)

    ' Current and unobstructed Connecticut Registered Nurse License (CT Hospitals)

    ' New graduates awaiting licensure at the discretion of the Chief Nursing Officer (CT only)

    ' American Nurses Association endorsed Certifications or Academy of Medical-Surgical Nurses Certification Preferred (*Based on Certification specialty hours of work requirement).

    o Association Training - please review grid below.

    Training

    Unit

    Required / Preferred

    BLS

    All Nursing Care Areas

    Required upon hire

    ACLS

    ED, ICU, CCU, SDU PCU, PACU, Cath Lab, GI, LDRP, IR, Float Pool- specific to individuals' competency and location floated

    Cardiology focused units

    Required by end of orientation period

    PALS

    ED, PACU, Pediatric Areas

    (Either PALS or ENPC)

    Required by end of orientation period

    NRP

    MCH, NICU, LDRP, DR

    Required by end of orientation period

    EFM

    LDRP

    Within 1 year of hire

    TNCC

    ED (Required Danbury, Norwalk),

    ICU (Preferred, but may have TCAR)

    PACU (DH ' Preferred)

    Within 1 year of hire

    ENPC

    ED RN

    (Either PALS or ENPC)

    Within 1 year of hire

    TCAR

    ICU (VBMC- Preferred)

    ICU/PACU (NH)

    Within 1 year of hire

    CPI or other de-escalation technique training

    Behavioral Health, ED (All hospitals)

    Float Pool Putnam

    6W, Float Pool (Norwalk)

    ICU, PCU, 9 tower (DH)

    Within 6 months of hire

    S.T.A.B.L.E

    OB (NDH Only)

    Within 6 months of hire

    Chemotherapy Certification

    Inpatient Oncology

    Within 1 year of hire

    ED: Emergency Department

    NICU: Neonatal Intensive Care Unit

    ICU: Intensive Care Unit

    MCH: Maternal Child Health Unit

    CCU: Critical Care Unit

    LDRP: Labor Delivery Recovery Unit

    OR: Operating Room

    DR: Delivery Room

    PCsecU: Progressive Care Unit

    M/S: Medical Surgical Unit

    SDU ' Step Down Unit

    CPI: Crisis Prevention Intervention

    PACU: Post Anesthesia Care Unit

    IR: Interventional Radiology

    BLS

    Basic Life Support

    ACLS

    Advanced Cardiovascular Life Support

    PALS

    Pediatric Advanced Life Support

    NRP

    Neonatal Resuscitation Program

    EFM

    Electronic Fetal Monitoring

    TNCC

    Trauma Nursing Core Course

    ENPC

    Emergency Nurse Pediatric Course

    TCAR

    Transcarotid Artery Revascularization

    CPI

    Crisis Prevention Institute

    S.T.A.B.L.E

    Stabilization Care of Sick Infants

    Working Conditions:

    Manual: significant manual skills/motor coord & finger dexterity

    Occupational: Some occupational risk

    Physical Effort: Medium to Heavy effort. May exert up to 35 lbs. force

    Physical Environment: Some exposure to dirt, odors, noise, human waste, etc.

    Credentials:ACLS,ENPC,PALS,RN,TNCC

    Company: Northern Dutchess Hospital

    Org Unit: 969

    Department: Emergency Department

    Exempt: No

    Salary Range: $43.36 - $65.80 Hourly

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