Emergency Department has 16 exam rooms and is equipped to care for neonates, pediatrics, adolescents, adult and geriatric patients with emergency and urgent needs.   The department is staffed with an Emergency Room physician and Registered Nurses with varying shifts to accommodate the volume of patients.  The staff receive a thorough orientation to include shadowing in other departments.  Each Registered Nurse will attend a hospital sponsored Trauma Nurse Certification Course within the first year of employment.   Although we will specialize in Bariatric Surgery and Peripheral Vascular Disease, we will offer full service medical care to our community and beyond.  The ED is located on the 1st floor of the hospital with immediate access to the Radiology Department, Cardiac Catheterization Laboratory and Operating Room.

Position Summary

This professional staff person is responsible for performing assessments, developing a plan of care and implementing and evaluating the care. The RN-Critical administers medications and treatments as ordered by physicians and in keeping with the current clinical nursing practice. Also responsible for directing, monitoring and evaluating the care delegated to non-licensed personnel. The RN-Critical leads the interdisciplinary care team for patients with primarily cardiovascular disease. In addition, the RN-Critical performs a range of technical services in a cross-functional mode to comprehensively serve patient needs. Assumes (under the direction of the Laboratory) responsibility for patient specimen testing, quality control, quality improvement and equipment maintenance.

Primary Duties

Patient Care:

• Documents findings and communicates all pertinent information to interdisciplinary team members as appropriate.
• Collaborates with interdisciplinary team members in the development, evaluation and revision of the plan of care as appropriate to meet the patient’s needs and goals.
• Provides competent direct care and ensures the provision of a safe and comforting environment resulting in a high level of patient satisfaction.
• Assists healthcare team members in the understanding of hospital policies and procedures.
• Provides education to patients/families/significant others, incorporating population-specific criteria and assessment of readiness to learn.
• Maintains patient confidentiality.
• Maintains standard precautions.
• Administers medications and completes treatments according to hospital policy and within population-specific parameters.
• Maintains all necessary documentation.
• Facilitates discharge plan in collaboration with interdisciplinary team.
• Demonstrates knowledge and ability to use necessary patient care equipment.
• Coordinates response of the interdisciplinary team to emergency situations.
• Performs Point-of-Care procedures in a timely manner according to established policy and procedure. Documents required information and complies with all Point-of-Care quality control standards.

Qualifications/Specifications

• Education: Graduate of an accredited nursing program required.
• Licensure/Certification: Registered Nurse with current state licensure or licensure from a state within the Nursing Compact required. BLS certification required within 30 days of employment and prior to providing direct patient care.  Successful completion of ACLS certification is required for any Registered Nurse by completion of clinical orientation.  PALS certification required within 90 days of employment.  Certifications will be renewed by recommended renewal date on the certification documentation.  TNCC required within one year of employment.

Position Summary

Assist clinical team members by performing a variety of duties for patients within the scope of practice of an LPN using the patient focused care system and under the direction/supervision of an RN.  Assumes, under the direction of the Laboratory, responsibility for patient specimen testing, quality

Primary Duties

Patient Care:

1. Actively participates in the admission process including, but not limited to collecting the patient history, allergies and home medication list.
2. Actively participates in the transition of care process including, but not limited to, assisting patient/family with preparations for discharge and wheelchair transportation to private or commercial vehicle.
3. Provides competent direct care and providing for a safe and comforting environment resulting in a positive patient/family experience.
4.  Maintains competency for use of clinical patient care equipment.
5. Documents and reports abnormal observations to the RN in a timely manner.
6. Assists in the maintenance of skin integrity with the use of emollients, creams, etc. Cares for superficial skin tears under the direction of the RN.
7. Maintains patient confidentiality.
8. Maintains standard precautions.
9. Carries out medical orders such as administration of medications and treatments, within hospital policy and within patient population-specific parameters.
10. Provides BLS in response to emergency situations.  Provides ACLS under the direction of the RN and provider in emergency situations.
11. Performs Point of Care procedures in a timely manner according to established policy and procedure.  Documents required information and complies with all Point of Care quality control standards.
12. Adheres to hospital policy and procedures.

Technical Activities:

1. Observes, reports and records changes that result from disease or trauma to patient’s respiratory, cardiovascular, neurologic, gastrointestinal, genitourinary, reproductive, musculoskeletal, metabolic, psychologic, integumentary, sensory, immune, hematologic, and nutritional systems.
2. Observes, reports and records the patient’s condition.
3. Monitors intravenous lines for adequacy of fluids and operations and reports any non-functioning line as observed with visual inspection.
4. Performs oral /nasal /endotracheal suctioning.
5. Establishes patient setup/connection tasks including NIBP, SaO2 and ECG.
6. Collects specimens such as urine, stool, sputum.
7. Applies warm and cold compresses.
8. Performs 12 lead EKG.
9. Monitors and performs vital signs using a variety of equipment, and reports abnormalities to RN.
10. Performs surgical preps on patients.
11. Obtains weights and basic patient information on new admissions.
12. Assists RN/MD in removal of sheath and applies manual pressure or c-clamp after hemostasis has been established.
13. Observes sheath site for signs of bleeding and notifies RN of any changes.
14. Provides clerical duties as needed.
15. Able to apply simple dressings and assist RN with more complex dressings.
16. Performs blood glucose monitoring.
17. Performs hemostasis monitoring test.
18. Performs intake and output measurements.
19. Performs calorie counts.
20. Performs ostomy care.
21. Administers medications in a safe manner.
22. Provides peripheral intravenous site care and is able to discontinue peripheral intravenous therapy.
23. Collaborates with the RN in developing, implementing, and evaluation of the outcomes of the teaching plan.

Qualifications/Specifications

• Education: Graduate of an accredited Practical Nursing program.
• Licensure/ Certification: Current state licensure as a Practical Nurse or licensure from a state within the Nursing Compact.   BLS certification required prior to providing direct patient care.  Successful completion of ACLS certification is required prior to completion of clinical orientation.

This LPN position is responsible for assisting clinical team members by performing a variety of duties for patients within the patient-focused care system and under the direction/supervision of a physician/mid-level provider, registered nurse and/or licensed practical nurse. Assumes, under the direction of such, responsibility for patient arterial and venous sheath removal, urinary catheter insertion and removal, ABIs, peripheral IV insertion and removal, routine and venous specimen collection, 12 lead EKG, safe use of bladder scanner, defibrillator, vein finder, Doppler, and EKG machine, as well as other clerical duties to assist in the smooth operation of the department.

Primary Duties:

Primary Duties

• Actively participates in the admission process including, but not limited to collecting the patient history, allergies and home medication list.
• Actively participates in the transition of care process including, but not limited to, assisting patient/family with preparations for discharge and wheelchair transportation to private or commercial vehicle.
• Provides competent direct care and providing for a safe and comforting environment resulting in a positive patient/family experience.
•  Maintains competency for use of clinical patient care equipment.
• Documents and reports abnormal observations to the RN in a timely manner.
• Assists in the maintenance of skin integrity with the use of emollients, creams, etc. Cares for superficial skin tears under the direction of the RN.
• Maintains patient confidentiality.
• Maintains standard precautions.
• Carries out medical orders such as administration of medications and treatments, within hospital policy and within patient population-specific parameters.
• Provides BLS in response to emergency situations.  Provides ACLS under the direction of the RN and provider in emergency situations.
• Performs Point of Care procedures in a timely manner according to established policy and procedure.  Documents required information and complies with all Point of Care quality control standards.
• Adheres to hospital policy and procedures.

Qualifications/Specifications:

• Education: High school diploma or G.E.D. required.  Graduate of an accredited school of Licensed Practical Nursing.
• Licensure/Certification: Licensed Practical Nurse or MA certification. BLS certification required within the first 30 days of employment. Basic EKG skills required within 6 months of employment. Certification is to be renewed by recommended renewal date on certification card.
• Experience:   With MA diploma, MA certification or LPN, none required. Without MA diploma, MA certification or LPN degree, minimum of six (6) months continuous and recent patient care experience required, preferably in an acute care setting. Knowledge of EMR and ability to navigate EMR preferred.

Position Summary:

This professional staff person is responsible for performing assessments, developing a plan of care and implementing and evaluating the care. The RN administers medications and treatments as ordered by physicians and in keeping with the current clinical nursing practice. Also responsible for directing, monitoring and evaluating the care delegated to non-licensed personnel. The RN leads the interdisciplinary care team for patients with primarily general acute/critical disease processes. In addition, the RN performs a range of technical services in a cross-functional mode to comprehensively serve patient needs. Assumes (under the direction of the Laboratory) responsibility for patient specimen testing, quality control, quality improvement and equipment maintenance.

Intensive care unit-Located on the 2nd floor is a 9 bed ICU with hardwire monitored rooms for those patients that are unstable requiring a higher nurse to patient ratio. These patients include, but not limited to, Mechanical ventilation, invasive monitoring, post-resuscitation requiring frequent vital sign monitoring, trauma requiring frequent vital signs or neuro checks, medical or surgical patients requiring close observation, and/or acute hemodialysis.  The 12-hour shifts will be on a track schedule rotating through required weekends.

Primary Duties:

• Completes admission assessment and periodic reassessments according to patient’s progress and/or unit routines and patient population-specific parameters.
• Documents findings and communicates all pertinent information to interdisciplinary team members as appropriate.
• Collaborates with interdisciplinary team members in the development, evaluation and revision of the plan of care as appropriate to meet the patient’s needs and goals.
• Provides competent direct care and ensures the provision of a safe and comforting environment resulting in a high level of patient satisfaction.
• Assists healthcare team members in the understanding of hospital policies and procedures.
• Provides education to patients/families/significant others, incorporating patient population-specific criteria and assessment of readiness to learn.
• Maintains patient confidentiality.
• Maintains standard precautions.
• Administers medications and completes treatments according to provider orders, hospital policy and within patient population-specific parameters.
• Maintains all necessary documentation.
• Facilitates transition of care plan in collaboration with interdisciplinary team.
• Demonstrates knowledge and ability to use necessary patient care equipment.
• Coordinates response of the interdisciplinary team to emergency situations.
• Performs Point-of-Care procedures in a timely manner according to established policy and procedure. Documents required information and complies with all Point-of-Care quality control standards.
• Ability to formulate an individualized plan of care and revise plan according to the patient’s response to treatment. Evaluates plan regularly for effectiveness.
• Communicates appropriately and clearly to Resource Nurse, CCO and Physician.
• Demonstrates knowledge of cardiac monitoring; identifies dysrhythmias and treats appropriately based on orders and ACLS protocol.
• Able to perform a head-to-toe assessment on all patients per policy.
• Able to monitor hemodynamic status of patient and correctly interpret the results.
• Consults other departments as appropriate to provide an interdisciplinary approach to the patient’s needs.
• Coordinates and supervises patient care as necessary.
•  This position is designated as a safety sensitive position because of the essential duties of the job involves critical medical care to patients.  A lapse in attention to detail may constitute a threat to health or safety resulting in injury, illness or death.  This position is required to work in a constant state of alertness in a safe manner. 

Qualifications/Specifications:

• Education: Graduate of an accredited nursing program required.
• Licensure/Certification: Registered Nurse with current state licensure or licensure from a state within the Nursing Compact required. BLS certification required within 30 days of employment and prior to providing direct patient care.  Successful completion of ACLS certification is required for any Registered Nurse by completion of clinical orientation. Certifications will be renewed by recommended renewal date on the certification documentation.

Position Summary: 

This professional staff person is responsible for performing assessments, developing a plan of care and implementing and evaluating the care. The RN-Critical administers medications and treatments as ordered by physicians and in keeping with the current clinical nursing practice. Also responsible for directing, monitoring and evaluating the care delegated to non-licensed personnel. The RN-Critical leads the interdisciplinary care team for patients with primarily cardiovascular disease. In addition, the RN-Critical performs a range of technical services in a cross-functional mode to comprehensively serve patient needs. Assumes (under the direction of the Laboratory) responsibility for patient specimen testing, quality control, quality improvement and equipment maintenance.

Patient Care:

• Completes admission assessment and periodic reassessments according to patient’s progress and/or unit protocols and population-specific parameters.
• Documents findings and communicates all pertinent information to interdisciplinary team members as appropriate.
• Collaborates with interdisciplinary team members in the development, evaluation and revision of the plan of care as appropriate to meet the patient’s needs and goals.
• Provides competent direct care and ensures the provision of a safe and comforting environment resulting in a high level of patient satisfaction.
• Assists healthcare team members in the understanding of hospital policies and procedures.
• Provides education to patients/families/significant others, incorporating population-specific criteria and assessment of readiness to learn.
• Maintains patient confidentiality.
• Maintains standard precautions.
• Administers medications and completes treatments according to hospital policy and within population-specific parameters.
• Maintains all necessary documentation.
• Facilitates discharge plan in collaboration with interdisciplinary team.
• Demonstrates knowledge and ability to use necessary patient care equipment.
• Coordinates response of the interdisciplinary team to emergency situations.
• Performs Point-of-Care procedures in a timely manner according to established policy and procedure. Documents required information and complies with all Point-of-Care quality control standards.

 PACU

• Ability to formulate an individualized plan of care and revise plan according to the patient’s response to treatment. Evaluates plan regularly for effectiveness.
• Communicates appropriately and clearly to Resource Nurse, Director and Physician.
• Demonstrates knowledge of cardiac monitoring; identifies dysrhythmias and treats appropriately based on protocol.
• Able to perform a head-to-toe assessment on all patients per policy.
• Able to monitor hemodynamic status of patient and correctly interpret the results.
• Consults other departments as appropriate to provide an interdisciplinary approach to the patient’s needs.
• Coordinates and supervises patient care as necessary.

Qualifications/Specifications:

• Education: Graduate of an accredited nursing program required.
• Licensure/Certification: Registered Nurse with current state licensure or licensure from a state within the Nursing Compact required. BLS certification required within 30 days of employment and prior to providing direct patient care. Successful completion of ACLS certification is required for any Registered Nurse by completion of clinical orientation. Certifications will be renewed by recommended renewal date on the certification documentation.
  • PALS or ENPC certification required for all Emergency Department RNs within one year of employment.
  • RCIS required for Cath/EP Lab RNs within six months of eligibility. Limited Specialty License required within two months of acquiring RCIS. (excluding PRN employees)Certification(s) is to be renewed by recommended renewal date on certification card.