Travel Nurse RN - Emergency Room (ER) / Trauma - $27 to $43 per hour in Broken Bow, NE

JOB TITLE : Staff RN – Emergency Dept., Acute Care PRIMARY FUNCTION The Emergency Department Registered Nurse (RN) is responsible for :

• Planning and coordinating the delivery of quality nursing care for patients in the emergency departments and acute care utilizing the nursing process
• Providing and / or delegating care, evaluating patient response, documentation, and effective communication
• Collaborating with the interdisciplinary team
• Maintaining standards for professional nursing practice
• Providing and supervising the delivery of care in the emergency department
• Supervising Licensed Practical Nurses and / or other support staff in the delivery of patient care as described in Nebraska Statute 38. Supervision A. Reports directly to the Emergency Department Manager B. Reports indirectly to the House Supervisor and other managers covering the department. C. Delegates and directs assigned shift caseload team which may be comprised of RN’s, NSS LPN and NSS CNA. Qualifications A. Graduate of School of Nursing B. Current Nebraska State License or Compact license as a Registered Nurse required. C. Clinical and / or work nursing experience in a hospital with ability to perform duties in the emergency department setting is preferred. D. Professional knowledge of nursing practice, and regulation to support patient care delivery. E. Basic Life Support within 3 months of hire and maintained. F. ACLS and PALS within 6 months of hire and maintained. G. TNCC required within one year of hire. H. NRP preferred or ability to obtain within 6 months of hire. I. Job functions must be performed on site with regular attendance. J. ICS 100 and 200 or ability to obtain within 12 months of hire. GENERAL REQUIREMENTS A. Demonstrate commitment to the organizational mission, vision, and core values. B. Maintain clinical competency as required for emergency department including but not limited to age-specific competencies relative to growth and developmental needs of all ages of patients. C. Knowledge of federal and state regulations related to nursing applications and relative practice area. D. Communicate effectively verbally and in writing. E. Delegate, oversee, and evaluate the work of all NSS LPN and CNA patient care staff members. F. Maintain confidentiality of patient information G. Exercise professional judgment, courtesy, and professionalism in daily interactions with others H. Demonstrates relationship management and influencing behaviors. a. Conflict resolution skills b. Critical conversation skills c. Mediation skills I. Demonstrates knowledge of Melham Medical Center Compliance Program, Code of Conduct, and Confidentiality standards. Monitors staff adherence and knowledge of standards. J. Serves designated role for emergency management plan response. Follows instructions from Incident Command as appropriate. K. Demonstrates knowledge of risk management, quality review reports, Sentinel Events, near misses and non-punitive work environment concepts. a. Incident reporting SQSS b. Compliance and safety reporting c. Abuse / neglect reporting d. Patient rights e. Staff rights f. Appropriately completes and / or supports reporting of events and forms as needed. L. Completes yearly self and staff evaluations / reviews and development plan. M. Attends meetings as assigned. N. Attends 75% of monthly staff meetings and keeps updated on information. O. Completes annual on-going competency plan. P. Attends mandatory in-services and / or programs. Q. Maintains certifications. SIGNIFICANT DUTIES A. Initiates assessment / reassessment based on the patient’s needs per nursing standards, organization policy and procedures. B. Synthesizes pertinent patient data to develop nursing care plans and identify nursing priorities for care and desired outcomes. C. Collaborates with the interdisciplinary team to coordinate and provide patient care. D. Demonstrates knowledge and skill in nursing theory and ability to learn and develop competence in patient care across the lifespan. E. Demonstrates the ability to learn new practices and has the ability to practice in multiple settings within the rural hospital – medical / surgical, pediatric, neonatal, emergency and skilled care. F. Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and age-specific needs. G. Executes, directs, supervises and / or assigns other staff members to perform therapeutic and or supportive interventions. H. Evaluate the patient’s response to and effectiveness of interventions. I. Evaluates the patient’s progress toward established outcome. J. Incorporates cultural considerations into the plan / delivery of care. K. Includes family and / or significant others in the care of the patient as appropriate. L. Documents patient care and related information according to Melham procedures for documentation M. Facilitates a patient’s transition to next level of care including admission, discharge, and transfers. N. Demonstrates knowledge of EMTALA regulation and paperwork. O. Assumes responsibility in a shared or delegated assignment and supports team member’s practice through timely communication. P. Services as a role model to colleagues, students, and other care providers Q. Actively participates in continued learning opportunities and continued self-development pertinent to all of emergency department nursing. R. Proficient in the management of provider orders in CPOE and in the order management system S. Maintains effective communication channels with the entire healthcare team. T. Acts as a resource to the healthcare team. U. Performs other related duties as assigned. V. Performs focused nursing assessment for presenting condition : may use the patient / family, EMS chart, community agencies as a source of information. W. Completes patient triage to identify patient medical treatment needs and intervention level. Records patient triage and supports the initiation of the patient log via tracking board including updates of medical diagnoses at disposition. X. Demonstrates knowledge of the level IV trauma center regulations and treatment protocols of TNCC for stabilization and transfer of the trauma patient. Y. Supports and develops provider discharge plan of care by implementing patient / family education based on ED diagnosis, and individualized needs, including actions to take if condition worsens or if the patient condition does not meet Melham admission criteria, supports patient stabilization and transfer to a higher level of care. A. The following items under the physical demand, psychological demands and exposure category describes the basic extent of physical demands performed by staff in this position : PHYSICAL DEMANDS CHECKLIST PHYSICAL DEMANDS REQUIREMENTS PHYSICAL ACTIVITY FREQUENCY ADDITIONAL INFORMATION Never Rarely Occasionally Frequently Continuously Lift : Light weight (0-19 lbs.) X Lift : Moderate weight (20-35 lbs.) X Lift : Heavy weight (35-50 lbs.) X Walk X Bend X Stand X Sit X Drive X Climb X Squat / Crouch X Kneel X Push X Pull X Write X Reach X Grip X Crawl X Vision / Read X Talk / Verbal Skills X Hear X Feel / Tactile X Concentrate in Distracting Environment X Computer use X Typing skills X