Registered Nurse - Emergency Department (Full Time)

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Join our team as a key Emergency Department nurse in our renovated and expanded department, caring for approximately 34,000 patients a year!

Mount Auburn Hospital is a Primary Stroke Service site, an AHA 2023 "Get with the Guidelines" Gold Plus honoree for stroke care, and provides emergent cardiac catheterization in our Zir Cardiac Catheterization Laboratory. The Department is immediately adjacent to the Radiology, OR, and Invasive Cardiology Departments, facilitating strong collaborations to provide patients with timely, extraordinary care. We care for patients with emergency care needs throughout the spectrum of life, from pediatrics to older adults.

Job Description:

Primary Responsibilities

1. The emergency nurse initiates accurate and ongoing assessment of physical, psychological and social problems of patients within the emergency care system. a. Obtains initial focused subjective and objective data through history taking, physical examination, review of records and communication with health care providers, significant others and caretakers, as appropriate. b. Uses assessment techniques and criteria that are pertinent to the patient’s age-specific physical, psychological, and social needs. c. Documents relevant data for every patient as appropriate to the nature and severity of illness or injury. d. Communicates significant data to appropriate personnel throughout the patient’s emergency department experience.

2. The emergency nurse analyzes assessment data to formulate nursing diagnoses and identify collaborative problems for each patient. a. Identifies nursing diagnoses/potential complications based on signs and symptoms recognized during a focused, systematic assessment. b. Documents nursing diagnoses/potential complications on each patient. 3. The emergency nurse formulates a plan of care for the emergency patient based on assessment data and nursing diagnoses/potential complications. a. Develops a plan of care for each patient, in collaboration with the patient, significant others and other health care providers, based on current scientific knowledge and in accordance with the established standards of emergency nursing care. b. Identifies priorities for nursing interventions. c. Communicates plan of care to other health care providers to ensure continuity of care.

4. The emergency nurse implements a plan of care for the emergency patient based on assessment data and nursing diagnoses/potential complications. a. Implements plan of care for each patient b. Provides necessary education regarding procedures, treatment regimens, and identified outcomes to each patient and significant others. c. Accurately implements physician orders in accordance with each patient’s priority of care. d. Performs appropriate patient monitoring and documents patient’s response to intervention. e. Demonstrates prioritization and organizational skills in caring for multiple complex patients simultaneously. f. Seeks assistance/guidance when confronted with nursing procedures not yet mastered.

5. The emergency nurse evaluates and modifies the plan of care based on observable patient responses and attainment of expected outcomes. a. Evaluates and documents patient’s response to interventions and changes in patient’s condition and revises plan of care as appropriate in collaboration with the physicians and other health care providers.

6. The emergency nurse assists the patient and significant others to obtain knowledge about illness and injury prevention and treatment. a. Explains written instructions regarding aftercare, follow-up and referrals to patients and their significant others. b. Documents patient’s understanding of discharge plan of care. c. Notifies physician and/or appropriate resource personnel of any barriers to patient compliance with discharge plan of care. d. Assists patients and significant others in the identification of factors that place them “at risk” for illness and injury. 7. The emergency nurse collaborates with other health care providers to deliver patient-centered care in a manner consistent with safe, efficient and cost-effective resource utilization. a. Assigns tasks or delegates care based on the needs of the client and the knowledge and skill of the provider selected; appropriate delegation to less experienced RNs and CA’s b. Assists the patients and significant others in identifying and securing appropriate services available to address health-related needs; social service consultation, home care services, case management consultation, mandatory reporting. c. Ensures that supplies and equipment are readily available and in working order: completion of equipment checklists as assigned. d. Ensures that patient charges are accurate and reflect the care that the patient received