Registered Nurse Emergency Department 36 hours 3p-3:30a

If you are an existing employee of South Shore Health then please apply through the internal career site.

R-23007

Facility:

LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190

SSH Emergency Department HB

Full time

36

Eve/Night Rotation (United States of America)

Manages individualized, outcome oriented nursing care through the use of the nursing process. Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, in accordance with departmental and hospital policies and procedures

 

Compensation Pay Range:

$38.20 - $77.39

 

Essential Functions

1. Assessment/Reassessment

Assesses and diagnoses patient and family needs in order to provide quality care to assigned patients by:

a. Initiating admission assessment within 8 hours of admission, identifies and documents patient/family/significant other teaching needs upon admission and throughout hospitalization.
b. Continues assessment/reassessment and identifies care needs within established nursing practice standards.

2. Plan of Care/Documentation/Discharge Planning

Develops, discusses, and communicates a prioritized problem list/plan of care for each patient, in collaboration with designated support persons in order to address all identified needs.

a. Develop, evaluate and update individualized plan of care for patient and documents outcomes.
b. Actively communicates plan of day via white board updating every shift.
c. Facilitates discharge/transfers by goal of 12:00 pm, communicates barriers utilizing the Chain of Command.
d. Documents all patient care following the department of nursing policy, unit based standards and nurse sensitive indicators (falls, skin, pain).
e. Assesses/reassesses and documents patient's level of comfort utilizing the appropriate pain scale and the patient’s response to each intervention both pharmacological and non-pharmacological per South Shore Hospital policy.
f. Works on behalf of patient/family. Seeks help to represent patient/family when they are unable to represent themselves.
g. Raises ethical questions and concerns with clinical team. Seeks available resources to help formulate and understand ethical decisions.

3. Medication Administration

a. Demonstrates knowledge of and follows SSH policies and procedures for administering, transcribing, and recording medications.
b. Completes medication reconciliation process following SSH policy and procedure.
c. Demonstrates proper procedure for the documentation of narcotic withdrawal, administration, verifies count, wastes per policy and resolves narcotic discrepancy.
d. Initiates and maintains IV access according to SSH policy and procedure.

4. Safety/Quality

Fosters a "Culture of Safety" through personal ownership and commitment to a safe environment.

a. Verifies patient identification with two identifiers prior to the start of any invasive procedure, including "time out", administration of care, medications, labeled specimens and documents confirming the correct patient, procedure, site, equipment, and consent
b. Complies with the current CDC hand hygiene guidelines through proper handwashing. Adheres to universal precautions, makes appropriate use of personal protective equipment at all times and appropriately disposes of hazardous materials. Maintains awareness of MSDS sheets and how to access.
c. Assesses each patient’s risk of falling throughout hospitalization using appropriate interventions to prevent falls.
d. Ensures environment meets regulatory requirements at all times (ie: no cardboard boxes on floor, equipment cords are secured and plugged into foot of bed).
e. Understands and is able to demonstrate individual roles and responsibilities in the event of hospital codes/emergency preparedness.
f. Practices patient hand off utilizing the principles of SBAR including walk rounds.
g. Holds oneself and others accountable for meeting quality improvement/quality standards.

5. Professional Development

Assumes overall responsibility for own pr