ASSESSMENT: Performs appropriate ED triage nursing history and physical upon presentation. Initiates and completes triage assessment form including all required health assessment parameters. Completes appropriate triage categorization based on documented standards. Identifies individual patient needs.
PLANNING: Develops individualized patient plan of care based on the presenting health problem. Establishes realistic short-term goals including patient teaching and discharge instructions for follow-up care. Involves patient and family or significant others in care. Integrates the ED medical plan of care. Involves other members of the health care team in developing the patient’s plan of care. Revises the plan of care to the changing needs of the patient. Documents in discharge instructions the written plan for patient education based on identified problems.
IMPLEMENTATION: Provides direct nursing care based on the plan of care and established priorities. Implements the ED medical plan of care. Delegates and guides aspects of care to appropriate personnel based on level of acuity and individual patient needs. Utilizes appropriate resources to provide nursing care based on presenting problems identified. Coordinates with other health team members to implement the patient’s plan of care. Administers medications and treatments as prescribed. Provides discharge teaching to patient and family or significant others to ensure follow-up and referral.
EVALUATION: Evaluates and documents patient and family responses to nursing interventions. Evaluates and documents patient responses to medical interventions. Makes clinical judgements and modifies care as required. Documents revisions of patient care goals. Evaluates and documents patient and family response or awareness to discharge teaching.
Employee has willingness and ability to perform additional duties in different areas of the department / hospital on an as-needed basis.
Communicates well with management, co-workers and physicians, reporting problems with equipment, supplies, or procedures.
Consistently strives to understand, anticipate and meet the needs, expectations and satisfaction of patients, visitors, co-workers and medical staff.
High School Diploma or GED. Graduate from an RN program.
One (1) year of Emergency Department or other critical care nursing experience.
Nevada RN License, CPR for Health Care Providers or equivalent, and ACLS. Must obtain PALS certification within 6 months of hire date. New Grads must obtain ACLS within 90 days of hire date.
- 2 years ago - save job