RN - Emergency Department
Altru Health System - Grand Forks, ND

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JOB SUMMARY Altru Health System is committed to achieving Organizational Excellence and expects each employee to actively participate in the achievement of the departmental goals associated with the 5 Pillars of Excellence – Service, Quality, People, Finance and Growth. The Registered Nurse ensures patient is properly identified; performs and documents triage and assessments; ensures health history is completed; individualizes patient care; identifies discharge and education needs; provides patient care which is appropriate to the patient’s chief complaint, symptoms and physician orders; identifies significant changes or high-risk situations in patient’s condition; provides patient/patient’s family with appropriate education and counseling; ensures that intervention or referrals are made promptly; evaluates and documents patient/patient’s family response to treatment, education and progress; reviews patient care guidelines with patient and patient’s family; communicates and accurately documents patient progress; identifies and communicates changes in staffing requirements; ensures completion of post discharge and/or outlying referral phone call; assists with coordination and preparation of transfer, and is committed to ensuring an exceptional patient/family experience. The Registered Nurse provides care to patients in the following age groups: infants, child, adolescent, adult and geriatric. Primary Job Duties: - Ensures patient is properly identified by armband application and/or verification. - Performs and documents triage and assessments according to standard operating procedure guidelines and/or as patient condition requires, i.e., vital signs, intake and output, room/caregiver assignment, etc. - Ensures health history is completed using information from patient/patient’s family and previous medical records. - Individualizes patient care. - Identifies discharge and education needs, documents and plans in order to meet those needs. - Provides patient care which is appropriate to the patient’s chief complaint, symptoms and physician orders, following hospital policies and procedures. - Identifies significant changes or high-risk situations in patient’s condition and takes appropriate actions as evidenced in reporting, consultations, and documentation, i.e., central monitoring. - Provides patient/patient’s family with appropriate education and counseling based on identified needs to optimize patient/patient family understanding, i.e., pre and post calls. - Ensures that intervention or referrals are made promptly, particularly when exceptions occur on the patient care guidelines. - Evaluates and documents patient/patient’s family response to treatment, education and progress so that discharge outcomes are achieved. - Assists with testing procedures and testing procedure scheduling in compliance with validations. - Performs personal cares according to established guidelines. - Reviews patient care guidelines with patient and patient’s family as needed to help patient achieve their expected outcomes and informs of delays in testing or treatment. - Communicates and accurately documents patient progress following patient care guideline. - Identifies and communicates changes in staffing requirements based on workload and patient acuity’s, utilizing unit guidelines. - Demonstrates the ability to adjust own workload to meet fluctuation in patient census and acuity. - Assists with coordination and preparation of transfer, communicating with other floor nurses, transfer team and other facilities about specifics of patient care. - Documents charge level following department guidelines according to procedure done and supplies utilized. KNOWLEDGE & SKILLS REQUIRED : Required: • Registered Nurse. • Licensed by the North Dakota Board of Nursing or licensed by a member of the “Compact State Agreement”. • Nurses assigned to contact Minnesota residents must obtain a Minnesota license from the Minnesota Board of Nursing prior to making contact. • Successful completion of the functional assessment. Preferred: • One (1) year of experience in an Emergency Department. PHYSICAL DEMANDS: Standing Frequently Sitting Occasionally Walking Frequently Lifting/Carrying Medium Work (50# maximum) Pushing/Pulling Medium Work (50# maximum) Forward Bending Frequently Reaching Frequently Squat/Crouch/Kneel Occasionally Climbing Rarely Crawling None Trunk Rotation Frequently

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