Registered Nurse, Emergency Room, Per Diem, 16- Hours per month, with one minor and one major holiday a year - Athol Hospital

Hours: Per Diem, 16- Hours per month, with one minor and one major holiday a year 

• Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals.
• Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures.
• Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard.
• Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning.
• Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary
• Appropriately delegates and supervises nursing interventions performed by others.
• Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.).
• Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards.
• Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care.
• Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.).
• Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). 
• Identifies ethical issues in care and develops plan to address.
• Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures.
• Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale.
• Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication.
• Performs and documents initial assessment upon patients’ arrival and implements triage protocols as needed.
• Identifies patients at risk for potential/alleged abuse.
• Initiates safety plans for domestic violence, child, and elder abuse patients.
• Completes required mandated reporting in a timely manner.
• Collects and documents forensic evidence as per policy.
• Maintains chain of evidence per policy and procedures
• Completes mandated reports for stabbings, gunshot wounds, burns, and sexual assault per policy and procedure.
• Maintains knowledge of Disaster Policy and Procedure.
• Identifies patient at risk for violent behavior and appropriately implements non-violent intervention (i.e. Code 100).
• Demonstrates knowledge of the indications for, alternatives, monitoring and documentation of restraint to use.
• Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner.
• Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips.
• Performs accurate and timely identification of cardiac arrhythmias.
• Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols.
• Demonstrates skills associated with initiation and maintenance of the intubated patient including, suctioning, troubleshooting, and weaning.
• Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance.
• Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD.
• Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication.

• 3-5 years ED experience preferred.

• Registered Nurses, Current MA license
• AHA BLS required
• ACLS obtained within 60-days of hire
• AHA PALS within six (6) months of hire 
• TNCC, ENPC and CEN preferred