AK - Registered Nurse-Emergency Room, Days/Nights(12-Hour Shifts), **Must Have Previous Emergency Room Experience** - Wrangell - Mobile Health Team Inc

Mobile Health Team Inc., a staffing agency has openings for an RN-Emergency Room. We are looking for someone with a passion for people.

Location: Wrangell, AK, 99929

Assignment Start Date: 10/25/2024

13 weeks | Nights | 12-hour shift | 36 hours/weekly guaranteed

The clinical nurse coordinates and performs a variety of nursing care procedures for patients of all ages, requiring professional knowledge and consideration of specific patient conditions and treatments; and the ability to work independently in completing assignments. Guidelines include provider's orders; standards of care, nursing policies and procedures manuals, hospital policies, and nursing duties including support to individuals of all ages and their families.

Clinical decisions are made independently during the scheduled shift; maintains complete accountability for all actions taken. Consults with the appropriate manager/supervisor and/or ancillary department in difficult situations requiring additional input or resources. Able to react calmly and make sound nursing judgments in an emergent situation. Accountable for proper delegation and supervision of CNA/Tech.

RESPONSIBILITIES

• Promotes the hospital's Seven Standards of Excellence; Implements safe, therapeutic, and efficient care for patients and residents with needs due to multisystem disease and/or complications of treatment using appropriate infection control measures; sets priorities for care of patients and residents based on acuity and/or patients' preference; anticipates potential problems; adapts to change on the area by setting priorities for emergencies, changes in status and unusual occurrences; initiates, manages, and documents the nursing procedures consistent with scientific principle and departmental policy; demonstrates knowledge of equipment use; accurately administers age-specific medications and therapeutics; carries out the medical and nursing care plan and coordinates resident care activities with physicians and other healthcare team members; initiates action to reduce, correct, or prevent immediate, ongoing, or potential risks to the resident; facilitates healing by providing nursing care that is individualized, goal oriented, based on scientific principles and the nursing process; seeks out resources when beyond the scope of skill, knowledge or experience; explains test, procedures, and disease process to resident/significant others; follows through on nursing care plans by teaching and demonstrating skills essential for understanding and coping with illness and promoting optimal health; communicates and interacts with resident/significant others in a positive and supportive way; provides counseling using emotional, intellectual and psychological supports and utilizes other healthcare professionals in dealing with psychosocial problems if needed; takes steps to decrease stress and/or increase effectiveness of coping mechanisms of resident/significant others; evaluates resident's progress or lack of progress towards goals, directing new goal setting and implementing revised care plans as directed by reassessment; documents the resident's response to care; closes out resident care plan by discharge or has in place an after care plan to meet the resident's needs; Assures confidentiality of resident information.
• Accomplishes nursing assessment through interviewing, observation, and nursing process; obtains, interprets, and applies age-related patient information in terms of cognitive, physical, emotional, and normal growth/development needs of the resident; completes thorough Nursing Admission Databases/initial resident assessment; documents assessment findings that are consistent with other providers and include a review of body systems, laboratory results, diagnostic findings, chart reviews, and interdisciplinary input; identifies problems & nursing diagnosis by recognizing the impact of health problems on residents and families; distinguishes between normal and abnormal assessments to identify resident capabilities and limitations including psychosocial risks; utilizes resources to assess residents with conditions that are new, unfamiliar, or not commonly seen.
• Shall perform duties as assigned and ensure quality resident care despite the situation encountered, be it routine or emergent.
• Imparts educational knowledge to develop skills to enhance decision-making and promote understanding by interacting with residents, family, staff, and community; engages in an ongoing evaluation of the effectiveness of teaching in terms of resident understanding and behavioral outcomes; organizes and participates in care conferences as applicable; identifies staff, resident, and family needs and develops a plan for education and/or makes appropriate referrals; develops/implements educational programs and learning aides in the department (ie. Inservices, special projects, learning aides, resident care standards); documents education accurately and completely; provides discharge information; participate in in-services and educational programs in the department, hospital and/or community as assigned; completes all mandatory training and competency checks; utilizes opportunities for incidental teaching with staff members.
• Communicates with staff, residents, significant others, and other members of the healthcare team in a way that is supportive, constructive, and positive; gives feedback to other staff and healthcare team members regarding behavior that does not support achievement; assists in the orientation of new staff, travelers, and students by sharing knowledge, experience, and verbal encouragement; guides others in choosing a nursing intervention, developing skills and applying knowledge; follows and directs others to follow corporate, hospital, and departmental policies, procedures and resident care standards; supports the area and overall Nursing services mission by assigning staff to productive tasks and floating to other units as needed; provides input regarding the need for change in policies, procedures, and resident care standards; able to perform as Contact RN leading assigned RNs, LPNs, and CNAs and accomplishes all assigned resident care and area support activities during the shift.
• Develops and contributes to a plan of nursing action based on existing and potential resident problems and obtainable resident responses that are mutually acceptable to the healthcare team; transcribes and notes physician orders accurately; utilizes experience to provide a range of options for nursing care; initiates care plans using resident care standards; addresses identified nursing diagnosis and coordinates the plan with the healthcare team by using methods that include interventions, goals, and timeframes; utilizes resources to formulate a written plan of care; documents reassessments which include laboratory results, diagnostic findings, interdisciplinary notes, and documented resident observations; writes progress notes in EHR; gives shift report according to area guidelines.
• Attends and participates in at least 50% of departmental staff meetings; applies information presented in staff meetings; participates in unit goal setting; complies with the area and departmental scheduling guidelines; initiates discussion with nurse manager regarding the area or department issues; completes annual competencies, evaluation material maintains certifications and licensure; complies with dress code; refers unresolved problems with patients/visitors/co-workers to Nurse Manager or Administrative Manager for resolution; addresses employee concerns consistent with Human Resources Policy
• Familiar and competent in mandatory state reporting guidelines and time requirements.
• Other duties as assigned. When DON is not physically present, will be willing to take the role of "charge nurse" for the long-term care unit.

EXPERIENCE/EDUCATION/QUALIFICATION

Experience:

• Prior ED RN experience is required
• One-year clinical nurse experience preferred

Education:

• Education is required to obtain a valid, current, full, and unrestricted RN license in the State of Alaska

Licenses, Certifications, and/or Registration:

• Valid, current, full, and unrestricted RN license in the State of Alaska
• Must have BLS and PALS upon hire, ACLS must be obtained within 6 months of hire date

EMR System: Cerner experience preferred.

Shift: 12 hour shifts. may need to cover the day or night shift

COVID Requirement: Must have complete COVID vaccinations (including boosters).

Knowledge/Skills/Abilities:

• Knowledge of nursing care principles, practices, diagnosis, and processes (assessment, planning, implementation, and evaluation) including specialty areas when appropriate, to provide professional nursing care to patients.
• Competency to recognize emergently ill patients and adverse signs and symptoms and to act promptly in emergencies.
• Knowledge of general pharmaceuticals, their desired effects, side effects, and complications in their use. For specialty nursing units, knowledge should include the medication used in to area.
• Skills to apply scientific principles in operating and monitoring basic medical equipment (ex: defibrillator, monitors, beds/lifts, etc.), Specialty area equipment might also include chest tube setup, immobilization, EKG machines, ventilators, etc.
• Specialty areas will require proficiency in assisting with emergency procedures (i.e. intubations, arterial line setup, arterial blood gas puncture, thoracentesis, lavage, etc.).
• Oral and written communication skills can enter and retrieve patient data accurately, and can verbally communicate findings with the healthcare team.
• Ability to provide guidance, and leadership and work cooperatively with others by establishing and maintaining interpersonal relationships with patients, visitors, and other healthcare team members.
• Ability to implement appropriate nursing therapeutic interventions based on the knowledge of a wide variety of nursing diagnoses, evidenced-based practice, medical and psychosocial disorders, the normal courses of disease, and anticipated complications.
• Ability to recognize adverse signs and symptoms, which are not always apparent, and to intervene promptly in emergencies including the implementation of life-saving procedures.

** MUST HAVE CURRENT ALASKA LICENSE

** MUST HAVE COVID AND FLU VACCINATIONS

Mobile Health Team, Inc is a workforce solutions company. We match experienced healthcare professionals with temporary or permanent positions globally.

Our mission is clear, to bridge the staffing gap in the healthcare industry by creating and maintaining long-term working relationships with clients and healthcare professionals. We specialize in temporary and permanent placements in order to meet our client's needs.