Registered Nurse Pool/Per Diem – Emergency Department City Division - AtlantiCare

POSITION SUMMARY

The Registered Nurse is a member of the interdisciplinary team working in collaboration with the Physician. The Registered Nurse utilizes the nursing care process consistent with their license and/or certification including initiation of culturally competent continuum of care including inpatient, outpatient and community settings. The Registered Nurse is responsible to oversee any necessary coordination of the interdisciplinary plan of care and provides for its consistency with the medical treatment plan. The patient care process includes:

* Assessment - an orderly process consisting of the identification, gathering and organization of subjective and objective data pertaining to the patient/family/significant other, including physical, psychosocial, spiritual and cultural.

* Planning - an organized step in the process that consists of the identification of actual or potential problems and desired outcomes (goals) that result in a documented plan of care. The plan of care provides direction for the patient/family/significant other and interdisciplinary team.

* Intervention - the specific interventions or orders that are implemented consistent with the plan of care and medical treatment plan.

* Evaluation - a step in the process that involves determining the effectiveness of the interventions in achieving the plan of care and determining the conclusions concerning the achievement or lack of achievement of desired outcomes. The evaluation may initiate the need for reassessment and revisions to the problems, goals, plan of care, and interventions. This step provides for documentation of required actions. Based upon findings identified during assessment and reassessment:

* Patients have problems identified and prioritized relative to biophysical, psychological, environmental, self-care, educational and social status.

* Goals are identified consistent with the problem to provide direction for patient care and health promotion.

* Education is consistent with the identified problem and associated goals and is seen as critical to creating an environment that promotes patient empowerment

Employee may be required to perform Limited Laboratory Services to include patient identification and preparation for specimen collection, processing samples for testing, performing required quality control testing and instrument maintenance and function checks, monitoring, recording and reporting tests results to clinicians to include critical values, and maintaining competency/certification of the aforementioned tasks and duties.

Licensed and registered care providers responsible for utilizing the care process relative to their scope of practice and knowledge base, may document the assessment, plan, intervention and Evaluation. All patient care activities are administered according to standards, procedural guidelines and organizational policy.

The Registered Nurse actively supports performance improvement initiatives and provides leadership to other members of the patient care team. By participating in educational activities, the Registered Nurse assumes responsibility for continued professional and personal growth.

Emergency Room:

· City

2 years medical/ surgical and/ or emergency room experience preferred.

· ACLS required within 6 months of hire or transfer

· ATCN or TNCC is required within 24 months of hire or transfer

· Minimum of 8 contact hours of education every 1 year in basic trauma assessment, intervention and stabilization;

* Minimum of 8 contact hours of education every 1 year in basic stroke assessment, intervention and NIHSS to be completed by 6 months of hire and continuously maintained thereafter.

· PALS or ENPC attained within 12 months of hire or transfer.

· Current staff is required to obtain CPI by 6/30/24. New Hires or transfers; CPI required within 6 months of hire and continuously maintained after

Trauma Bay

Trauma experience required; 2 years preferred.

ACLS, PALS & ATCN at time of hire.

3 Harmony Trauma/ICU

2 years medical/surgical experience preferred; Critical care experience preferred.

ACLS Required at time of hire. ATCN required within 3 years from date of hire or transfer

Intensive Care Unit (ICU)/(CTICU)

2 years medical/surgical experience preferred; Critical care experience preferred.

ACLS required within 6 months from date of hire or transfer.

CCRN preferred

Cardiovascular ICU(CVU)

2 years critical care and

Cardiovascular ICU experience preferred.

ACLS required within 6 months from date of hire or transfer

CCRN preferred.

Heart and Vascular Unit (HVU)

2 years telemetry experience preferred.

ACLS required within 6 months from date of hire or transfer

3 Harbor (PCU)

2 years telemetry

Experience preferred.

ACLS required within 6 months from date of hire or transfer

3 Pines/3 Central

Medical/Surgical experience preferred.

ACLS required within 6 months from date of hire or transfer

(1 south/ 1 Meadow)

Medical/Surgical experience preferred.

ACLS required within 1 year from date of hire or transfer.

2South/2 Meadow,

5Harmony

7Harmony

4 Michigan

Medical/Surgical experience preferred.

4Harmony

Medical/Surgical experience preferred.

ACLS required within 6 months from date of hire or transfer

Med Surg/Cardiac/ Stroke Care

(2West/2 Pines, 6 Harmony)

Medical/Surgical experience preferred.

ACLS required within 6 months from date of hire or transfer

Pre-Admission Testing (PAT)

Medical/Surgical experience preferred.

Operating Room

Medical/Surgical and operating room experience preferred.

ACLS required by 6/30/24 for all RNs in the City OR.

CNOR preferred.

ACLS preferred.

PACU/Same Day Surgery/ Recovery Room

Critical care or PACU experience required.

ACLS required at time of hire or transfer

PALS required within 6 months from date of hire or transfer.

Intervention Radiology

(radiation special procedure adm )

2 years medical/surgical experience preferred; Interventional and Critical Care experience preferred.

ACLS at time of hire or transfer

PALS required within 1 year from date of hire or transfer.

Cath Lab

(cath lab holding, Electrophysiology (EP))

Critical care, emergency room, cath-lab or telemetry experience preferred;

ACLS at time of hire or transfer

Endoscopy

2 years medical/surgical experience preferred; Endoscopy, telemetry and critical care experience preferred.

ACLS required within 6 months from date of hire or transfer

PALS, CCRN, and CGRN preferred.

Radiation

Oncology (cancer center institute)

Oncology experience preferred.

OCN preferred.

Medical Oncology Infusion Services

(Cancer Center Institute)

Oncology experience preferred

ONS Chemotherapy and Biotherapy Competency Provider required within 6 mos. from date of hire or transfer.

OCN preferred

Structural Heart

2 years' experience in cardiology

Able to perform:

Phlebotomy

EKG

IV insertion

ACLS required at time of hire or transfer

QUALIFICATIONS

EDUCATION/LICENSE:

* Graduate of an accredited school of nursing; BSN preferred.

* Nurses hired without BSN must be enrolled in a BSN program within 1 year and completion within 3 years.

* Current Licensure as a Registered Nurse in the State of New Jersey or current multi state license required.

* BLS required.

* Valid NJ Driver's License is required for all employees in the Adult and Child Partial Programs.

EXPERIENCE: Proficiency in Clinical Applications preferred at time of hire; incumbents within position will be trained appropriately and then skill will be required for this position within 30-60 days from date of hire.

Specialty

Experience

Advanced Certification Required

Certification Preferred

Emergency Room:

· Mainland

· Satellite Hammonton

2 years medical/ surgical and/ or emergency room experience preferred.

· ACLS required within 6 months of hire or transfer

· Minimum of 8 contact hours of education every 1 year in basic trauma assessment, intervention and stabilization;

* Minimum of 8 contact hours of education every 1 year in basic stroke assessment, intervention and NIHSS to be completed by 6 months of hire and continuously maintained thereafter.

· PALS or ENPC attained within 12 months of hire or transfer.

· Current staff is required to obtain CPI by 6/30/24. New Hires or transfers; CPI required within 6 months of hire and continuously maintained after

Wound Care

Medical/Surgical experience preferred.

· ACLS required within 6 months from date of hire or transfer.

· Wound care and HBO Training course through Healogics is required within 1 year from date of hire or transfer.

Psychiatry

(1 West/1 Pines & Psychiatric Intervention Program (PIP) )

Medical/Surgical and psychiatry experience preferred.

· (QPRT) annual education required within 6 months from date of hire or transfer

* Current staff is required to obtain CPI by 6/30/24. New Hires or transfers; CPI required within 6 months of hire and continuously maintained after

Acute Partial/Child

Adolescent Program

Experience in behavioral health setting required. Crisis intervention Prevention Preferred; tracked by department leadership.

Valid NJ Driver's License is required for all employees in the Adult and Child Partial Programs.

Labor and Delivery (L&D)

2 years labor and delivery experience preferred

ACLS required within 6 months from date of hire or transfer.

NRP required within 1 year from date of hire or transfer.

Neonatal Intensive Care Unit (NICU)

2 years Neonatal Intensive Care Unit experience preferred.

NRP required within 1 year from date of hire or transfer.

Mother/Baby Unit (OB)

2 years mother/baby experience preferred.

NRP required within 1 year from date of hire or transfer.

Perinatology/ Material Fetal Medicine (MFM)

3 years labor and delivery experience preferred.

EFM-C certification within 12 months

Pediatrics

Medical/Surgical experience preferred; Pediatric experience strongly preferred.

PALS required within

1 year from date of hire or transfer.

PERFORMANCE EXPECTATIONS

Demonstrates the ability to perform the department specific competencies as listed on the Assessment and Evaluation Tool.

WORK ENVIRONMENT

Potential for exposure to the hazards and risk of the hospital environment, blood borne pathogens, including exposure to infectious disease, hazardous substances, and potential injury.

* considerable reaching, stooping, kneeling and crouching

* extensive standing and walking, including stairs

* lifting approximately 25-50 pounds frequently

* lifting approximately 50 to 100 pounds with assistance occasionally

* pushing and pulling of heavy equipment

Some departments require the ability to distinguish colors.

Essential functions of this position are listed on the department specific Assessment and Evaluation Tool.

WORK ENVIRONMENT IN THE ELECTROPHYSIOLOGY LAB & PROCEDURAL AREAS

Potential for exposure to the hazards and risk of the hospital environment, blood borne pathogens, including exposure to infectious disease, hazardous substances, latex exposure, including radiation exposure and potential injury.

* considerable reaching, stooping, kneeling and crouching

* extensive standing (wearing lead) and walking, including stairs

* lifting approximately 25-50 pounds frequently

* lifting approximately 50 to 100 pounds with assistance occasionally

* pushing and pulling of heavy equipment.

*

* transporting patients on stretchers unassisted

* manual dexterity to hand off instruments

* maneuver in small work areas congested with cords, foot pedals and various

equipment consoles

* move patients from beds/stretchers to procedure tables and from procedure tables to

stretchers or beds

* Some departments require the ability to distinguish colors.

Essential functions of this position are listed on the department specific Assessment and Evaluation Tool

UNIT

POPULATIONS SERVED

Core competencies will be assessed primarily on the following patient population(s) serviced:

Bariatric

Morbid obese adult with all comorbid illness/conditions, including but not limited to: cardiac/cardiovascular, metabolic; renal, pulmonary, etc.

Cath Lab

Cardiac/vascular conditions and diseases including but not limited to: CAD, carotid stenosis, renal stenosis, PVD, etc.

Critical Care

Acute medical/surgical care of skeletal muscular, renal orthoconditions and diseases including but not limited to: AMI, CAD, PVD, CVA/TIA, COPD, CHF, shock, renal failure, metabolic disorders, etc.

Behavioral Health

Behavioral health illnesses including but not limited to bipolar disorder, schizophrenia, depression, psychosis, etc..

Endoscopy

Chronic pain management, endoscopic procedures of cardiovascular, GI, pulmonary conditions and disease, etc..

Emergency Department

Triage, assess and treat patients of all age presenting for emergency care for all body systems, conditions and diseases including but not limited to: coronary, pulmonary, neuro, skeletal muscular, GI/metabolic, GU/renal, GYN, integumentary, etc..

Intermediate Care

Monitored post-surgical care including but not limited to neuro, GI, GU/GYN, peripheral vascular interventions, orthopedic procedures, etc.. Medical diagnoses including but not limited to: cardiac, pulmonary, neuron, GI, VCA/TIA and renal conditions, etc..

Medical Surgical

Medical/Surgical diagnoses including but not limited to orthopedic, neuron, GI, GU/GYN, renal, metabolic, pulmonary systems and those requiring isolation/precautions.

Telemetry/Medical/Surgical

Cardiac/cardiovascular, neuro, GI conditions and diseases including not limited to: CAD, PVD, COPD, CHF, metabolic disorders, etc.

Telemetry/Stroke

Cardiac/cardiovascular, neuron, renal, GI conditions and diseases including but not limited to: CAD, PVD, CVA/TIA, COPD, CHF, metabolic disorders, etc.

Wound Care

Ostomy diversion surgeries, wound care, pressure sore/ulcer etc..

Structural Heart

Adults with Structural Heart disease and other comorbid conditions including but not limited to: CAD, PAD, Heart Failure, Lung disease, Obesity, Diabetes, Arrhythmias

REPORTING RELATIONSHIP

This position reports to the patient care unit or department leadership.

The above statement reflect the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled