About the JobJob Title:Registered Nurse Emergency Medicine (Emergency Department)
Provides Direct Support To:Tripler Army Medical Center, HI
Duty Hours:- Hours of performance may include shift work. Normal duty hours may include rotating 8, 10 and 12-hour shifts, 7 days per week including nights, weekends and federal holidays. Work will not exceed 12 hours in a 24-hour period and 80 hours in a consecutive 14-day period.
- Specific days, hours, and shift length will be scheduled by the designated government representative. The specific schedule for each two-week period will be provided one month in advance.
Qualifications:Degree/Education:- Contract RNs must be a graduate of a nursing program accredited by the American Association Colleges of Nursing or the National League for Nursing.
- If candidate is an international nurse graduate from jurisdictions other than the U.S.
- Must possess valid certification for Full Education Course-by-Course Report by the Commission on Graduates of Foreign Schools.
Certifications:- (BLS) Basic Life Support. Advanced Cardiac Life Support certification.
- Advanced Cardiovascular Life Support (ACLS).
- Pediatric Advanced Life Support (PALS).
- (Online certification is unacceptable).
Experience:- Minimum of three years of experience as a registered nurse with at least one year of experience within the last three years in an Emergency Department or in a critical care area of four or more beds as a registered nurse.
- Waivers may be granted by MTF or department on ad hoc basis.
Licensure/Registration:Possess a current, unencumbered RN license from any state or territory of the United States.
Job Duties and Responsibilities:The duties include but are not limited to the following:
- Knowledge of interpersonal relationships and the ability to maintain composure and react appropriately while relating to patients and families; to manage distraught, irritable, unreasonable or angry individuals; and to maintain positive rapport with all individuals involved in patient care.
- Ability to react with alertness and skill in any emergency situation, e.g., cardiac or respiratory arrest, hemorrhage, shock, severe physical trauma and psychiatric reaction.
- Serves as member of the resuscitation team.
- Assess patients' conditions for potential or life-threatening crises. Distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment).
- Plan appropriate nursing care.
- Obtain patient history and pertinent family history.
- Document plan of care and care given in patient's medical record.
- Utilize appropriate nursing personnel to assist in delivery of care when indicated.
- (LPNs/paraprofessionals).
- Transcribe or verify transcription of physician orders.
- Carry out prescribed physician orders and document in patient medical record.
- Communicate pertinent patient data to charge nurse and/or physician as appropriate.
- Reassess patient's condition and revise plan of care based on identified nursing problems.
- Possess knowledge of the pharmacology of emergency drugs, anticipated results, usual dosages, and their location on crash cart.
- Administer medications by any ordered route. Assess and document patient response to medications administered.
- Instruct patient/family regarding prescribed medications/therapies and surgical/diagnostic procedures that must be accomplished.
- Give inhalation therapy treatments, with knowledge of medications utilized in this treatment and reactions.
- The ability to interpret and intervene cardiac rhythms to include recognizing lethal rhythms and their implications.
- Assess patient/family knowledge level, implement plan of instructions and record patient/family demonstrated level of understanding.
- Operate defibrillator, EKG machine and cardiac monitor.
- Contract nurse shall administer blood and their competencies for blood administration will be verified.
- Interpret pertinent Jab values.
- Use electronic thermometers, infusion and Patient Controlled Analgesia pumps and various other pieces of medical equipment.
- Provide nursing care to a group of patients with other individuals assisting him/her, which may include making patient care assignments.
- The ability to initiate life saving measures in the absence of a physician.
- Identify impending or existing emotional or psychiatric crisis and provide appropriate intervention.
- Successful completion of certification for the following tasks.
- Recognition of life-threatening arrhythmias; Defibrillation; Emergency cardioversion.
- Independent administration of emergency drugs (monitor, mix, administer, titrate).
- Drawing and interpretation of arterial blood gases.
- Suctioning.
- Operation of Emergency Room equipment.
- Observes, manages patient now through the Emergency Room. Triage patients, referring to appropriate level of care.
- Uses cardiac monitoring equipment; interprets and responds appropriately to data.
- Perform arterial punctures.
- May be required to work in Critical Care Unit, PACU, Medical or Surgical Wards/Clinics.
- This position is mission essential.
