Collaborates with the Emergency Department Staff, Medical Staff, and Clinical Assessment Team to provide direct care for Emergency Department psychiatric patients and admitted medically ill patients with behavioral health needs to include facilitating social and emotional needs, collaborating with Emergency Department staff, medical staff and physicians on medication schedules and evaluating patient progress. Collaborates with ED Physicians and Psychiatrist to ensure safe admission or discharge plan of care. Responsible for maintaining a safe environment through the use of assessment tools, monitoring devices and restraining techniques where deemed necessary. This position delegates to other team members to include LPNs, PCAs, PCAs/US, OTs and/or US.

KEY RESPONSIBILITIES/ESSENTIAL JOB FUNCTIONS

Assesses condition on each assigned patient on admission and on an ongoing basis to include but not limited to the patient’s physical condition, psychological status, social status, spiritual and cultural needs, pain assessment/management, nutritional and functional status, developmental or age related factors, and discharge planning needs.

1. Plans, provides, and documents patient and/or significant other education based on physical, behavioral, psychological, developmental, and age-related factors, after identifying barriers to learning.
2. Evaluates and regularly reevaluates patient care; coordinates care planning with patient, family, providers and other disciplines to achieve patient-centered outcomes.
3. Assigns and delegates nursing care to team members in accordance with the patient’s needs and the capabilities of the team members.
4. Applies safety principles when performing care
5. Accurately documents observations, care provided, and changes in care plan.
6. Provides accurate handoff reports and participates in unit based huddles
7. Assists in performance improvement (PI) activities by serving on PI teams as warranted, assisting with PI measures and supporting and implementing changes necessary for improvement.
8. Performs initial and annual competency per job class. 

DCH Standards:

• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook
• Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
• Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
• Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
• Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• Must adhere to all DCH Health System policies and procedures.
• All other duties as assigned.

MINIMUM KNOWLEDGE, SKILLS, EXPERIENCE REQUIRED

• Current approved Alabama Board of Nursing RN license or multi-state license required or ability to obtain prior to start.
• Current American Heart Association (AHA) or American Red Cross Basic Life Support (BLS) Provider training required.
• BSN preferred, minimum Associates required
• Must be able to read, write legibly, speak, and comprehend English.

Required within 6 months of start date:  American Heart Association or American Red Cross accepted

Cardiac/Critical Care:

• ACLS

Emergency Department-both campuses:

• ACLS
• Pediatric Advanced Life Support (PALS)

Emergency Department – Regional Campus only:

• Trauma Nursing Core Course (TNCC)

Perioperative:

• ACLS
• PACU –PALS; ACLS

Women’s/Children:

• NICU –Neonatal Resuscitation (NRP)
• Labor & Delivery –ACLS, NRP, and Intermediate Fetal Monitoring
• Mother Baby Unit – NRP
• Pediatrics – PALS

Clinical Support:

• Cardiac Monitoring Unit –ACLS

Dialysis:

• ACLS

International RNs:

• Current approved Alabama Board of Nursing RN license or multi-state license required or ability to obtain prior to start.
• Current American Heart Association (AHA) or American Red Cross Basic Life Support (BLS) Provider training required or obtain within 30 days of start date.
• BSN preferred, minimum Associates required
• Must be able to read, write legibly, speak, and comprehend English.

Working Conditions

WORK CONTEXT

• Demonstrate leadership skills
• Requires decision making that will affect others
• Responsible to achieve outcomes
• Must be able to communicate clearly and accurately
• Ability to delegate to team members and students
• Must be able to receive delegation
• Address conflict and stressful situation
• Communicate with different personalities and engage in face to face discussion
• Dealing with unpleasant or verbally/physically aggressive personalities
• Must be able to use electronic mail, telephone and texting
• Must be able to work in groups
• Must be able to perform structured and unstructured work
• Must be able to meet time pressure and time lines
• Includes possible exposure to human body fluids, disease, infection, lab chemicals and hazardous materials and/or cleaning solutions
• Requires wearing of common protective and safety equipment such as gloves, safety glasses, mask, gowns, etc.
• Schedules vary; every other weekend required. Weekends include Saturday & Sunday

PHYSICAL FACTORS

• Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.Must be able to tolerate prolonged periods of standing and walking
• Must be able to reach reasonable distances in any direction
• Must be able to stand, walk, kneel, bend, sit and stoop
• Must be able to run in an emergency
• Must have the ability to exert maximum muscle force to lift, push, pull and carry objects
• Must be able to move fingers in a coordinated manner and must be ablet o feel and perceive temperature, texture, shape and size with fingertips
• Must be able to perform the duties with or without reasonable accommodation
• Must possess stamina to work prolonged shifts
• Hearing and vision must be normal or corrected to within normal range.
• Physical presence onsite is essential.

KEY WORD SEARCH

Staff Nurse, Registered Nurse, Nurse, RN