Graduate Nurse at Rush Memorial Hospital – Rushville, Indiana

PRN-Hours will vary

Required full time orientation until completed checkoff

Must be willing to work nights, weekends and last-minute shifts

Expected to work at least 24 hours once checked off

The Graduate Nurse in the Emergency Department delivers direct and indirect nursing care to the assigned patients within their scope of practice under the Supervisor. This position is responsible for assisting in the delivery of routine nursing care to patients and communicating changes in patient status in addition to other duties.

Knowledge & Experience

Skills-

• Demonstrates fundamental nursing skills.
• Demonstrates effective interpersonal skills necessary to interact with various levels of health care personnel.
• Demonstrates ability to give and follow instructions accurately.

Knowledge-

• Education from a completed accredited nursing program.
• Requires NCLEX to be successfully taken 90 days from graduation.

Education-

• High school diploma or equivalent required.
• Completion of an accredited Nursing program.

Experience-

• Clinical experience preferred.

Authority and Accountability

• Extensive exposure to confidential information or matters.
• Must be able to work with and communicate with different types of people.
• Frequent contact with various persons or groups within and outside of the hospital including employees, department managers, physicians, patients, volunteers, visitors and outside agency personnel.

Aptitudes

• Must be able to prioritize, utilize critical thinking, and adjust to change.
• Must be able to reason and use logical problem-solving skills.
• Performs duties that require some latitude for independent judgment and initiative in handling situations out of the ordinary.

PHYSICAL AND MENTAL EFFORT

The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Regular requirement to stand, walk, use hands, reach with hands or arms, talk, and hear.
• Frequent requirement to stoop, crouch, kneel, bend, sit.
• Regular requirement to lift and/or move up to 25 lbs., frequently lift and/or move up to 50 lbs. and occasionally lift and/or move up to 100 lbs.
• Specific vision requirements include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to focus
• Speaking and listening skills are essential.
• Time management and multiple task management skills are essential
• Must be able to work under a moderate amount of stress

ENVIRONMENTAL AND WORKING CONDITIONS

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

• The noise level in this work environment is usually moderate.
• Work is performed in a clean, well-lighted and ventilated building.
• Could be subject to infectious diseases, cuts, abrasions, burns, and punctures.
• Work schedule may vary.

ACCOUNTABILITY

• Reports to the Director of Emergency Department.
• Reports to the designated Charge Nurse during shift.
• Reports to and works under their preceptor.

QUALITY ASSURANCE-KEY RESPONSIBILITIES

1. Dressing (according to patients’ needs, ranging from minimal assistance to totally dependent).
2. Bathing (according to patients’ needs, ranging from minimal assistance to complete bed bath; including hair care and shave if necessary).
3. Oral care (according to patients’ needs, ranging from minimal assistance to complete oral and denture care).
4. Feeding (serving meals, physically feeding patients who are unable to do so themselves); includes preparing patients for meals within 5 minutes of arrival of food cart.
5. Toileting (assisting with bedpans and urinals, help to the bathroom, providing incontinent care for patients who need it).
6. Performs glucometer checks on patients as directed.
7. Routinely obtains patient vital signs as directed and when patient condition changes and reports findings to nurse assigned to the patient.
8. Provides catheter care when applicable.
9. Maintains upkeep of Intake and Output sheets during shift; tallies and records I/O at the end of the 8 hour shift.
10. Answers patient call lights in a timely fashion (preferably within 3 minutes).
11. Assists patients with ambulation when necessary and/or as directed.
12. Assists patients with transfer needs (i.e. chair to bed, bed to bedside commode, etc.).
13. Keeps patient rooms and belongings neat and organized.
14. Provides bed linen changes when necessary.
15. Ensures that bedridden patients are repositioned or turned a timely fashion.
16. Reports all patient changes to the patient’s assigned nurse.
17. Provides post-mortem care as necessary.
18. Provides safety awareness for patients – keeps an eye on wanderers and watches for potentially dangerous situations; maintains occupied patient beds in low position.
19. Assists in the admissions, transfers and discharges of patients to and from the department.
20. Accompanies patients who are newly admitted to their room and orients them to their surroundings.
21. Obtains vital signs, height and weight for newly admitted patients within 10 minutes of arrival to department; applies identification bracelet to patient if necessary.
22. Distributes ice water and nourishments on a timely basis.
23. Makes hourly rounds on patients to assess and anticipate patient needs and as needed.
24. Collects specimens of stool, urine and sputum and transports to laboratory according to policy and procedure. Collects swab specimens as checked off by lab for Flu, RSV, and Strep or other approved testing.
25. After a patient has been discharged or transferred from the department, removes all equipment from the department – stores it after cleaning; disposes of oxygen tubing, suction equipment and IV supplies in appropriate manner.
26. Assists physicians and nurses with procedures and treatments and performs services requiring skills within scope of practice.
27. Participates as a member of the multidisciplinary healthcare team in conjunction with other hospital employees in order to provide resolution of issues that may occur or have occurred.
28. Communicates appropriately and clearly with director, Charge Nurse, co-workers, physicians and other members of the healthcare team.
29. Demonstrates team attitude; offers assistance to co-workers to provide optimal patient care; solicits assistance from co-workers when necessary.
30. Demonstrates efforts to maintain patient confidentiality as appropriate and per policy.
31. Demonstrates ability to appropriately use equipment assigned to the department for patient care and staff use within scope of practice.
32. Assists in orientation process for nursing staff members as patient care allows; assists in volunteer program as patient care allows.
33. Serves as a change agent, assisting all staff in understanding the importance, necessity, impact, and process of change.
34. Requests or takes advantage of opportunities to gain nursing-related experience or with regards to nursing practices.
35. Documents student nurse activities appropriately in the patient medical record as duties allow with appropriate nurse signatures obtained.
36. Performs other duties as assigned.
37. Start IV's after checked off per facility guidelines by RN Instructor.
38. All medications must be given with the preceptor present.

PUBLIC RELATIONS

• Maintains effective channels of communication with other employees and patients.
• Takes appropriate action in problem situations to offset adverse effects.
• Projects a professional and positive attitude regarding the hospital.

OTHER RESPONSIBILITIES

• Attends 70% of departmental meetings held during the year.
• Attends mandatory in-service and educational offerings.
• Observes hospital dress guidelines and wears ID badge.
• Provides proper notification for absence and tardiness and is punctual for start of scheduled work time.
• Maintains equipment assigned to department and reports malfunctions appropriately.
• Participates in emergency procedures, fire drills, evacuation procedures and internal/external disaster plans and procedures in accordance with departmental responsibilities.

CONTINUOUS QUALITY IMPROVEMENT

• Participates in the Continuous Quality Improvement Program (CQI) under the direction of Nursing Leadership to meet stated goals and objectives of the CQI Program by:
• Bringing potential problems to nursing leader’s attention.
• Assisting in data collection.
• Suggesting solutions to problems.
• Emphasizing, supporting and committing to CQI practices and processes.
• Taking action to assure CQI within areas of responsibility.