Registered Nurse - Emergency Department, Nights

Responsibilities:

• Provides direct patient care based upon nursing assessment to patients who have a variety of medical and/or surgical conditions, following established standards, department guidelines and hospital policies and procedures.
• Involves patient/family in the development of care plan. Updates care plan daily.
• Collaborates with members of multidisciplinary team regarding each patient's care.
• Prioritizes and performs direct care to patients according to policy.
• Explains and documents procedures and interventions.
• Identifies and performs appropriately in emergent situations.
• Assists multidisciplinary team with all processes related to patient care.
• Delegates responsibilities to staff based on patient needs and staff competencies.
• Utilizes and documents patient safety restraints per hospital policy.
• Demonstrates the ability to insert and manage the care for all IV's, both peripheral and central access, per hospital policy.
• Documents medications on medication administration record (MAR).
• Monitors patient's response to medications; documents and reports appropriately.
• Reports medication errors and adverse reactions per hospital policy.
• Demonstrates knowledge concerning medications, including side effects; educates patients on their medications and their side effects.
• Safely administers blood and blood products per hospital policy.
• Verifies patient ID per hospital policy.
• Performs all pyxis monitoring and counts per hospital policy.
• Ensures medications are wasted and documented as appropriate.
• Assesses patient/family educational readiness and barriers. Develops plan based on educational assessment.
• Documents educational assessment, plan, intervention and outcome.
• Utilizes critical thinking based on data; rounds on patients with physician and other members of the healthcare team as appropriate when making decision.
• Collaborates in the assignment of patients to staff based on acuity and competency of staff.
• Functions as charge nurse on unit.
• Participates in coordination/delivery of approved Facility events.
• Collaborates with others to seek solutions to complex issues; is sensitive to the operations and feelings of others.
• Focuses on the potential positive outcomes when exploring the issues. Remains objective to the view and conflicts of others.
• Focuses on the issues/concerns and not the person.
• Builds common ground for points of agreement/disagreement.
• Engages in mutual problem solving by brainstorming alternative positions, solutions and approaches.
• Utilizes integrity and honesty.
• Keeps commitments and is consistent.
• Discloses own position and thoughts and rationales in order to achieve understanding.
• Remains open to ideas and listens to others and objectively considers other's ideas and opinions.
• Support others; treats people with dignity, respect and fairness; displays sensitivity to patients and their need for privacy.
• Develops direction.
• Ensures that the purpose and importance of the team are clarified; clarifies roles and responsibilities.
• Facilitates goal accomplishment; makes procedural or process suggestions; provides necessary resources and removes obstacles.
• Sets performance goals; collaboratively works with direct reports to set meaningful objectives; implements system to track performance against goals; holds regular formal discussions to discuss progress toward goals and review performance.
• Clarifies current situation; carries expected behaviors and level of proficiency; provides feedback and reinforcement; gives timely, appropriate feedback on performance; reinforces efforts and progress.
• Explains and models: provides instruction, positive models and opportunities to develop skills and understanding.
• Assists in collection of meaningful data to capture the processes.
• Analyzes data for root cause analysis utilizing standard PI tools.
• Assists with the implementation of new performance plans.
• Collects and reviews data to determine progress. Complies with safety standards and reports safety issues as appropriate.
• Completes Annual Specific Specialty Competencies. Adheres to all Customer Service Standards of Excellence as identified in the statement.
• Plans and implements service level initiatives specific to PSMS scores.
• Utilizes the nursing process: patient advocacy, maintenance of aseptic technique, medication administration, documentation of treatments and care, management of equipment, patient safety and monitoring of vital signs.

Education:

• Graduate of an accredited school of nursing.

Certifications:

• Current state licensure as Registered Nurse (RN).
• Proof of Basic Life Support (BLS) certification must be presented upon hire.
• If in a Critical Care area an Advanced Cardiac Life Support (ACLS) Certification must be presented upon hire or within first year of employment.
• Within one year of hire RNs in Children's Hospital and Children's Hospital for Rehabilitation will achieve and maintain Pediatric Advanced Life Support (PALS) with the exception of the Neonatal Intensive Care Unit RNs who must achieve and maintain Neonatal Resuscitation Program (NRP) provider status and RNs in the Special Delivery Unit, who must achieve and maintain Advanced Cardiac Life Support (ACLS).
• (ONS) Chemo/Bio course complete within 2 years of employment if employed on units inpatient and/or outpatient where chemo is administered.
• If in an Adult/Combined EDs, ACLS upon hire or within one year of beginning work in the Emergency Department.
• If in a Pediatric ED, PALS upon hire or within one year of beginning work in the Emergency Department.
• In Dedicated Trauma Centers, Trauma Nursing Core Course (TNCC - adult) or Emergency Nurse Pediatric Course (ENPC - pediatric) upon hire or within 24 months of beginning work in the Emergency Department.
• Vascular Access Registered Nurse (VARN) program attendance required and obtains either a Certified Registered Nurse Infusion (CRNI) or Vascular Access Board Certified (VA-BC) certification upon hire or within a year of hire in Peripherally Inserted Central Catheter (PICC) areas.

Complexity of Work:

• All employees are expected to meet the standards of performance outlined in the Organizational-Wide Competencies listed below as applied to the position:
• Age Specific: is cognizant and demonstrates ability to alter communication patterns related to patient's age and developmental level.
• World Class Service Orientation: Demonstrates courteous, polite, friendly and cooperative behaviors toward others.
• Supports and participates in activities that promote customer satisfaction.
• Utilizes approved hospital scripts.
• Courteously answers the telephone utilizing approved script (department, name and "How can I help you").
• Assists in answering call lights when on the nursing units (includes ancillary and non-patient care personnel).
• Answers call lights within 4 rings.
• Acknowledges patients/guests/others immediately upon entering the department/work area.
• Communicates and follows the organizational chain of command for notification of patient care/service issues, when appropriate. (Calls are answered within 4 rings.)
• Attitude: Chooses to have a positive attitude every day.
• Customer waiting: Updates waiting patient/family per protocol. (Scheduled visit every 10 minutes, unscheduled every 30 minutes.
• Adaptability: Exhibits good communication and listening skills. Speaks clearly, actively listens.
• Able to work with diverse populations (patient, staff, physicians) under difficult and stressful situations.
• Supports the team approach.
• Committed to Customer Service standards. Encourages patients and family members to ask questions.
• Avoids jargon.
• Teamwork: Understands and supports the needs of individuals in other departments, works as a team to achieve mutual goals.
• Offers assistance and promptly responds to requests (patient, physician, manager and others).
• Performs any other duties or responsibilities that may be assigned.
• Carries Spectralink phone at all times.
• Updates patient boards with numbers. (Appropriate personnel) Attends 90% of all staff meetings.
• Participates in coordination/delivery of approved Facility events.
• Efficiency and Effectiveness: Offers suggestions for departmental and/or hospital-wide performance/process improvement.
• Intervenes to correct problems (patient and system) as they occur.
• Notifies manager/director of actions and outcome. Participates in the performance/process improvement process.
• Completes required logs and quality controls as per hospital/department requirements (crash cart, 24 hour chart check, narcotic count, point of care testing, etc.).
• Work Habits: Readily accepts work assignments in a positive manner.
• Performs work that is accurate, neat and consistent.
• Documentation is legible.
• Safety: Keeps work area neat and maintains equipment in accordance with health and safety codes.
• Uses Standard precautions in all patient contacts.
• Provides a safe environment for patients/family and visitors, and reports safety issues and equipment failures appropriately.
• Confidentiality: Sensitive information including, but not limited to, patient records, charts, hospital documents and employee information is kept confidential without exception, according to HIPAA guidelines.
• Ensures that the rights of all patients are respected and maintained by allowing for privacy, cultural diversity and dignity in the provision of care.
• Demonstrates organizational skills in the form of prioritization and time management.
• Essential Job Requirements: Policies/Procedures: Is aware of and follows all hospital, corporate, regional, and departmental policies and procedures.
• Appearance: Projects a professional image, follows the hospital dress code policy and/or department requirements.
• Wears hospital ID badge at all times on duty.
• Attendance: Employee reports to work each regularly scheduled work day.
• Does not take advantage of sick time. (To score a 3, employee must have no absences for the year).
• Punctuality: Clocks in by the scheduled start time of the shift and is ready for work.
• Continues working until scheduled departure time.
• Leaves as scheduled unless overtime is approved by supervisor.
• Managerial Responsibilities: Makes suggestions to reduce waste.
• Ensures that personnel and supplies of the organization are used in a cost effective manner.
• Identifies cost saving strategies for department/hospital.
• Submits accurate and timely hospital charges for department/hospital.
• Offers opinions and information that reflect positively on Cleveland Clinic Hospital.
• Will take the time to speak with an employee (privately) if they observe or overhear that an employee is not being an ambassador of the hospital.
• Understands how individual job performance affects department and hospital growth.
• Identifies and communicates opportunities to improve service or care.
• Participates in hospital/departmental committees to improve service and streamline organizational processes.
• Note: The above stated duties are intended to outline those functions typically performed by individuals assigned to this classification.
• This description of duties is not intended to be all-inclusive or to limit the discretionary authority of supervisors to assign other tasks of similar nature or level of responsibility.

Work Experience:

• Minimum one year current acute care RN experience in a hospital setting required for acute care settings.
• Minimum one year current acute care RN experience and/or skilled nursing facility (SNF) experience required for SNF care settings.
• Minimum one year current acute care RN experience and/or rehab experience required for rehab care settings.
• Minimum one year current acute care RN experience and/or Emergency Department (ED) experience required for ED settings.

Physical Requirements:

• Requires frequent walking from department to department; requires sitting at a workstation or desk; requires standing; work may include occasional pushing and/or pulling, lifting, and carrying objects weighing up to 50 lbs., such as files, documents and computer printouts.
• Work requires finger dexterity and eye/hand coordination to operate a computer keyboard at a moderate skill level.
• Mental Demands: Ability to work at a fast pace and prioritize multiple assignments/projects and respond to numerous requests; ability to resolve conflicts among staff and to work collaboratively with department directors, physicians and other members of the healthcare team; ability to ensure operational efficiency; ability to problem-solve and make decisions; ability to exercise self-control and tolerate stress when dealing with multiple requests and/or conflicting demands from multiple customers.

Personal protective equipment:

• Follows Standard Precautions using personal protective equipment as required for procedures.

Salaries [which may be] shown on independent job search websites reflect various market averages and do not represent information obtained directly from The Cleveland Clinic. Because we value each individual candidate, we invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.