Registered Nurse II - Children's Emergency Department

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917415

Vidant Medical Center

Full Time

Regular

Summary

About Vidant Medical Center and the Children's ED

We are the only tertiary facility in eastern North Carolina designed, equipped and staffed with trained emergency pediatric providers and nurses. The services will be provided to infants, toddlers, small children, teens and young adults with an emphasis on patient-family centered care.

The Children's Emergency Department is a 16-bed unit that includes 2 Resuscitation bays. Our goal is to meet the needs of the children and their families by providing safe, child friendly, quality care and incorporating Child Life Specialists.  The physician faculty is affiliated with the Brody School of Medicine and teaches medical students, interns and resident physicians.

Vidant Medical Center is a fully accredited, 900+ bed regional referral facility encompassing a Level-1 Trauma Center and extensive inpatient and outpatient services including intensive and intermediate care, pediatrics, bariatrics, obstetrics, and gynecology, surgery, pain management and psychiatry.

Responsibilities

 Delivers quality patient care, utilizing the nursing process (assessment, planning, implementation and evaluation) to guide care delivery. Directs, quality patient care, utilizing advanced clinical skill levels and knowledge. Develops, implements, revises and evaluates the plan of care.

  •  Executes the Vidant Medical Center Nursing Professional Practice Model and Model of care delivery to support professional practice and collaborative partnerships with each other, physicians and members of the healthcare team.
  • Engages in professional growth and development, continuing competence, lifelong learning, quality care and research to affect empirical outcomes. Develops others. Holds self and others accountable to nursing professional practice.  Fosters an environment of peer accountability.
  • Participates in community partnerships and collaborative initiatives. Participates in the development of students, new nurses and experienced nurses hired into the organization.
  • Develops and serves in a leadership role at the unit level such as charge nurses, clinical coach.
  • Partners with unit leadership on quality and/or research initiatives to achieve outcomes.
  • Fulfills criteria spelled out in the Professional & Clinical Excellence Pathway
  • Provides age specific direct patient care according to unit scope of service: Demonstrates the knowledge and skills necessary to provide service appropriate to the age of the patient.
  • Collects and documents data about patients commonly seen on the unit through the following methods: Completes the admission record consistent with policies and interviews patient/significant others to complete health history. Documents overt signs and symptoms that indicate risk situations. Documents physical assessment findings consistent with unit standards. Assesses each patient and significant others at the time of admission to identify individual criteria for discharge. Utilizes resources to assess patients with conditions that are new, unfamiliar, or not commonly seen on the unit. Interprets overt assessment data to determine when patient is at acute physiological and or psychosocial risk.Establishes and documents a database through the use of assessment skills. Identifies patient significant other learning needs.
  • Develops a Plan of Care Develops, with guidance, a plan of nursing action based on an evaluation of existing patient problems, expected patient response, and the interdisciplinary plan of care, and realistic goals outcomes utilizing appropriate human e.g. patient, significant others, other disciplines and material resources to meet bio psycho social and developmental needs. Communicates the plan of care by using methods that include diagnosis, orders, short and long term goals outcomes, and time frames. Plans and implements individualized nursing care appropriate care path and teaching plans for patients, families and or significant others. Documentation of patient care reflects the following characteristics: is precise and well organized is individualized to meet patient need is goal outcome directed clear priorities of care are established is reviewed and revised according to the patient's condition individualizes patient education to reflect individual maturational level. Implements Patient Care.
  • Provides individualized direct patient care within established Vidant Medical Center policies and procedures and Vidant Medical Center nursing philosophy. Provides a therapeutic environment for patient care. Consistently assesses the therapeutic quality of the nurse patient relationship. Does not allow personal feelings to interfere with the delivery of patient care or the maintenance of therapeutic relationships. Demonstrates the ability to recognize when personal conflicts have the potential to interfere with therapeutic relationships.
  • Provides safe, therapeutic care for assigned patient in accordance with the nursing policies and procedures.  Implements nursing care as directed by the patient plan of care. Modifies plan of care to assure continuity of care.  Reports changing patient status that affects unit staffing needs to charge nurse. Utilizes an interdisciplinary approach in implementing and coordinating nursing care and sets priorities for care of patients based on acuity. Safely performs and documents the nursing procedures required by the patient assignment consistent with physician's orders and following Vidant Medical Center policy and procedures. Promotes safety awareness on the unit. See Unit Competencies. Seeks out resources when in difficult or new situations. Conscientious of cost containment in all nursing practice activities. Teach and documents patient education based on nursing assessment to meet identified learning needs of patient and/or significant others. Demonstrates appropriate use of equipment and takes initiative to ensure the cleaning, replacing or repairing as necessary.
  • Evaluates the patient's physical and emotional response to care recognizing pharmacological and physiologic response variations: among the young, middle aged and elderly patients; between pediatric and adult patients. Evaluates patient and/or significant others response to care based on a continuing assessment and assists with revisions as needed. Documents the patient's overt response to care using unit specific guidelines. Documents and revises patient plan of care daily based on evaluation of effectiveness of interventions and achievement of patient care goals outcomes.  When questioned, gives rationale for action/inaction based on one or more of the following: scientific principle proven practice experience research findings legal implications. Attends patient care conferences and or rounds.
  • Changes practice behavior as a result of QI data. Identifies opportunities for improvement. Participates in problem resolution activities. Participates in data collection per unit QI plan. Demonstrates understanding and documentation of variances.
  • Listens to the ideas, opinions and feelings of others. Uses communication interpersonal strategies with individual patients, families, and staff that result in achievement of intended outcomes. Gives and receives constructive feedback with regard to behavior that is related to the achievement of: patient care objectives, and unit objectives. Patient Care Services objectives. Works effectively with others in a team approach. Does not allow personal feelings to interfere with the delivery of patient care or the maintenance of therapeutic relationships. Demonstrates the ability to recognize when personal conflicts have the potential to interfere with therapeutic relationships.
  • Demonstrates competency in basic nursing practice and mastery in the use of nursing process. Current RN licensure in the state of North Carolina or temporary North Carolina licensure or meet requirements to hold RN licensure in a compact state.

Minimum Requirements

  •  Current RN licensure in the state of North Carolina or temporary North Carolina licensure or meet requirements to hold RN licensure in a compact state.
  • Current BCLS (Basic Cardiac Life Support) required.
  • ACLS (Advanced Cardiac Life Support) may be required depending on unit requirements.
  • More than 1 year but less than 2 years of progressively related experience required.
  • Must meet eligibilty criteria/requirements as defined by the RISE (Clinical Ladder) program for Staff Nurse II.
  • FOR EASTCARE TRANSPORT RN's: ACLS, BLS, PALS. NRP, TNCC must be obtained before the end of orientation,
  • One specialty certification for example, CFRN or must be obtained within 2 years of hire is required. 3 to 5 years experience as a RN is required from an ICU or ER setting.
  • The ability to treat patients under EastCare protocols is determined by the EastCare Medical Director.

Preferred Requirements

  • Prefer previous experience within the specialty area. 

General Statement

It is the goal of Vidant Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer.   Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

 

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