RN- Emergency Department

RN•Emergency Department Boone County Hospital•Emergency Department

Boone, IA Employment Status:

Full-Time Nursing…Be a part of our team! We offer a team approach to healthcare and patient care is priority!

Status:

Full-Time

Shift:

Nights, 36 hours/week

Shift Time Schedule:

7:00pm-7:00am

Days:

Wednesday, Thursday and Friday We offer competitive pay and a great benefits package that includes: Medical Insurance Dental Insurance Vision Insurance Flexible Spending Accounts (FSA) Health Savings Accounts (HSA) Life insurance Aflac Short-term and long-term disability coverage Wellness program and reimbursement Free access to Boone County Hospital's onsite fitness room Generous PTO Accrual Plan Iowa Public Employees Retirement System (IPERS) Employee Assistance Program (EAP) Onsite Cafeteria

Salary Scale:

$31.68•43.96, based on experience

POSITION SUMMARY

Provide direct nursing care to patients utilizing the nursing process, performs technical nursing functions, and upholds the standards of practice of a professional nurse.

BCH POLICY STATEMENT

It is the obligation of each employee of Boone County Hospital (BCH) to abide by and promote BCH's mission, values, Code of Conduct, Standards of Behavior, policies, procedures and related practices. This includes policies relating to Compliance, Infection Control and Safety.

HIPAA SECURITY COMPLIANCE

Boone County Hospital is committed to following all federal guidelines related to privacy and security. All employees will be held to the highest standard of confidentiality, and will be required to annually sign an employee confidentiality agreement that outlines the rules and expectation for every BCH employee. Failure to abide by these guidelines could lead to disciplinary action including termination.

Security Access:

High Incumbent has access to restricted or confidential patient information and must comply with the terms of the BCH privacy & security policies as it applies to their job.

BEHAVIORAL REQUIREMENTS

Boone County Hospital has developed standards for behavior expectations of all employees. Please refer to the Boone County Hospital Standards of Behavior.

ESSENTIAL FUNCTIONS

Provides direct nursing care to patients utilizing the nursing process, performs technical nursing functions, and upholds the standards of practice of a professional nurse. Utilizes critical thinking and evidence-based practice to facilitate the nursing process in the provision of patient care Assures compliance with the Iowa Nurse Practice Act and other regulatory standards Performs according to the ANA Code of Ethics for Nurses Considers age, growth and development of the patient when planning, teaching and providing care Documents and maintains data on patient's electronic and paper record. Explains procedures and treatments to patient to gain cooperation, understanding, and allay apprehension. Acts as a patient advocate Applies teaching/learning concepts to patient and family education Observes patient, record significant conditions and reactions, and notifies Physician of changes in patient's condition and progress or lack of progress towards goals of care. Responds to life saving situations based upon nursing standards, policies, procedures and protocol Participates in precepting and mentoring while providing education/orientation to staff, students and others Actively supports and participates in continuous quality improvement efforts Actively demonstrates customer service philosophy Participates in department staff meetings and hospital wide in-service programs as required Computer literacy attainable Communicates and collaborates with interdisciplinary team to facilitate safe, effective and appropriate patient care. Assures safe, therapeutic environment for patients, families, visitors and staff Participates in department staff meetings, hospital wide in-service programs as required and quality improvement efforts Serves as a resource and mentor for staff Restocks and assures adequate supplies as they are utilized for patient care.

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

Must be caring, sympathetic, responsible, and detailed orientated. Able to direct or supervise others correctly assess patients' conditions, and determine when consultation is required. Need to be emotional stability to cope with human suffering, emergencies, and other stresses. Emergency Department experience required Graduation from an accredited school of nursing: Diploma RN, ADN, BSN, or MSN. Valid Iowa RN license

Certifications:

BLS, ACLS, TNCC, PALS

optional certifications are ENPC, NRP, and CEN. Caring nature, critical thinker, great communication skills, adaptive, detailed-orientated, and maintain regular and reliable attendance Ability to communicate effectively both verbally and in writing. Skill in effective oral and written communication in English

PHYSICAL ACTIVITY REQUIREMENTS

Physical Demands The physical 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. A. Activity Level Percent of Time

Sedentary Work:

Exerting up to 10 lbs. of force occasionally and/or a negligible amount of force frequently. 40%

Light Work:

Exerting up to 20 lbs. of force occasionally and/or 10 lbs. of force frequently. 30%

Medium Work:

Exerting up to 20•50 lbs. of force occasionally and/or 10•25 lbs. of force frequently. 20%

Heavy Work:

Exerting up to 50•100 lbs. of force occasionally and/or 20•50 lbs. of force frequently. 10%

Very Heavy Work:

Exerting over 100 lbs. of force occasionally and/or 50•1 00 lbs. of force frequently. 0%

Total:

100% B. Functions and Activities Key C = Continuous F = Frequent O = Occasional N = Not Applicable More than 5.5 hours (67-100%) > 500 reps/day 2.5 to 5.5 hours (34-66%) 101-500 reps/day Less than 2.5 hours (1-33%) 1-100 reps/day Not at all or rarely Activity C F O N Comments Waist to Floor Lift, 0-20 lbs. X Waist to floor lift of various equipment, materials, and supplies, and when moving patients ranging in weight from 0-20 lbs. up to approximately 36". Waist to Floor Lift, 21-75 lbs. X Waist to floor lift of various equipment, material, supplies, and when moving patients ranging in weight from 21-75 lbs. up to approximately 20". Unilateral Waist to Floor Lift X Not required. Waist to Crown Lift, 0-10 lbs. X Lifting of various equipment, materials, and supplies ranging in weight from 0-10 lbs. up to approximately 66". Unilateral Waist to Crown Lift X Not required. Horizontal Lift, 0-20 lbs. X Horizontal lifting of various equipment, materials, supplies, and when moving patients ranging in weight from 0-20 lbs. at approximately 18". Horizontal Lift, 21-75 lbs. X Horizontal lifting of various equipment, materials, supplies and when moving patients ranging in weight from 21-75 lbs. at approximately 18". Carry (Bilateral), 0-25 lbs. X Carrying of various equipment, materials, and supplies ranging in weight from 0-25 lbs. approximately 20 ft. Carry (Unilateral) X Not required. Horizontal Push/Pull, 0-75 lbs. of force X Generating up to 75 lbs. of horizontal push/pull force when performing various work related duties (i.e. moving patients). Vertical Push/Pull X Not required. Reach At or Below Shoulder Level X Reaching at or below shoulder level to complete various work related activities. Reaching occurring in all planes. Reach Above Shoulder X Reaching above shoulder level to complete various work related activities. Reaching occurring in all planes. Reaching up to approximately 73". Elevated Work X Not required. Stooping X Sustained forward flexion of the trunk to retrieve various equipment , materials, supplies, and to position oneself to perform various work related duties. Sustained trunk flexion for up to 2.5 minutes. Bending X Repetitive forward flexion of the trunk up to 60 degrees required to retrieve various equipment, materials, supplies and to position oneself for work related duties. Twisting X Repetitive rotation of the trunk and neck to position oneself for various work related duties. Squatting X Repetitive full flexion of the hips and knees required to retrieve various equipment, materials, supplies, and to position oneself for various work related activities. Sustained Squat/Crouch X Not required Kneeling X Repetitive/sustained kneeling required to position oneself for various work related duties. Sustained kneeling for up to 60 seconds. Crawling X Not required. Climbing Stairs X Stairwells between floors with approximately 7 inch steps. Elevators are available for transitioning between floors. Climbing Ladders X Not required. Walking X Ambulating throughout hospital on level indoor surfaces to respond to patients and communicate with co-workers. Standing X Standing on level indoor surfaces while performing various work related duties. Sitting X When performing charting/documentation. Balancing X Average level balance required to complete various work related duties. Fine Manipulation X Average to above average coordination required to complete various work related duties. Simple Grasping 0-20 lbs. of force X Gross hand grasping, with preferred hand of 0-20 lbs. of force to perform various work related duties. Firm Grasping 21-50 lbs. of force X Gross hand grasping, with preferred hand of 21-50 lbs. of force to perform various work related duties. 2-Point Pinch, up to 5 lbs. of force X Pinching up to 5 lbs. of force with bilateral hands to complete various work related activities. 3-Point Pinch, up to 5 lbs. of force X Pinching up to 5 lbs. of force with bilateral hands complete various work related activities. Lateral Pinch, up to 5 lbs. of force. X Pinching up to 5 lbs. of force with bilateral hands to complete various work related activities. Repetitive Hand / Wrist Activities X Repetitive bilateral finger flexion/extension and wrist flexion/extension/radial deviation/ulnar deviation to complete various work related activities. Repetitive Keying / Mousing X To perform charting/documentation tasks. Operates Hand Controls X Operating controls on various medical related equipment throughout facility. Operates Foot Controls X Not required. Drives Car / Truck X Not required. Operates Moving Equipment, Forklift/Skid Mover/Other X Not required. C. Talking Required Ordinary Loudly or quickly D. Hearing Required Ordinary conversation Ability to hear alarms, radio/phone, and instructions from others E. Seeing Required Close Vision Distance Vision Color Vision Peripheral Vision Depth Perception Ability to Adjust Focus F. Elevated Work Required G. Work in Confined Spaces Required Environmental Conditions H. Environmental Factors Extreme Heat (non-weather) Extreme Cold (non-weather) Outdoor weather conditions Wet and humid conditions Quiet Noise Moderate Noise Excessive Noise (Potentially = 85 dB TWA) Vibration Hazards I. Percent of Time Spent in the Performance of Job

Inside:

100%

Outside:

0% J. Percent of Time Spent in Temperature Extremes in the Performance of Job NA K. Atmospheric Conditions to Which Employee is Exposed on a Regular Basis

Fumes:

Gases:

Dusts:

Mists:

Poor Ventilation Vibration Odors Personal Protective Equipment L. General Hard Hat Eye Protection Hearing Protection Steel Toed Boots Chemical Resistant Clothing Gloves

Other:

Various PPE according to hospital policy M. Respiratory Protection Dust/Mist Mask Half-mask Full-face Mask Powered Air Purifying (PAPR) SCBA None Physical Activity Requirements Up to 33% 34-66% 67-100% N/A Sitting x Standing x Walking x Climbing x Bending/Stooping/Kneeling x Repetitive Motion x Lifting/Carrying x Hearing x Seeing x

EQUIPMENT/TOOLS

Operate equipment such as computers, printers, copy machines, calculator, IV pumps, defibrillators and suction equipment to name a few.

WORKING CONDITIONS

Regularly required to use hands to finger, handle, or feel and talk or hear. Employee frequently is required to stand, walk and reach with hands and arms. Occasionally required to sit; climb or balance; stoop, kneel, crouch, or crawl; and taste or smell. The employee must frequently lift and/or move up to 25 pounds and occasionally lift and/or move more than 100 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. Vision must be correctable to view computer screens and read printed information. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision and ability to adjust focus. Hearing must be in the normal range for telephone contacts and other conversations. Employee is regularly exposed to wet and/or humid conditions, moving mechanical parts, fumes or airborne particles, toxic or caustic chemicals, risk of electrical shock and risk of radiation. Hours may vary depending on departmental staffing needs. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. The above is intended to describe the general content of and requirements for this job. It is not intended to be a complete statement of duties, responsibilities or requirements.