RN

TITLE:

Staff Nurse — Emergency Department (See Qualifications)

DEPARTMENT

Emergency Department

REPORTS TO

Emergency Department Nursing Director, Chief Nursing Officer

SUPERVISORS

Chief Nursing Officer, ED Director, ED Assistant Director, Nursing Supervisors

SUPERVISES

CNA, Unit Secretary, ED Techs

WAGE & HOUR DESCRIPTION

Non-Exempt VERSION:

July 2025 POSITION PURPOSE To coordinate the total nursing care for patients of the Emergency Department in a safe, cost-effective manner consistent with established standards and current hospital policies and procedures. Act as a liaison to facilitate patient care between patients, family members, providers, and other relevant persons.

MINIMUM QUALIFICATIONS

Staff Nurse Currently licensed as a professional Registered Nurse in the State of Florida or Multi-State Compact Licensed. Demonstrated proficiency in all areas of patient care pertaining to patient population. BLS, ACLS, and PALS certifications required. Newly graduated registered nurses or new nurse to emergency department setting must obtain ACLS and PALS certification within the first 90 days of employment or assignment to the unit. Certifications are only accepted from The American Heart Association. Graduate from an accredited school of nursing with a Registered Nurse degree. High School Graduate or GED equivalent from a Florida Department of Education accredited program. Strong customer service skills and ability to multi-task while working in a high-volume work environment.. Able to work effectively with team members, supervisors, providers, patients and their families to accomplish team goals. Ability to plan, organize and perform job associated tasks to completion. Willing to adjust personal schedule to accommodate patient needs. Demonstrated knowledge of computers and proficiency in the use of an electronic health record system, CPSl/Evident preferred. Knowledge of web-based programs and Microsoft Office suite of products including Outlook, Word and Excel preferred.

LANGUAGE SKILLS

Ability to read and communicate effectively in English. Ability to speak a relevant second language preferred. 3. Strong written and verbal skills with the ability to communicate effectively with customers, hospital staff, medical staff and others as required by position. Ability to identify and implement appropriate patient communication strategies and overcome accessibility barriers, as required. Ability to use language line or seek a certified interpreter for assistance.

LIMITATIONS/HAZARDS

General work area chemicals as listed on the departmental chemical inventory. May be exposed to chemical toxins during medication administration and radioactive materials during imaging procedures. OSHA Category I exposure to infectious diseases and blood and body fluids. May be exposed to combative, agitated or violent patients. Occasionally subjected to extended or irregular hours Occasional pressure due to unpredictable situations, emergency or crisis situations, or due to multiple calls and inquiries.

PHYSICAL REQUIREMENTS

Essential Technical/Motor Skills:

Physical ability for: Extensive; walking and standing; Extensive; lifting, reaching, pushing, pulling; up to forty (40) pounds; Moderate period of sitting in office environment in the nurses' station or at the bedside; Moderate use of Precise Motor Function (Or Fine Manipulation) Adequate; tactile (touch) sensation, hearing, seeing and speaking.

Vision Requirements:

Far Acuity Near acuity Color vision — ability to distinguish and identify different colors in order to read medical equipment

Required Protective Requirements:

Eye Protection, Face Protection, Mask Medical Gown, Lab Coat or Apron Sterile Medical Gloves, Utility Gloves Interpersonal Skills:

Works with empathy, compassion and professional interaction collaboratively and independently with all below: Community; Inter Departmental Personnel; Intra Departmental Personnel; Professional Staff; Administrative Staff; Patient, Patient friends and family.

Essential Mental Abilities:

Problem solving; Reasoning; Independent judgment; Organizational skills; Able to perform competently under stress; Able to perform competently under time constraints; Numeric and alphabetical acuity of recognition; Able to read technical information and references on equipment and billing codes. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.

AGE APPROPRIATE STATEMENT

Position is required to have competence to assess, treat and/or care for the age groups indicated by check marks.

Legend:

Birth

• 1 Year = Neonatal/lnfant x 1 11 Years = Child/Pediatric x 12
• 17 Years = Adolescent x 18
• 64 Years = Adult x 65 Years and over = Geriatric x N/A No responsibility to assess, treat or care for patients.

POSITION ACCOUNTABILITIES

(Criteria indicated on Performance Evaluation) 1.

JOB PERFORMANCE

IA RN Core Competencies:

1.1A Formulates appropriate nursing diagnosis and establishes patient outcomes in a plan of care. 1.2A Accepts assignments based on competency, and participates in committee/project work as requested by Director. 1.3A Assesses patient teaching needs and participates in teaching opportunities with patients and other significant individuals as indicated. 1.4A Consistently modifies nursing care as required by changing patient needs as determined by evaluation of care administered and continued patient assessment. 1.5A Performs technical aspects of care according to established policies and procedures; utilizes proper techniques and adopts technique to the individual needs of the patient. 1.6A Documents and communicates patient responses and effectiveness of nursing intervention in the patient's medical record according to established procedures as outlined in the nursing policy and procedure manual. 1.7A Prepares and administers medications with knowledge of action, mode, side effects, and contraindications. 1.8A Transcribes, receives, and interprets provider orders for assigned patient. Carefully documents all patient related information in medical record. 1.9A Coordinates effectively all patient care activity involving other departments, including admissions, transfers and discharges to promote an effective flow pattern. 1.10A Strictly follows the principles of asepsis and infection control and maintains a clean and safe environment. 1.11A Provides for patient safety through utilization of proper equipment and use of preventative measures (i.e. fall protocol/side rails, restraints, etc.) 1.12A Demonstrates an ability to respond and provide direction in changing workload and during crisis and emergent situations. 1.13A Consistently demonstrates an awareness of patient rights and functions as the patient's advocate. 1.14A Will perform waive testing as appropriate. 1.15A Demonstrates flexibility in adjusting work schedule in order to cover for increases in workload and staff shortages due to census, illness, or staffing needs to cover for vacancies and/or leave of current staff. 1B Unit Specific Competencies

• Emergency Department 1.

1B Demonstrates competency in clinical skills related to the Emergency Department. 1.2B Demonstrates knowledge, location, care, and operation of all Emergency Department equipment. In-service records reflect training in any new or updated equipment. 1.3B Uses appropriate assessment skills in judging the patient needs for psychological, social, and emotional support as part of the emergency care given. 1.4B Ensures that patient is properly identified by following established policy before care is performed. 1.5B Assures discharge instructions are given to patients, and, if needed, utilizes available resources to provide for the continuum of care. 1.6B Demonstrates understanding of legal issues in the

Emergency Department:

(i.e. child abuse, rape, blood alcohol, gunshot wound, medical examiner, Baker Act, Marchman Act, human trafficking and elder abuse). 1.7B Performs patient care and communications within the guidelines of the Relationship and Results Oriented Healthcare Model utilizing the recommended bundles of best practice. 1.8B Communicates and completes handoff documentation for effective handoff of patients care (SBAR) for admission or transfer to another health care facility. 1.9B Follow ENA Guidelines for clinical, competency, staffing, and care of the patient. 1.10B As a core member of the "Stroke Alert Team", maintains up to date stroke education at a minimum of four (4) hours annually. 1.11B Completes annual certification of the NIH Stroke Scale offered through HRMC electronic education system as assigned. 1.12B Participates as a core member of the STEMI Alert Team in the Emergency Department. 1.13B Performs

B.E.F.A.S.T.

(Balance, Eyes, Face, Arms, Speech, Time) Assessments on patients presenting with Stroke-like symptoms. 1.14B Demonstrates proficiency in the STEMI Alert Process, Chest Pain Protocols, NSTEMI Protocols. 1.15B Ability to set up and perform telemedicine consults for Neurology & Cardiology

COMPLIANCE/FINANCIAL

Supports HRMC's Mission Statement and follows the Medical Centeds Compliance Program and Ethical Standards of Conduct. Supports Departmental Policies related to compliance and completes documentation in observance of regulatory standards. Attends training and in services concerning all aspects of assigned duties. Responsibilities to include, but not limited to, federal and state statutes, regulations and guidelines. Reports any incidences of suspected fraud, waste or abuse violations to the Compliance Officer. Utilizes PTO/DTO system appropriately. Maintains adequate supplies on the unit and ensures that all patient charges are properly recorded.

COMMUNICATION/INTERPERSONAL SKILLS

Acts as a liaison between patients, providers, nursing and other departments to facilitate a collaborative practice in the provision of quality patient care. Investigates specific problems objectively, timely, and completely before making judgments or decisions. Utilizes available resources as appropriate. Demonstrates knowledge of nursing and administrative hierarchical structure and chain of command. Follows proper lines of communication. Creates and maintains, by example, an open positive work environment by utilizing effective human relations and communications skills. Provides input into decisions affecting nursing practice. Participates in preparation of reports for Nursing Administration and Risk Management as indicated. Notifies provider(s) of pertinent observations, reactions, incidents, and abnormal diagnostic tests as required. Provides input into decisions affecting nursing practice through participation in nursing committees or department meetings.

AGE SPECIFIC COMPETENCY

This staff member must be able to demonstrate the knowledge and skill necessary to provide care, based on physical, psychosocial, educational and safety related criteria, appropriate to the age of the patients served in his/her assigned service area. The skills and knowledge needed to provide such care may be gained through education, training, and/or experience.

QUALITY IMPROVEMENT

Actively participates in committees for improvement of nursing care. Assists with data collection to facilitate process improvement. Specifically participates in the collection of ACS and Heart Ready data in order to improve processes and patient outcomes. Participates in a just culture that holds organizations accountable for the systems they design and for how they respond to staff behaviors fairly and justly. Follows the National Patient Safety Goals. Follows HRMC Patient Safety Initiatives. Page Break

PROFESSIONAL DEVELOPMENT

Attends relevant educational offerings to maintain an up-to-date knowledge of nursing trends and new developments and shares information with peers and other staff members. Demonstrates an ability to plan, supervise and instruct subordinates as a professional role model (preceptor). Demonstrates a thorough knowledge of safety policies and procedures. Annual in-service updates as required by hospital policy are completed.

CUSTOMER SERVICEIPATIENT EXPERIENCE

Understands the employee role in customer service expectation and the Hospital Code of Conduct and holds self and other associates accountable Participates in daily rounds in department to ensure issues are addressed in areas that impact staff satisfaction and the patient experience. Takes proactive steps to be knowledgeable of customer service scores/HCAHPS. Is a customer service advocate by using appropriate professional and ethical behavior when relating to patients/families/visitors and co-workers. Delivers care or delivery of service in a non-judgmental and non-discriminatory manner that is sensitive to client diversity. Uses appropriate professional and ethical behavior when relating to other customers, Including, but not limited to, physicians, other medical facilities/providers, vendors, etc. Uses the principles of AIDET to exceed customer expectation at every encounter with all customers. — This job description should not be construed as an exhaustive list of duties and responsibilities to be performed by persons assigned to this classification. It is not intended to limit or in any way modify the right of the Hospital or Department Management to assign, direct or control the work of employees under his/her supervision. Job descriptions may be revised at any time and may not remain static during the course of employment. 7P-7A, 36 hours per week