Travel Nurse RN – ER/Trauma – $27 to $43 per hour in Broken Bow, NE

Job Description

SIGNIFICANT DUTIES 

A.    Initiates assessment/reassessment based on the patient’s needs per nursing standards, organization policy and procedures.
B.    Synthesizes pertinent patient data to develop nursing care plans and identify nursing priorities for care and desired outcomes.
C.    Collaborates with the interdisciplinary team to coordinate and provide patient care.
D.    Demonstrates knowledge and skill in nursing theory and ability to learn and develop competence in patient care across the lifespan.
E.    Demonstrates the ability to learn new practices and has the ability to practice in multiple settings within the rural hospital – medical/surgical, pediatric, neonatal, emergency and skilled care. 
F.    Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and age-specific needs.
G.    Executes, directs, supervises and/or assigns other staff members to perform therapeutic and or supportive interventions.
H.    Evaluate the patient’s response to and effectiveness of interventions.
I.    Evaluates the patient’s progress toward established outcome.
J.    Incorporates cultural considerations into the plan/delivery of care. 
K.    Includes family and/or significant others in the care of the patient as appropriate.
L.    Documents patient care and related information according to Melham procedures for documentation
M.    Facilitates a patient’s transition to next level of care including admission, discharge, and transfers.
N.    Demonstrates knowledge of EMTALA regulation and paperwork.
O.    Assumes responsibility in a shared or delegated assignment and supports team member’s practice through timely communication.
P.    Services as a role model to colleagues, students, and other care providers
Q.    Actively participates in continued learning opportunities and continued self-development pertinent to all of emergency department nursing.
R.    Proficient in the management of provider orders in CPOE and in the order management system
S.    Maintains effective communication channels with the entire healthcare team.
T.    Acts as a resource to the healthcare team. 
U.    Performs other related duties as assigned.
V.    Performs focused nursing assessment for presenting condition: may use the patient/family, EMS chart, community agencies as a source of information.  
W.    Completes patient triage to identify patient medical treatment needs and intervention level. Records patient triage and supports the initiation of the patient log via tracking board including updates of medical diagnoses at disposition. 
X.    Demonstrates knowledge of the level IV trauma center regulations and treatment protocols of TNCC for stabilization and transfer of the trauma patient.
Y.    Supports and develops provider discharge plan of care by implementing patient/family education based on ED diagnosis, and individualized needs, including actions to take if condition worsens or if the patient condition does not meet Melham admission criteria, supports patient stabilization and transfer to a higher level of care.