STAFF NURSE – EMERGENCY

Overview

requirements

General

• Provides age-specific patient-centered care utilizing the nursing process:
• Performs patient assessment using appropriate, problem-focused, and age-specific assessment techniques.
• Performs continual critical care assessment of patient and family's physical and psychological needs.
• Involves the patient, significant others, and health care providers in the plan of care when appropriate.
• Collaborates with a multi-disciplinary team to provide patient care.
• Coordinates and plans critical care/clinical pathway, and prioritizes care, based on individual needs.
• Revises the care plan as necessary.
• Initiates appropriate transfer plan.
• Recognizes subtle cues to anticipate potential problems.
• Documents all relevant data in the medical record according to hospital/departmental standards.
• Ensures availability and maintenance of supplies and equipment needed for the unit and patient care.
• Performs clerical duties when needed.
• Assumes responsibility for meeting Joint Commission International Accreditation (JCIA) required mandatory education ( e.g. fire, safety, infection control and others ).
• Participates in staff meetings and unit committees/projects.
• Participates in developing and achieving unit goals.
• Maintains a safe environment for patients and staff.
• Performs safe handling and administrating of Narcotic/Controlled and Semi-Controlled Drugs and documentation as directed by policies and procedures.
• Ensures completion of unit competencies ( i.e. pain management, and utilization of Emergency department devices ).
• Maintains clinical and professional competency based on the latest research and established standards of practice.
• Completes yearly, the critical care nursing competencies (basic).
• Participates in unit-based Continuous Quality Improvement (CQI) activities (data collection, CQI teams, incident reporting, customer complaint reporting, medication error reporting etc.).
• Participates in ongoing educational activities.
• Maintains mandatory educational requirements.
• Performs additional duties when required.

Unit Specific

• Interprets arterial blood gas.
• Interprets basic Electrocardiogram (ECG).
• Monitors arterial pressure.
• Monitors central venous pressure.
• Performs chest, abdomen, and back burn care.
• Prepares Central Venous Access Devices (CVAD) for adults and pediatrics:
• Sampling blood from central venous access catheter.
• Flushing and locking the central venous access catheter.
• Changing central venous catheter dressing.
• Changing central venous catheter needless connector and line tubing.
• Prepares Implanted Venous Access Devices (IVAD) for adults and pediatrics:
• Accessing implanted port.
• Accessing implanted port (top entry).
• Sampling blood from the implanted port.
• Removing the non-coring needle from the implanted port.
• Prepares chest tubes:
• Monitoring and caring for the chest tube drainage system.
• Setting up chest tube drainage system.
• Conducts COVID-19 Polymerase Chain Reaction (PCR) testing.
• Measures creatinine levels.
• Administers emergency medications to paediatrics.
• Performs intubation with direct visualization.
• Inserts and assists with intraosseous infusion device.
• Removes the intraosseous infusion device.
• Administers Intravenous (IV) alteplase for acute ischemic stroke.
• Measures ketone levels.
• Administers moderate sedation.
• Performs rapid strep test using point-of-care testing (POCT).
• Applies splints and casts.
• Cares for tracheotomy tubes:
• Suctioning tracheostomy.
• Managing tracheostomy tube cannula and stoma.
• Prepares mechanical ventilation during patient transport.
• Conducts triage using the Emergency Severity Index (ESI).
• Operates urine analysis machine.
• Uses defibrillator for pediatric patients:
• Performing cardioversion.
• Performing defibrillation.
• Performing transcutaneous pacing.

For Pediatrics

• Conducts aspiration precautions:
• For child or adolescent
• For children receiving enteral tube feedings
• For infant
• Calculates pediatric fluid requirements.
• Conducts Implantable Venous Access Device (IVAD) for pediatrics:
• Accessing implanted port.
• Sampling blood from the implanted port.
• Removing the non-coring needle from the implanted port.
• Monitors cardiopulmonary status in paediatrics.
• Prepares chest tubes in paediatrics:
• Monitoring and caring for the chest tube drainage system.
• Setting up chest tube drainage system.
• Assisting with chest tube removal.
• Utilizes handheld resuscitation bags and masks in paediatrics.
• Conducts health history interviews and physical assessments in paediatrics.
• Manages infiltration and extravasation in paediatrics.
• Administers oxygen via nasal prongs to neonates.
• Administers nebulized drugs to paediatrics.
• Manages obstructed airways in children and infants.
• Samples blood from a peripherally inserted central catheter in paediatrics.
• Changes in dressing on the peripherally inserted central catheter in paediatrics.
• Manages seizures in paediatrics.
• Cares for pediatric tracheostomies:
• Suctioning tracheostomy.
• Changing tracheostomy ties.
• Changing tracheostomy tube.