Registered Nurse Emergency Medicine - Tripler Army Medical Center, HI in Honolulu, HI

Job Title Registered Nurse Emergency Medicine (Emergency Department) Provides Direct Support To Tripler Army Medical Center, HI Duty Hours • Hours of performance may include shift work. Normal duty hours may include rotating 8, 10 and 12-hour shifts, 7 days per week including nights, weekends and federal holidays. Work will not exceed 12 hours in a 24-hour period and 80 hours in a consecutive 14-day period. • Specific days, hours, and shift length will be scheduled by the designated government representative. The specific schedule for each two-week period will be provided one month in advance. Qualifications Degree / Education : • Contract RNs must be a graduate of a nursing program accredited by the American Association Colleges of Nursing or the National League for Nursing. • If candidate is an international nurse graduate from jurisdictions other than the U.S. • Must possess valid certification for Full Education Course-by-Course Report by the Commission on Graduates of Foreign Schools. Certifications • Basic Life Support (BLS). Advanced Cardiac Life Support certification. • Advanced Cardiovascular Life Support (ACLS) • Pediatric Advanced Life Support (PALS). • Online certification is unacceptable. Experience • Minimum of three years of experience as a registered nurse with at least one year of experience within the last three years in an Emergency Department or in a critical care area of four or more beds as a registered nurse. • Waivers may be granted by MTF or department on an ad hoc basis. Licensure / Registration Possess a current, unencumbered RN license from any state or territory of the United States. Job Duties and Responsibilities The duties include but are not limited to the following : • Knowledge of interpersonal relationships and the ability to maintain composure and react appropriately while relating to patients and families; to manage distraught, irritable, unreasonable or angry individuals; and to maintain positive rapport with all individuals involved in patient care. • Ability to react with alertness and skill in any emergency situation, e.g., cardiac or respiratory arrest, hemorrhage, shock, severe physical trauma and psychiatric reaction. • Serves as member of the resuscitation team. • Assess patients' conditions for potential or life?threatening crises. Distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment). • Plan appropriate nursing care. • Obtain patient history and pertinent family history. • Document plan of care and care given in patient's medical record. • Utilize appropriate nursing personnel to assist in delivery of care when indicated (LPNs / paraprofessionals). • Transcribe or verify transcription of physician orders. • Carry out prescribed physician orders and document in patient medical record. • Communicate pertinent patient data to charge nurse and / or physician as appropriate. • Reassess patient's condition and revise plan of care based on identified nursing problems. • Possess knowledge of the pharmacology of emergency drugs, anticipated results, usual dosages, and their location on crash cart. • Administer medications by any ordered route. Assess and document patient response to medications administered. • Instruct patient / family regarding prescribed medications / therapies and surgical / diagnostic procedures that must be accomplished. • Give inhalation therapy treatments, with knowledge of medications utilized in this treatment and reactions. • The ability to interpret and intervene cardiac rhythms to include recognizing lethal rhythms and their implications. • Assess patient / family knowledge level, implement plan of instructions and record patient / family demonstrated level of understanding. • Operate defibrillator, EKG machine and cardiac monitor. • Contract nurse shall administer blood and their competencies for blood administration will be verified. • Interpret pertinent Jab values. • Use electronic thermometers, infusion and Patient Controlled Analgesia pumps and various other pieces of medical equipment. • Provide nursing care to a group of patients with other individuals assisting him / her, which may include making patient care assignments. • The ability to initiate life?saving measures in the absence of a physician. • Identify impending or existing emotional or psychiatric crisis and provide appropriate intervention. • Successful completion of certification for the following tasks. • Recognition of life?threatening arrhythmias; Defibrillation; Emergency cardioversion. • Independent administration of emergency drugs (monitor, mix, administer, titrate). • Drawing and interpretation of arterial blood gases. • Suctioning • Operation of Emergency Room equipment. • Observes, manages patient now through the Emergency Room. Triage patients, referring to appropriate level of care. • Uses cardiac monitoring equipment; interprets and responds appropriately to data. • Perform arterial punctures. • May be required to work in Critical Care Unit, PACU, Medical or Surgical Wards / Clinics. • This position is mission essential. #J-18808-Ljbffr