RN Transport Services in Rushville, IN

Description:

Full Time Night Shift

3 shifts per week, includes weekends

12 hour shifts

6p-6a

Provides direct and indirect patient care in the emergency care setting. Provides professional nursing care within the Emergency Department and coordinates care planning with other disciplines including the transport care of the patient. Provides care that reflects initiative, flexibility and responsibility indicative of professional expectation with a minimum of supervision. Is able to triage safely, rapidly and accurately, every patient that enters the emergency care system.

Determines priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the system. Communicates with Emergency Department physicians about changes in patient’s status, symptomatology and results of diagnostic studies. Is able to respond quickly and accurately to changes in condition or response to treatment and provide interventions as needed within the emergency room and or on the ambulance.
Requirements:

Knowledge & Experience

Skills-
• The employee must be 21 or older to drive RMH vehicles and have a driving record that is eligible to meet the satisfactory driving record standard conducted during the background check to be eligible for the position.
• The applicant's job offer is contingent on eligibility and if the applicant does not have a valid driver's license or has a diving record that falls at or below the criteria, the applicant will not be hired for positions where driving is an essential job function.
• Demonstrates ability to complete applicable competencies.
• Demonstrates ability to give and follow instructions accurately.
• Demonstrates effective interpersonal skills necessary to interact with various health care personnel, law enforcement, fire personnel and bystanders.
• Must possess and maintain a valid Operator’s License from the Indiana Bureau of Motor Vehicles with a clean driving record.
• Must complete EVOC.

Knowledge-
• BLS and Advanced Cardiac Life Support concepts and measures.
• Pediatric Advanced Life Support concepts and measures.
• TNCC preferred.
• EVOC training.

Education-
• Graduation from an accredited School of Nursing.
• Current registration as a Registered Nurse with the state of Indiana Health Professions Bureau.
• Must have successfully completed American Heart Association Health Care Provider Basic Life Support, Advanced Cardiac life Support, and Pediatric Advanced life Support.

Experience-
• A minimum of 2 years of Emergency Medical Services experience preferred.

Authority and Accountability
• Extensive exposure to confidential information or matters.
• Frequent contact with various persons or groups within and outside of the hospital including employees, healthcare personnel, physicians, patients, volunteers, visitors and outside agency personnel.
• Must be able to work with and communicate with different types of people.

Aptitudes
• Must be able to prioritize, utilize critical thinking, and adjust to change.
• Must be able to reason and use logical problem-solving skills.
• Performs duties that require some latitude for independent judgment and initiative in handling situations out of the ordinary.

PHYSICAL AND MENTAL EFFORT

The physical and mental 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.
• Regular requirement to walk, stand, stoop, crouch, kneel, bend, sit, use hands, reach with hands or arms, talk, and hear.
• Regular requirement to lift and/or move up to 50 lbs., frequently lift and/or move up to 75 lbs. and occasionally lift and/or move up to100 lbs.
• Specific vision requirements include close vision, distance vision, peripheral vision, depth perception, and the ability to focus
• Speaking and listening skills are essential.
• Time management and multiple task management skills are essential.
• Must be able to work under a moderate amount of stress.
• Must be able to read, write and do simple calculations; follow written and oral instructions.

ENVIRONMENTAL AND WORKING CONDITIONS

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
• The noise level in this work environment is usually moderate to high.
• Work can be performed in a clean, well-lighted and ventilated building or in EMS transfer setting.
• Could be subject to infectious diseases, cuts, abrasions, burns, and punctures.
• Work schedule may vary.

ACCOUNTABILITY
• Reports to the Director of Emergency Department.
• When working in ER-accepts direction from the Charge Nurse.
• May be assigned to perform Charge Nurse duties while working in the ER.
• Works under the direction of the Emergency Physician when providing direct patient care on the ambulance otherwise EMS Protocols are determined by the Medical Director of EMS.

QUALITY ASSURANCE-KEY RESPONSIBILITIES
• Utilizes medical equipment and procedures including defibrillator, EKG monitor, oxygen and suction devices, intravenous fluids, CPR and other procedures and medications as required to provide advanced life saving techniques.
• Demonstrates ability to perform assessment on all patients and reassessments per protocol or as patient condition warrants; this includes neonatal, pediatric, adolescent, and geriatric patients and the general patient population.
• Demonstrates knowledge of prescribed emergency medications and their correct administration based on age of assigned patients and their clinical condition according to Pediatric Advanced Life Support and Advanced Cardiac Life Support and other guidelines.
• Administers medicines per protocol or medical direction within scope of practice.
• Maintains accurate and continued documentation including patient histories, conditions, treatments, responses, pain management and assessment of changes.
• Routinely attends audit and review sessions at least 80% of the time; participates in continuing education programs as necessary to maintain skills and meet requirements.
• Participates in narcotic medication; immediately notifies director of any discrepancies.
• Monitors and maintains the general condition of the ambulances.
• Performs vehicle checks during shift; refills gasoline tank before end of shift.
• Keeps ambulances clean and stocked for optimal transfer care.
• Transfers patients to accepting facilities as designated by the ER physician.
• Assists in cost containment through the appropriate ordering, use of, and conserving of supplies and equipment.
• Keeps all work areas neat and orderly.
• Responds promptly to changes in workload, adjusting assignment as necessary to achieve optimal productivity and efficiency; assists in other patient care departments upon request.
• Works within the emergency department to maintain patient care as needed within scope of practice, maintaining patient vitals.
• Communicates appropriately and clearly to director, co-workers, physicians and other members of the healthcare team.
• Demonstrates team attitude; offers assistance to co-workers to provide optimal patient care; solicits assistance from co-workers when necessary.
• Demonstrates efforts to maintain patient confidentiality as appropriate and per policy.
• Assists in orientation process for department staff members and is open to the precepting responsibility.
• Initiates and completes incident reports as necessary when extraordinary or unusual patient care or other situations occur.
• Serves as a change agent, assisting all staff in understanding the importance, necessity, impact, and process of change.
• Demonstrates knowledge and use of the department’s medication and condition specific protocols, policies, and procedures; follows on-line medical control as directed.
• Performs other duties as assigned.
• Provides direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated
• Documents a pain level on all patients and follows policy for repeating vital signs; assesses, plans, implements and educates patient/family on appropriate pain management.
• Demonstrates ability to monitor hemodynamic status of patient and correctly interpret the results.
• Demonstrates knowledge of cardiac monitoring; identifies dysrhythmias and treats appropriately per physician order; knows correct use of the cardiac monitor including cardiac pacing, synchronized cardioversion, as well as defibrillation.
• Accurately performs triage function and assigns triage categories in a timely and appropriate manner; initiates medical screenings in a timely and appropriate manner.
• Knows the documentation involved with suspected adult or child abuse; knows the forms involved in filing a violent crimes report or animal bite report – demonstrates proper use of these forms.
• Demonstrates knowledge and proper of use of transfer documentation and procedures and COBRA forms.
• Completes the patient medical record with appropriate documentation commiserate with the correct charges being applied to the patient.
• Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patients served.
• Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group.
• Demonstrates knowledge of prescribed medications and their correct administration based on age of assigned patients and their clinical condition.
• Prepares, hangs, monitors and discontinues IV fluids and blood/blood components as ordered.
• Demonstrates ability to initiate peripheral intravenous therapy access for patients within 2 attempts; demonstrates ability to request assistance with patient IV access as needed.
• Performs checks every shift in order to assure everything is stocked and ready for the next shift while working in the emergency room and on the truck.
• Maintains a safe, comfortable and therapeutic environment for patients and families in accordance with department and hospital standards.
• Demonstrates knowledge where all supplies and equipment are located in the department and on the truck, assists with the replacement of supplies and items as needed.
• Takes contaminated supplies to unprocessed Central Sterile area and retrieves the sterile supplies without reminders.
• Performs crash cart and other checks as determined by department policy.
• Initiates and implements nursing interventions to patients following approved nursing standards.
• Delegates responsibilities appropriate to the licensure, education and experience of staff receiving assignments; provides supervision to these staff members.
• Documents in the patients EHR while working in the emergency room and image trend while transporting the patient.
• May assist in covering Charge Nurse responsibilities as necessary.

PUBLIC RELATIONS
• Maintains effective channels of communication with other employees and patients.
• Takes appropriate action in problem situations to offset adverse effects.
• Projects a professional and positive attitude regarding the hospital.

OTHER RESPONSIBILITIES
• Attends 70% of departmental meetings held during the year.
• Maintains annual education through learning website and meets deadlines for job requirements.
• Observes hospital dress guidelines and wears ID badge.
• Provides proper notification for absence and tardiness and is punctual for start of scheduled work time.
• Maintains equipment assigned to department and reports malfunctions appropriately.
• Participates in emergency procedures, fire drills, evacuation procedures and internal/external disaster plans and procedures in accordance with departmental responsibilities.

CONTINUOUS QUALITY IMPROVEMENT
• Participates in the Continuous Quality Improvement Program (CQI) under the direction of Leadership to meet stated goals and objectives of the CQI Program by:
• Bringing potential problems to department leader’s attention.
• Assisting in data collection.
• Suggesting solutions to problems.
• Emphasizing, supporting and committing to CQI practices and processes.
• Taking action to assure CQI within areas of responsibility.
• Participates in peer-review functions as directed.