Emergency Nurse Aide - Emergency * Days - 36hrs/wk
Requisition #: req519
FTE status: 0.9
The ECT, under the direction and supervision of the Emergency Department charge nurse or their designee, provides basic nursing care to patients and performs related tasks necessary to the functioning of the emergency department.
- High School Diploma or equivalent required.
- Current Certification or registration from and accredited Medical Assistant program, current CENA certification required upon hire, EMT/paramedic training or current enrollment (and continued progression) in a nursing program in which a nursing fundamentals course and at least one clinical rotation has been completed.
- Maintain CENA skills and competencies through current ECT experience by working full time, part time, or resource hours in the ECT role.
- Current Basic Life Support (BLS/CPR) provider – required.
- Experience in an acute care, extended care facility or clinic preferred.
Essential Functions and Responsibilities:
- TECHNICAL SKILLS:
- Independently gathers patient data during delivery of patient care. Accurately measures and records vital signs and weight.
- Utilizes equipment and technology available to obtain ECG’s, apply cardiac monitor, measure oral and rectal temperatures, radial and apical heart rates, manual and automatic blood pressures, respiratory rates, pulse oximetry and weight measurement in adults and children > 3 months.
- Obtains and/or assists with obtaining lab specimens, i.e. collects blood, urine, stool and sputum specimens. Safely, appropriately and accurately facilitates the processing of laboratory specimens. Demonstrates competency in point of care blood glucose testing, urine pregnancy tests, urine dip analysis.
- Demonstrates safe and effective use of equipment and supplies within the Emergency Department. This includes but is not limited to; stretchers, mobile and overhead examination lights, capnographer, Bair Hugger, thermometers and scales.
- Moves, transfers and re-positions patients safely, using back saving techniques and patient safety devices as needed. Independently performs or assists with turning, ambulating and dangling patients. Is able to demonstrate competence in transferring patients to and from chairs, wheelchairs and stretchers. Demonstrates competent utilization of slideboards. Demonstrates competency in assisting with positioning and transferring patients with hip precautions and patients who are maintained in traction. Under the direct supervision of the Registered Nurse or Emergency Department physician, assists with application, maintenance and removal of full C-spine precautions.
- Assists patients or independently performs hygiene tasks including but exclusive to; bathing/cleansing skin, oral and/or denture care, application and changing of simple dressings, including tube gauze. Provides care for catheters and other drainage tubes. Assists with post-mortem care.
- Demonstrates competency in performing specified advanced technical skills specifically delegated by the Emergency RN on specific patient populations; i.e. insertion and removal of urinary catheters, female assistants will assist the physician with pelvic examinations and assist physicians during specific procedures by appropriately holding patients; adults, children and infants.
- Demonstrates competency in application of orthopedic splints and soft goods. Assists the Emergency physician and/or the Orthopedic physician during orthopedic procedures performed in the Emergency Department.
- Independently instructs patients in the use of crutches.
- Demonstrates competency in case removal.
- Assists patients with elimination needs. This responsibility includes placing and removing bedpans and urinals; assisting patients with the use of bedside commodes; emptying, measuring and recording drainage from urinary drainage bags; administering cleansing and retention enemas.
- Verbalizes understanding of sterile technique and demonstrates competency in setting up and maintaining sterile trays.
- Demonstrates understanding of the hospital restraints policy and competency in the application of all soft limb restraints, mitt restraints, jacket/vest restraints and leather restraints. Under the direction of the Registered Nurse, monitors the efficacy of restraints.
- Maintains an awareness of the location of departmental supplies and equipment. Collaborates with other ED staff in assessing the needs of the department and utilizes the hospital inventory system to maintain and replace department supplies.
- Proficiently utilizes the hospital system for identifying, reporting and assuring repair of replacement of malfunctioning equipment.
- CROSS TRAINING:
- Independently functions in the role of Emergency Department Clinical Secretary, Greeter and competently performs all essential functions and responsibilities stated in the Emergency Department Clinical Secretary job description.
- REPORTING & DOCUMENTATION:
- Reports care given, data collected and observed patient behaviors and responses to the Registered Nurse. Independently documents this information, utilizing approved hospital and department specific forms or systems.
- SAFETY – RISK MANAGEMENT:
- Assists in maintaining a safe environment with the Emergency Department.
- Demonstrates an understanding of risk issues within the Emergency Department and Hospital.
- Supports risk management activities.
- Demonstrates adherence to department specific and hospital policies.
- Demonstrates understanding of and adherence to universal/standard precautions.
- LEGAL ISSUES – PATIENTY / FAMILY RIGHTS:
- Maintains patient privacy and protects the rights of patients.
- Maintains strict confidence of all patient information and records.
- QUALITY ASSURANCE:
- Participates in quality assurance activities within the Emergency Department
- Portrays a positive attitude by using appropriate verbal and non verbal communication skills, listening carefully to patients and other customers.
- SELF EDUCATION:
- Attends mandatory education programs, attains and maintains job specific competencies and attends Emergency Department and job specific meetings.
- Demonstrates flexibility in cooperation with 24 hour staffing patterns and scheduling needs for provision of excellent patient care within the Emergency Department.
- Supports the organization, other employees and departments by working as a team member first and considering self second.
- Under the supervision and direction of the Emergency Department Educator and the ED charge nurse, trains new staff to competently perform the essential functions and technical skills as described in the ECT job description.
- Demonstrates consideration for the unique personal needs of patients, families and all others with whom they interact.
- Demonstrates punctuality to work and meetings and accepts responsibility for attendance and adherence to work schedule. Demonstrates initiative by seeking opportunities to help others.
- CUSTOMER SERVICE:
- Demonstrates exemplary customer service as reflected by HealthStream Research scores.
Greeter Functions and Responsibilities
- The greeter under the direction and supervision of the Emergency Department Charge nurse and Triage nurse or their designee:
- The greeter will identify persons who wish to be seen as patients in the ED.
- The greeter will ask these patients the reason for their visit, (presenting complaint).
- Based on the patients presenting complaint, the greeter will direct the patient to the triage nurse, or will immediately contact the charge nurse.
- The greeter will bring any patient with specific high-risk complaints, as identified in the greeter orientation profile* to the attention of the charge nurse who will perform a quick evaluation and direct patient to triage area or to a room in the ED.
- The greeter will first enter date of birth, then continue with first and last name, gender and chief complaint into the electronic medical record.
- The greeter will demonstrate flexibility, by assisting the triage nurse in patient data collection, initiation of immediate first aid, re-evaluation of vital signs and patient status of patients in ED waiting area.
- The greeter will demonstrate the ability to ambulate or push a patient in a wheelchair to the triage nurse or an ED treatment room.