Registered Nurse II

Medical services are provided in this teaching environment under the supervision of board- certified emergency physicians and Registered Nurses consistent with the Standards of Emergency Nursing Practice. The team works collaboratively with other departments that impact EMTC operations. ED patients are registered by Registration/Patient Access/Admission staff who report to the Director of Business Operations. The EMTC provides medical screening and emergency care to over 120,000 patients and families annually with a wide range of problems. Presenting conditions are triaged and assigned to the appropriate treatment area utilizing the Emergency Severity Index (ESI) tool, which takes into account patient acuity and resources needed for management. Presenting conditions range from mild to life-threatening. Mild to moderate conditions include common pediatric conditions such as: common colds, rashes, strep throat, upper respiratory conditions, lacerations, otitis media, strains and sprains, etc. More complex to life threatening conditions include child abuse/neglect, sexual assault, behavioral emergencies, meningitis, sepsis, burns, acute medical, surgical and trauma conditions, anaphylaxis, respiratory and cardiac arrest. The EMTC can provide emergency stabilization and treatment of adults and arrange for transfer to the appropriate treatment site after medical screening and initial interventions. Medical screening exams and stabilization of any actual or potential life threatening conditions is provided regardless of age, race, sex, gender, color, ethnicity, national origin or ability to pay for services. The EMTC is able to increase resources as needed to meet large influxes of patients (medical alert, trauma state or phased response). All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children's National Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. Children's National supports the development of RN relationships within the community; specifically those relationships associated with the health and well being of the community at large. Unit Description Emergency Medicine and Trauma Services (EMTC) is a tertiary care, Level 1 trauma center located on the first floor of the Sheikh Zayed Campus on Michigan Ave NW. The EMTC-Sheikh Zayed Campus is comprised of six distinct patient care areas: 1. 36 ED patient rooms 2. Two Code Rooms (4 beds) 3. 4 bed area designed for psychiatric patients 4. 18 decontamination showers with ability to utilize psychiatric area for Decontamination Zone. 5. 6-bed Rapid Treatment Unit (RTU) The Satellite Pediatric Emergency Department is located at 1310 Southern Ave SE and operates 24 hours per day and 7 days per week. The Children's Satellite ED has 16 beds, including a Crisis Room and a room designed for psychiatric care. Patient and Family services are provided under a collaborative, shared leadership model. Organizationally the EMTC reports to the Chief Nursing Officer, Vice President of Nursing and operates within a multidisciplinary leadership team. 1. The Chiefs of the Division of Emergency Medicine provide overall medical leadership at both locations. A Medical Director for each campus oversees day to day operations and physician activities. Associate and Assistant Directors report to the Division Chiefs. The Director of Trauma & Burn Services collaborates with the Division Chiefs to assure appropriate care of trauma patients. 2. The Director for Nursing leads the nursing component of the leadership team and works collaboratively with the Division Chiefs and Medical Directors for oversight of EMTC operations and the shared leadership process at both sites. The UMC campus has a Nurse Manager; the SZ campus has a Nurse Manager who are responsible for day to day operations and work collaboratively with the Medical Directors to lead operations and performance improvement initiatives. Other members of the leadership team include Clinical Instructors, Clinical Educators, Shift Coordinators, Lead ED Technician, Clinical Program Coordinator for EMS and Base Station Coordinator, Psychiatry Clinical Program Coordinator, Program Coordinator, Finance and Quality Outcomes Coordinator. Minimum Education A.A. (Required) BSN Graduated from an approved school of nursing. (Preferred) Minimum Work Experience 1 year RN experience (Required) Required Skills/Knowledge The licensed Registered Nurse will successfully complete the hospital and nursing orientation at Children's National. Keep knowledge base current with new information or changes in specialty area. Required Licenses and Certifications Registered Nurse licensed in the District of Columbia. (Required) Cardio-Pulmonary Resuscitation (CPR) (Required) Functional Accountabilities Transformational Leadership Contribute to Magnet re-designation as evidenced by independent updating of professional profile and initiation of council involvement, committees, task forces and /or community outreach. Demonstrate critical thinking skills by problem solving appropriately during patient care. Communicate to reflect development of plan of care and ability to advocate to meet patients' needs. Independently initiate escalation of issues utilizing chain of command. Demonstrate proper use of the currently identified hand off processes. Demonstrate a collegial and respectful relationship with ancillary staff. Participate in implementing change and support management decisions. Role model behavior that reflects empathy, concern and a desire to help others. Structural Empowerment Independently maintain regulatory requirements e.g. license, BLS. Plan for attendance at mandatory education and professional activities to enhance nursing practice. Demonstrate professional review of peers through timely participation in evaluations. Seek out opportunities to participate in enhancing departmental goals by ensuring adherence to national safety standards and service excellence standards; support advancement of education and certification as well. Collaborate with members of the healthcare team and role model professional behavior and teamwork with coworkers. Utilize resources as needed and know when to escalate to next level. Exemplary Professional Practice Utilize assessment data gathered from patient and family to ensure completion of data base and plan of care within identified timeframes. Demonstrate clinical skills with complex patients that reflect analysis of patient status and appropriate interventions. Role model skill in prioritization and organization for complex patient with rapidly changing needs. Documentation exemplifies adherence to the highest standards of practice. Anticipate and proactively plan for educational needs verified with patient and family throughout the hospital/outpatient stay and prior to discharge. Role model organizational skills, adjust for changes and is able to complete assignment on time. Demonstrate caring in all encounters with patient and family as evidenced by feedback from parents and an increase in patient satisfaction scores. Safety Speak up when team members appear to exhibit unsafe behavior or performance Continuously validate and verify information needed for decision making or documentation Stop in the face of uncertainty and takes time to resolve the situation Demonstrate accurate, clear and timely verbal and written communication Actively promote safety for patients, families, visitors and co-workers Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance Organizational Accountabilities Organizational Accountabilities (Staff) Organizational Commitment/Identification Anticipate and responds to customer needs; follows up until needs are met Teamwork/Communication Demonstrate collaborative and respectful behavior Partner with all team members to achieve goals Receptive to others' ideas and opinions Performance Improvement/Problem-solving Contribute to a positive work environment Demonstrate flexibility and willingness to change Identify opportunities to improve clinical and administrative processes Make appropriate decisions, using sound judgment Cost Management/Financial Responsibility Use resources efficiently Search for less costly ways of doing things Safety Speak up when team members appear to exhibit unsafe behavior or performance Continuously validate and verify information needed for decision making or documentation Stop in the face of uncertainty and takes time to resolve the situation Demonstrate accurate, clear and timely verbal and written communication Actively promote safety for patients, families, visitors and co-workers Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance