1. Provide initial assessment and triage on all patients that present to the Emergency
Department.
2. Plan care according to appropriate nursing and medical needs.
3. Perform an on-going assessment and evaluation of effectiveness of treatment modalities and care implemented based on review of patient's laboratory test and procedure results.
4. Confirms with the hospital protocol for complying with applicable statutes report child,
sexual and other abuse.
5. Confirms with the hospital policy on reporting Domestic Violence.
6. Perform nursing assessment, planning, intervention and evaluation of patient in the following areas of the Emergency Department.
a. Triage
b. Trauma Room
c. Surgery
d. Medicine
e. Psychiatry
f. Pediatrics
g. Holding Area
h. Diagnostic Area
7. Perform skills including but not limited to the following as outlined in the Nursing Policy and Procedures and Emergency Department specific competency.
a) Administration of Intravenous Medication
b) Administration of Oxygen
c) Administration of Oral, Rectal, and Parental Medication
d) Auto Transfusion
e) Aseptic Technique/ Infection Control Practices
f) Blood, Blood Components and Special Blood Products Transfusion
g) Blood Alcohol Level Drawing
h) Cardiac Monitoring, CPR
i) CVP, A-Line, and Swan- Ganz Monitoring
j) Controlled Drugs (handling)
k) Cardioversion / Defibrillation
L) Insertion of Oropharyngeal Airway
m) LV. Therapy and Phlebotomy
n) NGT, Foley Catheter Inse1tion
o) Oropharyngeal / ETT Suction
p) Sexual Assault Evidence Collection
q) Tracheostomy Care / ETT Care / Chest Tube
r) Urine/ Stool Specimen Collection
s) Throat Culture
t) Blood Culture Specimen Collection
u) Vascular Access Port
v) Visual Acuity
w) Wound Irrigation, Cleansing and Dressing
8. Assist the physician with following procedures:
a) Bedside Bronchoscopy, Gastroscopy, Endoscopy
b) Lumbar Puncture
c) Intubation
d) Peritoneal Lavage
e) Chest Tube Insertion
f) Hemostatic Measures
g) CVP, Swan-Ganz, A-Line Insertion
h) Temporary Pacemaker Insertion/ placement
9) Administer medication, record vital signs and other findings in patient's medical record.
10u Instruct patient/family regarding health and discharge instructions and follow up clinic visit.
R1) l Maintain preparedness to respond to emergency situations, e.g. Rapid Response (RRT), Code Blue, Internal and External Disaster.
R2 Participate in the Performance Improvement activities in the ED and Hospital-Wide.