Department: Scotland Memorial Hospital - Emergency Department Status: Full time Shift: Various (United States of America) Schedule Details/Additional Information: Experience (Years/Type) ?Preferred At Hire: 3 Years Rn Experience In Hspital Setting, Preferably Er R Critical Care oCertification/Licensure (including annual requirements) ?Minimum Requirement: Current NC or Multistate RN licensure; CPR ?Preferred at Hire: Nationally recognized certification in Emergency Medicine OEquipment (Experience And/Or Training) ?Minimum Requirement: Competent In Basic Nursing Skills OSpecialized Training ?Preferred At Hire: Tncc, Enpc ?Minimum Requirement: Pals, Acls, Aegis De Escalation Training Within 3 Months Of Hire OComputer Skills (Hardware & Software) ?Preferred At Hire: Basic Computer Skills OOther Skills And Competencies ?Minimum Requirement: Demonstrates Excellent Communication Skills, Both Written And Verbal. Diplomacy, Tact, And A Positive Approach To Problem Solving Are Required To Be Successful. Organizational Skills Are A Must. Fosters A Teamwork Environment. Must Be Able To Communicate With Patients, Customers, Other Departments, And Staff In An Articulate Manner. Job Description: A.Charge RN Responsibilities 1.Assesses the number and level of personnel needed and assists the unit manager in maintaining adequate staffing for all shifts; notifying the House Supervisor at times when additional staff is required as well as when there is a surplus of staff. 2.Organizes patient assignments, taking into account the skill level of associates present each day. Distributes patient assignments prior to am shift reports. 3.Serves on hospital committees when relevant. 4.Directs and assists with orientation of new associates, making sure each new associate has an assigned preceptor. 5.Coordinates assignment of breaks and meals. 6.Serves as role model for professional nursing. 7.Leads and participates in Performance Improvement activities for the unit. Maintains knowledge of all ongoing PI monitoring. 8.Evaluates any patient and/or family complaints and ensures that appropriate actions are taken to resolve problems causing dissatisfaction or complaints. 9.Serves as a consultant to staff in clinical, technical, ethical, or professional matters. 10.Assists in evaluating the performance of each associate in the department. 11.Promotes harmonious relationships and favorable attitudes among physicians and all other members of the health care team. 12.Maintains current knowledge r/t Joint Commission Standards…complies with all Joint Commission Standards. 13.Complies with federal, state and local laws and regulations including abuse, patient's rights and licensure. 14.Can perform duties of department personnel (I.e., RN, Tech, Unit Secretary) as needed. 15.Develops professional relationships with unit staff that will promote retention of staff. 16.Provides coaching to staff on regular basis that promotes growth and devlopment of the staff. 17.At all times maintains a positive environment on the unit. B.Demonstrates expertise in the application of the nursing process: 1.Age Specific Competency: Staff members will have knowledge of human growth and development though the life span of the patient and have the ability to meet the needs of and provide care of these patients. The age categories to be included are: Neonatal/Infant 0 - 11 months; Pediatrics 1 - 12 years; Adolescence 13-17 years; Young Adult/Adult 18-64 years; Adult/Middle Aged 65-79 years; Geriatric 80+ years 2.Assures the family and significant others are involved in the application of the nursing process. C.Triage and initiate accurate and ongoing assessments of physical and psychosocial problems of patients within the emergency care system as evidenced by written documentation: 1.Performs and documents an in-depth nursing history to include, but not limit, chief complaint, health care status, allergies, meds, past medical history, treatment prior to arrival, and other pertinent information. This will be evaluated by random chart audit. D.Performs nursing actions and interventions according to recognized patient care needs, an established plan and in accordance with policy and procedure. 1.Performs nursing care according to the medical provider’s orders and nursing plan of care within the scope of hospital and nursing department policies and procedures. 2.Facilitates continuity of care by assuring the needs of the patients are recognized and addressed throughout coordination with other health care team members. •Evaluates and documents effectiveness of treatment in the medical record. •Anticipates potential patient problems and performs nursing actions to minimize those problems in a timely manner to ensure safety. •Communicates appropriate data to the physician, and provides documentation for same 3.Promotes patient’s dignity and privacy during provision of care. 4.Provides calm, supportive and therapeutic environment for patients and their families. 5.Delivers care in a non-judgmental and non-discriminatory manner, being sensitive to patient and cultural diversities. 6.Demonstrates knowledge and proper utilization of all information management systems. 7.Implements planned teaching interventions as evidenced by documentation in the medical record. 8.Demonstrates competency in performing nursing care actions and interventions as evidenced by completion of competency requirements and department skills checklist. 9.Administers medications (including IV fluids) according to hospital policy and procedures and practices safety techniques (e.g. observes for side effects, appropriate rate of administration, aware of common drug interactions) as evidenced by compliance with medication error policy. 10.Accepts responsibility for intervention in an emergency situation as evidenced by documentation of actions taken and peer evaluation. Is able to recognize and function appropriately under stress or in a crisis situation. 11.Manages the care of the patient receiving IV conscious sedation. E.Evaluate and modify the plan of care based on observable responses of a patient and attainment of patient outcomes as evidenced by documentation in the medical record. 1.Evaluates and documents response to intervention to ensure completeness of patient care. Assesses the effectiveness of medications administered to patients. 2.Re-prioritizes plan of care based on additional data, patient's response, or change in condition while trying to minimize delays in intervention. 3.Evaluates patient and family preparedness for discharge. F.Assures open and timely communication with emergency patients, their significant others, and team members to ensure the occurrence of effective therapeutic interventions. 1.Communicates with Emergency Department physicians, other nurses, attending physicians, team members, and resource personnel concerning patient care status effectively and in a timely manner to maintain optimal patient flow within the department. 2.Understands and utilizes channels of communications according to hospital policy. Directs question/problems to the appropriate individual. 3.Acts as a liaison to the patient and family by providing accurate and timely information to assist patient and family participation in Emergency Center care. 4.Gives report on patients admitted to the hospital or being transferred to another facility from the Emergency Center to other health care members with accurate information, including patient care given and patient condition, to maintain continuity of care. 5.Positively represents the hospital in all interactions with the public. 6.Gives an accurate patient report to oncoming shift members to maintain continuity of care and documents who report was given to. 7.Communicates with paramedics during radio contact accurately and proficiently. G.Maintains an environment which promotes safety for both the hospital associate and the patient. 1.Demonstrates knowledge of the patients who are at high risk for falls or injury. 2.Maintains a physical environment clean and free of clutter. Takes appropriate action to correct recognized safety hazards or reports to immediate supervisor in a timely manner. 3.Always utilizes patient ID bracelet system. H.Adhere to standards of practice within the department, recognizing learning needs to maximize level of knowledge and expertise. 1.Develops new knowledge and skills in the use of equipment and new procedures as evidenced by competency checklist completion and personal record of continuing education. 2.Demonstrates willingness and ability to assist other staff with work load in a positive manner. 3.Displays a willingness to adjust own schedule to meet crisis situation. I.Demonstrate management and leadership skills in professional role. 1.Assist in orientation of new personnel, teaches new procedures, methods, and techniques to staff. 2.Delegates responsibilities based on knowledge of individual capabilities of staff members and patient needs as evidenced by review of patient assignments. 3.Functions independently, works well with little supervision. 4.Contributes to management and control of unit resources in a cost effective manner. Careers At Scotland Health Care System, we’re proud to employ a team of dedicated professionals who embody the Scotland Way. Founded in 1946, Scotland Health Care System is a community-owned, not-for-profit organization serving Laurinburg, North Carolina. Our mission is simple yet powerful: to deliver safe, high-quality, compassionate, and sustainable health care to everyone in need. We offer a full spectrum of services—including inpatient, outpatient, and emergency care—along with specialized programs in cancer treatment, cardiac care, surgical services, and women’s health. Our culture is built on caring—for our patients and for our people. We believe that when we take exceptional care of our employees, they can provide exceptional care to our communities. That’s why we offer: Competitive compensation Family-friendly benefits including Paid Parental Leave and On-Site Childcare Flexible scheduling Exclusive savings programs Career growth and advancement opportunities If you’re looking for more than just a job—if you want a meaningful career where you can make a difference—Scotland Health Care System is the place for you. Join our team today! Scotland Health Care System in Laurinburg, North Carolina is proud to be the community's health care system. We are a community owned and controlled not-for-profit organization that includes Scotland Memorial Hospital, Scotland Physicians Network with sixteen medical practices, Scotland Regional Hospice (formerly Hospice of Scotland County), Scotland Family Counseling Center, and Scotland Memorial Foundation. Here at Scotland Health Care System, we understand that healthcare is evolving. Advances in medicine and strides in technology are providing local communities access to better healthcare. It is our desire to provide you the best care possible. Our staff will be here to help you and your loved ones when the need arises. Our Beliefs About Our Future: To successfully accomplish our Mission and Vision our transformation must include creative and innovative changes in what we do and how we do it. We must change from a hospital and provider-centric model to a patient-centered, ambulatory model. There will be a continued focus on moving the industry to an increasingly ambulatory based delivery model focused on the health of the individual patient and the overall health of the population we serve. New payment models will incent us to better coordinate our patient’s care along the continuum of services. This includes both how our patients are treated and how their treatment information flows. New partners, arrangements, and competitors will emerge for us as a result of the new treatment and payment models. We will be strategically advantaged by coordinating access to a comprehensive continuum of care. Patients and their families will behave more like Consumers, expecting more Value, Convenience, and Access, in addition to caring and compassionate Service. Limited opportunities to pursue Smart Growth will necessitate us focusing our strategic efforts and resource allocation decisions.

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