Start Date: 10/02/2022

End Date: 12/31/2022

Status: Open

Total Positions: 4

Skill: RN Emergency Room

Duration: 13 - Weeks

Location: NY - St. Peter's Hospital

Shift Start Time: 19:00:00

Shift End Time: 07:30:00

Description:
Types of Patient Served

Consistent with the St. Peter’s Hospital Mission, the Emergency Department seeks to provide accessible comprehensive, compassionate, high quality health care to the community. The Emergency Department is a 42-bed unit with cardiac monitoring capability in all treatment areas. High volume patient populations include those with cardiac, respiratory, neurologic, gastrointestinal and musculoskeletal presentations.

Ages of Patients Served

The Emergency Department provides services to newborn, infant, pediatric, adolescent, adult and elderly patient populations.

Current Services for Patients and Patients’ Families including:

? Frequent Procedures
- wound care
- cardiac monitoring
- pulse oximetry
- urinary catheterization
- respiratory treatments
- gastric intubation - venous access procedures
- transcutaneous pacing
- orthopedic procedures
- lumbar puncture
- endotracheal intubation
- ENT procedures
- Thrombolytic administration

? Processes / Services
The Emergency Department is responsible for evaluating, treating and stabilizing any patient who presents requesting emergency services. The Department is required by law to provide a medical screening exam by a licensed provider to identify the presence of an emergency medical condition, including utilization of any available resources the Emergency Department may have. The Emergency Department provides services in collaboration with other departments and agencies that act in concert to deliver the necessary services to the patient. These include but are not limited to Medical Imaging, Laboratory Services, Social Work, Spiritual Care, Cardiac Services, Maternal/child Services, Behavioral Health, SPARC, Home Care Services, Pharmacy Services and others. In addition, the Emergency Department works closely with EMS personnel to provide continuity of care from the pre-hospital setting to the emergency department. The Emergency Department serves as a base station for medical control for pre-hospital patients being treated in the field.

? Scope and Complexity of Patients’ Care Needs
The Emergency Department is responsible for immediate recognition, evaluation, treatment, stabilization and disposition in response to any emergency. The level of care ranges from the continuation or initiation of advanced life support measures to the assessment and treatment of minor illnesses and injuries. The ED provides this care in a collaborative practice environment.

? Criteria for Entry to Service
A well-defined triage system is in effect to ensure all patients are seen in an appropriate and timely fashion. Patients are triaged by severity into a five tiered classification system with Class I being the most significantly ill patient requiring immediate care and Class 5 representing a non-urgent minor illness. The Emergency Department seeks to provide accessible, comprehensive, compassionate, high quality emergency care to any individual who presents requesting services regardless of age, race, religion, sex, nationality or ability to pay.

? Hours of Operation
The Emergency Department is operational 24 hours a day, 7 days a week.


SCOPE OF SERVICE 2017

Staffing


? Budgeted
Optimum staffing is achieved by established staffing patterns that provide a minimum number of hours of care per patient encounter.
? Minimum
Staffing patterns are structured to support traditional fluctuations in volume with a staffing mix to meet the needs of the department. There will be a minimum of 2 RNs present in the Emergency Department to ensure appropriate safety measures.
? Qualifications of Staff
Qualifications required of staff are indicated in the respective job descriptions for each role. Professional staff is required to have a current NY State license to practice their profession.

Emergency Provider (Physician, NP, PA)
? See specific Emergency Medicine Credentialing Policy

All Registered Nurses
? Current Basic Life Support
? Successful completion Level I Critical Care Course (within 6 months of hire)
? Successful completion of ED Core Curriculum (within one year of hire)
? Advanced Cardiac Life Support (within one year of hire)
? Annual Emergency Department specific competency validation
? NIHSS
? PALS

Patient Care Technician
? Successful completion of PCT program.
? Current Basic Life Support
? Annual Emergency Department specific competency validation

Information Associate
? Completion of Information Associate orientation program

? Methods Used to Adjust Staffing
(change in census, acuity)

When census, case mix or other factors vary from the plan, the staffing level is adjusted through use of excess hours overtime, temporary staff and on-call services.


Goals of Department

? To provide comprehensive quality emergency patient care.
? To provide the framework for a planned, systematic, ongoing approach for the objective monitoring and evaluation of the quality, effectiveness and appropriateness of Emergency Services.
? To evaluate individual and patient population outcomes and implement new process changes to achieve optimal patient outcomes.
? Patient satisfaction score equal to or above 75th percentile.
? Maintain cardiac center of excellence.
? Improve Patient Flow.

SCOPE OF SERVICE 2017

Goals con’t.

? No mislabeled specimens
? Ensure timeliness with and adherence to Sepsis, STEMI and Stroke benchmarks and best practices
? Promote / support evidence-based practice and clinical research.
? Decrease vacancy rate to under 10 FTEs.
? Retain high-performing staff.
? Increase certification of RNs.
? Increase promotion of RNs to levels 3 and 4.
? Increase volume / revenue.
? Maintain LWBS < 2%.


Methods for Communication, Collaboration and Functional Relationship with Other Departments and Services

INTERNAL COMMUNICATIONS
Monthly departmental meetings, Quarterly joint staff meetings, ED Share Point, EDIMS Message Board , bulletin boards, and informal structures are utilized regularly to assure communication of all necessary information within the Emergency Department.

EXTERNAL COMMUNICATIONS
External communication is accomplished through collaborative programs within the Operations Division. Communication between the Emergency Department and all other services and other hospital departments are held via monthly Nurse Manager, Council meetings, monthly Clinical Chiefs meetings, monthly Executive Committee of the Medical Staff meetings and bed meetings daily, and e-mail.

CONSULTATION
Medical disciplines are formally on call to the emergency department in virtually every specialty. All medical and surgical subspecialties are represented. In addition, neonatology and anesthesia are available in house, 24 hours a day, 7 days a week. Psychiatry is available on a limited basis at this time through the Behavioral Health Service, Monday through Friday.

Other support services are also available to the emergency department through consultation such as Social Work, Spiritual Care, Home Care Services, Pharmacy Services and Nursing case management.

TRANSFERS
Patients requiring services beyond the scope of those provided within SPH, such as those requiring inpatient acute psychiatric intervention, pediatric critical care, hyperbaric treatment, or major burn treatment will be transferred to an appropriate facility in accordance with our transfer policy and EMTALA regulations.

COLLABORATION/FUNCTIONAL REL