Specialty RN Charge - 12Hr (ER in Harlingen, TX at Harlingen Medical Center

Date Posted: 9/7/2019

Job Snapshot

Job Description


The Registered Nurse is directly accountable for the care given to patients in the Emergency Department.          He / She communicates with the physician about the changes in the patients clinical condition including results of the diagnostic       studies and sypmtomatology. Is able to respond quickly and accurately to changes in the condition and/or response to treatment. Is              knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies.


1.Recognizes signs of abuse and reports appropriately to the hospital social worker and/or Child Protective Services. Familiar with the EMTALA Regulations.2.A Registered Nurse shall be responsible for the observation and direction of patient lifts, mobilization, and shall participate as needed in patient handling.3.Attends and maintains mandatory training in safe patient handling, trained in safe lifting techniques, includes but not limited to 1) Appropriate use of lifting devices and equipment, 2) Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation, 3) Use of lifting devices to handle patients safely.4.Uses professional judgment and clinical assessment in safe patient handling that are consistent with Safe Patient Handling policies. 5.Monitors hemodynamic/cardiac status of patient and correctly interprets the results.6.Initiates discharge and family education planning with proper documentation.7.Adjusts frequency of assessment as appropriate for patient’s condition and reassess nursing action for effectiveness in achieving desired outcome.8.Establishes priorities of patient care based on essential needs and available resources of time, equipment, personnel and supplies.9.Follows hospital policy regarding chest pain, acute MI and pneumonia protocols.  10.Reviews and implements new orders and keeps physician informed of changes in patients clinical status. Consistently follows protocol regarding telephone/verbal orders and the using of "read back".11.Accurately records and/or process orders in timely manner i.e., ASA administration and EKG for all chest pain patients presenting in ED.12.Demonstrates empathy and respect for patients by explaining all procedures providing privacy and allowing patients to express emotional needs.13.Initiates, titrates and safely monitors all IV medications and blood components. Consistently uses two patient identifiers when drawing lab, medicating, or performing any procedure on a patient and blood components14.Assists physicians with special tests and procedures. 15. Able to give a thorough, detailed, efficient change of shift report to ensure consistency in the plan of care. 16.Consistently ensures that all clinical alarms i.e., Cardiac monitor alarms are set with the appropriate parameters for the patient and are audible at all times.17.Does not use unacceptable abbreviations in documentation. Documents evidence of nursing care on the patient’s medical record in a legible, concise, timely and complete manner.18.Avoids and prevents injury to self and patients by applying the principles of body mechanics. Maintains a safe environment, functioning with an awareness and application of safety issues identified within the unit/facility i.e., suction and oxygen immediately available at all bed side.19.Ensures Crash cart, defibrillator function have been checked per protocol and after each code, appropriate items are immediately replaced and indicated by signature on the cart checklist.20.Performs all other duties as assigned or required.


  • Current and valid state RN License.

  • Current BLS (AHA) certificate upon hire and maintain current.

  • ACLS 30 days upon hire and maintain current.

  • PALS and/or ENPC required 30 days upon hire and maintain current.

  • TNCC within 12 months of hire preferred.

  • CPI within 6 months of hire and maintain current annually.

  • Minimum of one year as a staff nurse in an acute care hospital setting; E.R. setting preferred.

  • Starting in January 2013 for new hires, Basic Arrhythmia within 90 days of hire

  • We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics.  If you need special accommodation for the application process, please contact Human Resources.  EEO is the Law: http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf