The Registered Nurse in the Adult Emergency department applies the nursing process to plan and implement the care of patients, including patient and family education and continuum of care planning. Effectively communicates pertinent patient/family information to the health care team. Collaborates in establishing patient goals and evaluates progress to ensure effective outcomes. Furthers professional growth by engaging in learning activities according to the Board of Nursing standards.
A typical shift for our nurses includes participating in a team shift report prior to receiving their primary assignment. We work within a pod environment with each nurse typically having a 3:1 patient/nurse ratio. Our department utilizes a team approach to perform primary nursing with the assistance of Paramedics, AEMTs and Care Partners. Our nurses encounter a diverse patient population every day, with assignments ranging from the acute and critically ill to non-acute and fast track patients. Other assignments include trauma and triage.
The Adult Emergency Room is the Level 1 Trauma Center for Middle Tennessee with 88 treatment areas including four trauma bays. We are one of the busiest emergency rooms in the country and see 69,000 patients annually. We have the ability to quickly diagnose through our use of two CT scanners and an x-ray machine for the Adult ER. We are a Comprehensive Stroke Center, Accredited Chest Pain Center, and the Designated Level 1 Burn Center for the region.
$20,000 SIGN ON BONUS for eligible new hires (former employees must be separated from Vanderbilt University Medical Center for a period of more than 12 months to be eligible). $15,000 relocation stipend for eligible new hires.
Typically our Registered Nurses work six 12-hour shifts per 2 weeks in the emergency room.
Currently we also have a requirement for Registered Nurses who can work five 12-hour shifts per 2 weeks.
We currently have both day shift (7A to 7P if eligible; based on years of experience) and night shift (7P to 7A) available, which includes evening, night, and weekend layered shift differentials.
The weekend requirements are to work a Saturday and Sunday shift every 3rd weekend.
Rotating Holiday Schedules.
Collaborates in establishing the plan of care, coordinates and implements care delivery while anticipating patient care needs across the continuum.
Analyzes comprehensive information pertinent to the patient's care and management to determine nursing diagnosis.
Continually utilizes the nursing process to evaluate patient's progress towards goals and applies appropriate interventions to ensure effective outcomes.
Employs strategies to promote health and a safe and healthy environment.
The responsibilities listed are a general overview of the position and additional duties may be assigned.
View how Vanderbilt Health employees celebrate the difference they make every day:
Discover Vanderbilt University Medical Center:
Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. It is a place where your diversity — of culture, thinking, learning and leading — is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.
Our Nursing Philosophy:
We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being.
As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered:
Affordable High Quality Health Plan Options
Dental and /or vision plan
403 (b) retirement plan
Paid Time off (flex PTO)
Tuition Reimbursement and adoption assistance (maximums applied)
Short-Long term disability
Subsidized backup childcare
And many more... Ask us about our current inpatient nursing supplemental Pay Program!
NURSING PATIENT ASSESSMENT & EVALUATION (NOVICE):- Possesses sufficient fundamental proficiency to successfully demonstrate the ability to assess and evaluate patients in practical applications of moderate difficulty. Conducts primary care patient interviews and physical examinations. Demonstrates sufficient acumen to recognize problems, ask questions and to contact the patient's primary care provider and other members of the healthcare team. Has experience in gathering pertinent clinical data that aid in referral, treatment, or other primary care pathways.
CARE PLANNING (NOVICE):- Demonstrates ability to anticipate resource needs, identify distinct tasks, set priorities, schedule activities, meet deadlines, and organize work within areas of direct responsibility. Competently handles multiple assignments often simultaneously by prioritizing work into manageable and measurable units. Ability to adapt to changes to patient care and area needs with minimal disruption and loss of productivity. Follows up to assure problems and issues are resolved.
NURSING PATIENT EDUCATION (NOVICE):- Possesses sufficient fundamental proficiency in providing patient education in practical applications of moderate difficulty.
EVIDENCE-BASED PRACTICE (NOVICE):- Possesses sufficient fundamental proficiency to successfully search for evidence to answer clinical questions. Generally works under the direction of others while accomplishing assignments.
Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance.
Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment.
Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area.
Team Interaction: Provides informal guidance and support to team members.
SUPPORTING COLLEAGUES (P2):
Develops Self and Others: Invests time, energy and enthusiasm in developing self/others to help improve performance and gain knowledge in new areas.
Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.
Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences.
DELIVERING EXCELLENT SERVICES (P2):
Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.
Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.
Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness.
ENSURING HIGH QUALITY (P2):
Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.
Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them.
Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring.
MANAGING RESOURCES EFFECTIVELY (P2):
Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.
Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.
Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities.
FOSTERING INNOVATION (P2):
Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.
Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.
Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements
One year of individual or combined nursing experience in an emergency department (ED) or intensive care unit (ICU)
BLS, ACLS, and PALS
TNCC, ATCN, CEN, CCRN, EMT and EMT-P are all highly desirable
Heavy Work category requiring exertion of 50 to 100 lbs. of force occasionally and/or up to 20 to 50 lbs. of force frequently and/or up to 10 to 20 lbs. of force continually to move objects.
Occasional: Sitting: Remaining in seated position
Occasional: Lifting over 35 lbs: Raising and lowering objects from one level to another, includes upward pulling over 35 lbs, with help of coworkers or assistive device
Occasional: Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.
Occasional: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles
Occasional: Climbing: Ascending or descending stairs/ramps using feet and legs and/or hands and arms.
Occasional: Kneeling:Bending legs at knees to come to rest on knee or knees.
Occasional: Crouching/Squatting: Bending body downward and forward by bending legs and spine.Reaching above shoulders: Extending arms in any direction above shoulders.
Occasional: Reaching above shoulders: Extending arms in any direction above shoulders.
Frequent: Standing: Remaining on one's feet without moving.
Frequent: Walking: Moving about on foot.
Frequent: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another
Frequent: Push/Pull: Exerting force to move objects away from or toward.
Frequent: Balancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching or maneuvering self, patient and equipment simultaneously while working in large and small spaces
Frequent: Reaching below shoulders: Extending arms in any direction below shoulders.
Frequent: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
Frequent: Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation.
Frequent: Bimanual Dexterity: Requiring the use of both hands.
Frequent: Communication: Expressing or exchanging written/verbal/electronic information.
Continuous: Auditory: Perceiving the variances of sounds, tones and pitches and able to focus on single source of auditory information
Continuous: Vision: Clarity of near vision at 20 inches or less and far vision at 20 feet or more with depth perception, peripheral vision, color vision.
Continuous: Smell: Ability to detect and identify odors.
Continuous: Feeling: Ability to perceive size, shape, temperature, texture by touch with fingertips.
Occasional: Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area.
Frequent: Pathogens: Risk of exposure to bloodborne pathogens and other contagious illnesses.
About Vanderbilt Health
Discover Vanderbilt Health: Located in Nashville, TN, and operating at a global crossroads of teaching, discovery and patient care, Vanderbilt Health is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. It is a place where diversity – of culture, thinking, learning and leading – is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday.
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