Job Description

JOB TITLE: Nurse, Staff II, Core Charge ED, UH

SUPERSEDES: 10/2024

FLSA: Non-Exempt

JOB CODE: 8791

ISSUED: 10/2024

REVISED: 6/2025

BASIC FUNCTION AND RESPONSIBILITY

The Nurse, Staff II, Core Charge ED, UH has the primary function of direct patient care, combined with assisting with day-to-day operations to maintain high standards of patient care and safety. Function during their assigned shift as a clinical resource, assist with immediate clinical and quality needs, and assist with the logistics of patient movement.

ESSENTIAL FUNCTIONS

Provides clinical patient care within the scope of a Registered Nurse, including assessment of condition, goal setting, and nursing actions to meet the physical, psychological, social, and rehabilitative needs of the patient.

Assesses, intervenes, and reassesses patient self-report and symptoms of pain promptly, utilizing an appropriate tool for assessment and reassessment.

Demonstrates an understanding of medications' actions and side effects. Reports pertinent information to the appropriate individual. Educates patients and their chosen support person(s) about medications.

Demonstrates the ability to evaluate the effectiveness of nursing interventions in accomplishing goals and intended patient care outcomes.

Maintains the standards of nursing care and implements policies and procedures of MU Health Care and assigned nursing unit.

Reports pertinent observations and reactions regarding patients to the appropriate person (i.e. resident physician, ancillary support teams) and records those observations accurately and concisely.

Ensures smooth patient flow and efficient bed management within the unit.

Coordinates admissions, transfers, and discharges of patients as needed.

Communicates effectively with healthcare providers and other departments during emergencies.

Facilitates effective communication between nursing staff, interdisciplinary team members, patients, and families.

Collaborates with other healthcare professionals to coordinate patient care plans and to achieve optimal patient outcomes.

Provides clinical guidance, support, and performance feedback to nursing staff.

Serves as a resource for nursing staff regarding clinical issues and patient-care decisions.

Addresses and resolves patient care concerns and complaints promptly, escalating to the clinical manager or Office of Patient Experience as appropriate.

Conducts assigned audits of patient charts and documentation, ensuring accuracy and compliance with regulatory standards.

Participates in quality improvement initiatives and unit-based quality improvement activities.

Audits adherence to infection control protocols and patient safety guidelines.

Participates in unit meetings, committees, and projects contributing to unit goals and initiatives.

Serves as a clinical and behavioral patient needs resource for educating staff, clinicians, and ancillary team members.

Responds to clinical and behavioral escalations as a resource and leader for responders.

Acts as primary operational leader in emergent situations in the emergency department or external to the emergency department in coordination with the House Manager and AOD; situations may include mass casualty incidents, emergency decontamination events, emergency lockdowns, etc.

Coordinates daily staffing assignments based on daily volumes, throughput, and patient acuities. Adjust staffing levels throughout the shift to maintain safe patient care standards.

Leads daily huddles with frontline staff members. Ensures visibility and support by rounding throughout all the assigned pods.

Serves as shift liaison between leaders external to the Emergency Department, such as House Managers, MOI, MUPC, external agencies (ambulance service, law enforcement), and ancillary support departments (lab, radiology, etc) to ensure smooth departmental operations.

May complete unit/department-specific duties as outlined in department documents.

KNOWLEDGE, SKILLS AND ABILITIES

Excellent interpersonal skills.

Ability to collaborate and communicate effectively with interdisciplinary teams.

Understanding of patient movement logistics and staffing standards.

SUPERVISION RECEIVED

Supervision is received by the clinical manager or designee.

SUPERVISION EXERCISED

Functional supervision may be exercised over nursing and support staff.

REQUIRED QUALIFICATIONS

Missouri Board of Nursing RN or Nurse Licensure Compact multi-state RN. When primary state of residency changes, compact state RNs must apply under new state of residency within thirty (30) days.

One (1) year of RN experience.

PREFERRED QUALIFICATIONS

Additional license/certification requirements as determined by the hiring department.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met with or without reasonable accommodation. The performance of these physical demands is an essential function of the job. This position is very active and requires ambulating, reaching, and moving objects weighing up to and over 20 lbs.

This role also routinely comes into contact with patients who may have contagious illnesses. This position is in a health care facility open 24 hours a day, 365 days a year. Rotating shifts as well as holiday and work during inclement weather will be required.

PERFORMANCE EXPECTATIONS

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job; however, completion of these duties is a measure of successful performance. Employees of this job classification are subject to performance reviews. Basic function, responsibilities and characteristics duties may change at any time with or without notice.

SAFETY SENSITIVE STATUS

This position is considered safety sensitive.

This document is a general description of typical job duties, responsibilities and qualifications of employees holding the associated job title. Additional duties, specific qualifications and work emphasis may vary between individual positions.