OHSU cares for acutely and critically ill patients in our Emergency Department. We provide the latest evidence-based care and have a reputation for effective teamwork. Emergency nurses understand the importance of their independent scope of practice and engage in dependent scope of practice decision making with the team. Emergency nurses also provide patient and family-centered care for the full spectrum of illnesses.
The OHSU Emergency Department provides around-the-clock multidisciplinary services to clients of all ages across the life span. The department hosts a Level 1 Trauma Center, Triage (including Fast-track and Rapid Medical Evaluations), Pediatric Emergency Services, Adult Acute Care, Adult Critical Care, Observation Unit, and Acute Psychiatric Care. Patients arrive to the ED via ambulance, walk-in, through the transfer center (Trauma & PANDA), and via Rapid Response Team. The unit sees approximately 100 patients per day and has 21 beds as well as a 4 bed Rapid Medical Evaluation Area.
The ED is responsible for assessing patient needs, planning and coordinating interventions and consultations. Procedures and treatments provided in the ED include but are not limited to: placing venous access, medication, fluid and blood administration, radiography, extremity splinting and reduction, laceration repair, moderate and deep sedation, intubation, cardioversion, D&Cs, sexual assault exams, cardiopulmonary resuscitation and imminent deliveries. Patient population and diagnoses vary from minor to critical care and include: chest and abdominal pain, extremity injuries and trauma, migraine, overdose, seizure, dehydration, heart failure, respiratory distress, acute stroke, acute STEMI, acute psychosis/psychological emergencies, infection, and sepsis. Patients may frequently present with alcohol or drug abuse history, and complex medical histories. The ED Team works determine if the patient requires admission or discharge with resources and referrals. The nurse-to-patient ratio is 1:1 or 1:5 based on the patients dynamic stability and acuity.
The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RNs care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, practitioner, and knowledge transferor [Onsomble Model of the Professional Role]. Professional accountability enriches the Clinical RNs engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical Nurse exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, Learning Culture, and an Engaged Informed Culture.
The Emergency Department Internship is designed to support an individualized new hire experience to integrate nursing professional practice and population-based concepts in the emergency care specialty. The goal of the internship is to validate critical thinking and provide opportunities to verify performance at an advanced beginner level. Success in the program is dependent on the new hires ability to reflect, evaluate practice against professional standards, self-direct learning, and manage the dynamic emergency care environment safely as an advanced beginner.
New Nurse Graduate:
A minimum of 180 hours of direct-patient care in an adult ED practicum as a nursing student completed within 1-year of graduation from nursing school
Baccalaureate of Science in Nursing
Degree from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA)
Current, unencumbered Oregon State Registered Nurse License or Endorsement by the start date
Unencumbered criminal background check
TNCC or ATLS within 6 months of hire
BLS/ACLS/PALS must be issued by the American Heart Association (AHA) or Military Training Network branch of AHA by the start date (upload documentation with online application)
BLS/ACLS/PALS must not expire during the nurse internship program or introductory period
If you are an existing OHSU workforce member, then review Licensure, Certification and Registration Requirements for OHSU Healthcare Workforce Members policy, specifically #3, to receive compensation for BLS and ACLS certification
Must have excellent communication and reflection skills, the ability to work collaboratively in a team, and the flexibility to delegate, prioritize, and adapt in stressful situations
Minimum score of 11/18 on OHSU Nurse Interview Evaluation Tool
Nurse Internship Program (NIP):
The nurse internship is a 12-18 week integrated concept-based program designed to support an individualized orientation experience. The initial core class hours of the nurse internship program are possible MondayFriday, 8am-5pm; 8 hour shifts. The preceptorship shifts are assigned based on preceptor team schedules and are possible Monday-Sunday, 0700-1930, 11-2300, 1300-0100, 1500-0300 or 1930-0700; 8-12 hour shifts. The preceptorship shifts are also integrated into the initial core class hours for up to 40 hours per week. The preceptorship shifts transition to the hiring shift based on unit readiness at the completion of the initial core classes.
The program's foundation rests in ownership of professional role responsibilities including:
Reflection on feedback and practice
Accountability for independent and dependent scope of practice
Team integration and collaboration
These professional role responsibilities are applied in practicing and demonstrating interprofessional population-specific care through innovative learning activities at an advanced beginner level. Progressive development is guided, and validated and verified through program benchmarks, feedback and assessment tools.
Self-directed, group-based, and preceptorship learning activities are sequenced, spiraled and integrated to support pattern development. The self-directed and group-based learning activities solidify foundational learning related to professional practice and interprofessional population-based concepts to support the preceptorship experience.
The nurse internship program is intentionally and continually crafted with the aspirational goal of facilitating a positive transition for every nurse integrating into a new area of practice. We strive for transparency in the assessment and feedback we provide, and expect nurse interns to share any strengths and barriers to learning. Success of the program is measured through feedback about commitment to professional practice, self-efficacy, satisfaction, ease of transition, role socialization, fit to the team or department, retention, engagement and safety of practice.
As the state's only health and research university, OHSU brings together patient care, research, education of the next generation of health care providers and scientists and community service to improve the health and well-being of all Oregonians.The university is a conduit for learning for more than 2,800 students, providing training to interns, residents and fellows in postgraduate medical and r...esearch. It is the only place in Oregon that grants doctoral degrees in medicine, dentistry and nursing. OHSU cares for more than 251,000 patients each year from around the region and takes a leadership role in contributing to solutions involving the health of the state and the nation, such as health care access and transparency, ethics and workforce shortage. Beyond providing critical health care services, quality education and cutting-edge research, OHSU also is a key economic and social force in the Northwest. With an annual operating budget of $2.06 billion and more than 14,000 employees, OHSU is Portland?s largest employer. Its size contributes to its ability to provide many services and community support activities not found anywhere else in Oregon. For more information visit http://www.ohsu.edu/xd/about/index.cfm