Alamance Regional Medical Center--Emergency Department
EDUCATION: Required: Associates Nursing Preferred: Bachelors Additional Information Graduate of a School of Nursing. BSN required or with approval of the VP of Nursing, experienced RN's with an AD or Diploma with an active plan t btain their BSN within four years from date of hire may be considered.
EXPERIENCE: 1 yr as an RN in the Emergency Department
LICENSURE/CERTIFICATION/REGISTRY/LISTING: Required: Registered Nurse licensed in North Carolina or a Compact state. A current American Heart Association (AHA), Basic Life Support (BLS) card for Health Care Provider Preferred: Advanced Cardiovascular Life Support Pediatric Advanced Life Support
CONE HEALTH Emergency Services
SCOPE OF SERVICES
1. Department Description Emergency services are provided on the Annie Penn (AP), Alamance Regional Medical Center (ARMC), Wesley Long (WL), MedCenter High Point (MCHP) and the Moses Cone Health Campuses. Medical, Nursing and ancillary care is provided for all patient populations presenting with a variety of emergency and non-emergency conditions. In providing this care, the Emergency Departments support the mission of Cone Health to continually improve the healthcare of our patients and our community as the regions' best healthcare system.
The Emergency Department on the Annie Penn campus is located in Reidsville It consists of 23 beds which includes five Fast Track rooms, two resuscitations rooms and two negative pressure rooms. There is one triage room and a dedicated nurse first area located at registration. There is telemetry capability in 21 rooms plus three portable monitors. A decontamination shower is located near the ambulance entrance with easy access from the outside.
The Wesley Long Campus is located in Greensboro. The Emergency Department at Wesley Long consists of 55 beds; which includes a secured 10 bed all private rooms Behavioral Health area. There are (4) triage rooms, (6) Fast Track rooms, one- (2) bed resuscitation/critical care room and (33) private treatment rooms (which includes an (8) bed Transitional Care Unit). All beds have telemetry/hardwire capability with a capacity to monitor up to 55 patients. A decontamination shower is also located near the ambulance bay with access from the outside and there are three negative pressure rooms
The Emergency Department at MedCenter High Point is a freestanding Emergency Department located in High Point. The treatment area consists of 2 Triage rooms, 12 treatment rooms including an isolation room, and one trauma/critical care room with capability for two beds. All of the beds at MCHP have telemetry/hardwire capability. A Decontamination shower is also located near the ambulance bay with access from the outside. Patients requiring hospital admission are transported to MC, WL or a hospital of patient's choice.
The Emergency Department on the Moses Cone Campus is a designated Level II Trauma Accredited, Chest Pain Accredited, LVAD Accredited, and Stroke Center. It is divided into designated treatment areas: triage, Acute Care Rooms, Trauma, Fast Track, and a pediatric area. Our ED acute care rooms are designed in PODs (A, B, C, D, E, PEDs, Fast Track) based on evidence based care. We have 6 PODs in the adult ED with 61 rooms all telemetry/hardwire capabilities. In POD D, we have 3 designated trauma rooms. One of the trauma rooms serves as a resuscitation room. We have 8 fast track rooms where one room serves as an Ophthalmology/ENT room. We have three negative pressure rooms. There is a 12-bed pediatric area.
The Emergency Department of Alamance Regional Medical Center consists of 58 beds: 26 beds in the major care section; 15 beds in the Flex Care area; 9 beds in the transitional unit; and 8 beds in the secured Behavioral Health area. Hours of operation are 24 hours/day, 7 days a week. ARMC functions as a Level III emergency service and is staffed with at least two Emergency Physicians at all times. Nurse Practitioners and Physician Assistants are utilized and supervised by the Emergency Physicians. There is a daily call schedule of multidisciplinary staff physicians for referrals, admissions, and consultations. The Emergency Department's staff is composed of Registered Nurses, Emergency Department Technicians, and Departmental Secretaries. The department works closely with Alamance County Emergency Medical Services and with regional ground and air ambulance services.
All of the Emergency Departments contain a patient registration area, waiting area, private family consultation area, and a security station. The waiting areas contain: TVs, snack machines, and telephones. There is also a supply of reading and educational material available. All Emergency Departments provide an outside covered entrance area to protect the patients/families during inclement weather.
Lounge and restroom facilities are provided for all staff. The nursing station is located in close proximity to critical treatment areas for visualization. The nursing stations contain computers, manuals, charts and documents to facilitate patient care. On all campuses, patient rooms are equipped with telephones and televisions for use by patients/families. Adult and pediatric emergency carts, monitors and defibrillators are strategically located to provide immediate response to patient needs.
Medical leadership is under the direction of the Chief of Emergency Services and Medical Directors for the Moses Cone, Wesley Long, MedCenter High Point, and Annie Penn Campuses. Similarly, nursing leadership is under the direction of the Executive Director of Emergency Services and each Emergency Department has a Nursing Department Director. Medical and Nursing leadership is responsible for maintaining quality improvement programs.
Nursing utilizes the Shared Governance structure (Nursing Administrative Manual) to provide consistent, effective and efficient nursing care. Through this structure, the nursing staff has a direct impact on clinical decisions specific to the department, by participating in various committees: Department Shared Governance Council, Service Shared Governance Council, Clinical Policy and Procedure, and Nursing Executive Council.
The Emergency Department nursing leadership and the Medical Directors approve policies and procedures specific to the department. They are consistent with hospital policies, medical staff rules and regulations, and federal and state regulations (EMTALA). Additionally, Joint Commission rules and regulations guide the provided services.