Registered Nurse-WFBH-Lexington Medical Center-Emergency Department | Lexington Memorial Hospital

Wake Forest Baptist Health
Job Title: Registered Nurse-WFBH-Lexington Medical Center-Emergency Department
Job ID: 7048
Full/Part Time: Full-Time
Regular/Temporary: Regular
Job Category: Nursing-Clinical
Winston-Salem, NCNursing-Clinical, Medical, Healthcare6/17/2014Lexington Medical Center''s newly expanded and renovated Emergency Department is now seeking experienced a Registered Nurses for fulltime employment. The Emergency Department is a 25 Bed Unit. The nurses partner with physicians from Wake Forest Baptist Health to provide high levels of...

Job Description

Lexington Medical Center's newly expanded and renovated Emergency Department is now seeking experienced a Registered Nurses for fulltime employment. The Emergency Department is a 25 Bed Unit. The nurses partner with physicians from Wake Forest Baptist Health to provide high levels of quality, patient centered care. The member of this team oriented department will work the following schedule: weekdays from 7:00 P.M.-7:00 A.M. with a rotating weekend and holiday schedule. Minimum Requirements to be considered for this position include: Graduated of an accredited School of Nursing, current RN license to practice in NC, and BLS certification.


The Registered Nurse is responsible and accountable for direct and indirect nursing care of patients. She/he is also responsible for the direction and supervision of personnel assigned to her/him. Is knowledgeable in the care of the adolescent, pediatric, and geriatric patients.


  • Graduate from an approved school of nursing.
  • Minimum of six months nursing experience preferred.


Clinical Nurse Manager, Assistant Clinical Nurse Resource Manager


  • Current Registered Nurse license to practice in North Carolina.
  • ACLS certified within twelve (12) months of employment.


Utilizes the Nursing Process to plan and implement the delivery of patient care.

  • Initiates accurate and ongoing assessments of physical and psychosocial needs of patients within the department specific guidelines as evidenced by documentation.
  • Uses age and size appropriate equipment for hemodynamic monitoring.
  • Collaborates with patient/significant other and members of multidisciplinary team in the formulation of the overall plan of care.
  • Incorporates psychosocial, cultural, religious, and age-specific needs into the patient's plan of care.
  • Develops interventions appropriate for the patient.
  • Utilizes appropriate resources in providing patient care.
  • Initiates referrals as appropriate.
  • Evaluates and documents care based on patient responses.

Administers medication according to Policy & Procedures and Standards.

  • Cross-references medication record with physician orders as appropriate.
  • Ascertains that the following is correct prior to administering medications.
  • the drug
  • the amount
  • the time
  • the route
  • the patient
  • Keeps medication cart locked when not in use.
  • Documents medication effectiveness in the progress notes and/or computer as appropriate.
  • Charts medications promptly after administration.
  • Follows up with physician and/or pharmacy on medications that deviate from prescribed use relative to normal range, age, or body weight, etc.


  • Determines patient priority of care based on assessment findings.
  • Performs and documents continuous nursing assessments as per department policy.
  • Uses equipment specific to size and age of patient.
  • Is knowledgeable in assessment of neonatal, pediatric, adolescent, adult, and geriatric patients and their care.


  • Checks and documents on check-off list assigned rooms and crash carts at the beginning of each shift to ensure that adequate supplies and equipment are available.
  • Is knowledgeable in the care of all trauma and medical emergencies including neonates, children, adolescents, adults, and older adults:
  • drug calculations
  • resuscitation and equipment used.
  • Demonstrates effective delegation skills in the management of professional and ancillary nursing personnel.
  • Anticipates potential patient problems and performs nursing action to minimize those problems to ensure patient safety.
  • Assures parent/responsible adult stays with infant/child.


  • Provides open and timely communication with emergency patients, their significant others, and team members to ensure the occurrence of effective therapeutic interventions.
  • Communicates with patient/family to elicit essential information with accuracy and timeliness to ensure safe patient care.
  • Acts as a liaison between physician and patient/family by providing accurate and timely information to ensure patient/family participation to ED care.
  • Communicates with other team members concerning changes in patient conditions with accurate information to ensure continuity of patient care.
  • Gives report on patients admitted to the hospital from the Emergency Department to other health care members with accurate information to ensure continuity of patient care.
  • Communicates with resource personnel before patient discharge to facilitate patient compliance with care plan.
  • Gives report on patient to receiving caregiver when patients are transferred to another health care facility.
  • Communicates with EMS via radio/phone regarding pre-hospital care using EMS protocols/standards/regulations.
  • Demonstrates respect by calling patients by the name they prefer.

Demonstrates ability to perform CPR and ACLS skills.

  • Successfully completes CPR educational training and ACLS training every two years.
  • Initiates CPR and ACLS according to hospital protocol.

Teaches patient and family about condition.

  • Uses age specific communication skills when communicating with specific aged patient/family.
  • Assesses patient for barriers to learning.
  • Answers questions regarding treatment plan.
  • Provides valid and accurate information.
  • Provides information at level of understanding.
  • Verifies understanding of information conveyed by health care team.
  • Slows pace of any presented education to older adults due to slowed cognitive functions.

Serves as preceptor (as appropriate).

  • Provides feedback on new preceptee.
  • Assists in completion of the orientation checklist.
  • Completes training requirements as appropriate.

Minimizes stressors related to lobby wait.

  • Steps into the lobby when calling a patient/family into the treatment area.
  • Explains what patients/families can expect while in the department.
  • Explains and eases long waits with periodic unsolicited updates about how long the wait will be to the patients/families in the lobby and treatment area.


  • Is competent and current, adhering to established standards of practice.
  • Accepts accountability for actions by utilization of self-evaluation and supervisor evaluation to modify job performance.
  • Passes yearly competency exam and skills review.
  • Performs other related duties as assigned.


  • Through education, experience, and/or training, the individual is qualified to work with neonatal, pediatric, adolescent, adult, and geriatric patients.
  • Strong interpersonal communication skills.
  • Completes 15 hours of required continuing education annually.


  • Lifting patients.
  • Regular exposure to the risk of blood-borne diseases, infectious, and contagious diseases.
  • Contact with patients, family members, visitors, co-workers, and medical staff under a wide variety of circumstances.
  • Moderate to high stress levels.

To apply for this position, please click on the "Apply Now" button on this page. You must complete the application process and then submit your application by clicking on the "Submit" button located at the bottom of the page titled "Submit Online Application". You will receive the following message once you hit the submit button: "You have successfully submitted your job application".

Computers are available for applying within the lobby of the Human Resources Department located at 250 Hospital Drive, Lexington, NC 27292. You may also call our office for assistance at (336) 238-4205. Office hours are Monday-Friday, 8:00am-5:00pm.

If you are an individual with a disability and need reasonable accommodation to participate in the application process, please contact our Supervisor of Office Services by phone (336) 238-4205 or email at

It is the policy of Wake Forest Baptist Health-Lexington Medical Center to administer all educational and employment activities without discrimination because of race, sex, age, religion, national origin, disability, sexual orientation or veteran status (except where sex is a bona fide occupational qualification or a statutory requirement) in accordance with all local, state, national laws, executive orders, regulations, and guidelines.

Quick Reference

Human Resources
General Employment

Phone 336-716-4717
FAX 336-716-5656

Nurse Recruitment

Phone 336-716-3339
FAX 336-716-5656

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