Emergency

The Indiana University Health Goshen Hospital Emergency Department (ED) is one area where the nurse is professionally challenged. In this critical care area, RNs practice advanced clinical skills within a team-approach model of care. We pride ourselves on our excellent nurse-to-patient ratio.

An extensive set of competencies are validated each year. Each nursing colleague maintains a minimum of Basic Life Support for the Healthcare Provider, Advanced Cardiac Life Support and Pediatric Advanced Life Support certifications. Many nursing colleagues maintain certifications in the Trauma Nurse Core Curriculum and Emergency Nurse Pediatric Course. Education time and support are provided to acquire advanced certifications.

The Certified Emergency Nurse (CEN) designation recognizes an ED nurse as having expertise in this specialty nursing field. Progress toward this designation is provided through ongoing education and study materials available in the ED. Certified Emergency Nurse RNs also participate in education programs offered through the ED, as well as attend additional education opportunities to maintain their advanced clinical skills.
 

Patient Population Newborn to elderly
Unit Size 23 beds consisting of a 14-bed main ED, 4-bed trauma, 3-bed Intermediate Care Unit and 2-bed Chest Pain Observation Unit
Nurse-to-Patient Ratio 1:3 or 1:4 with the capability of a 1:1 ratio for the increased needs of a critical patient
Rotations/Shifts 

Shifts are diversified in order to meet the needs of our community and patients:

  • RNs: 0600-1830, 1800-0600, 0800-1630, 1500-0130, 1600-0030
  • ED Technicians: 0600-1830, 1000-2230, 1800-0230, 1800-0600
Skill Mix RN and ED Technicians
Orientation A comprehensive orientation is provided for each new ED colleague. The orientation for RNs ranges from three to six months depending on previous experience and rate of progression through the orientation process. Each orientee is assigned to a skilled preceptor for the duration of their orientation. There are defined skill sets with competency validation that the orientee must successfully accomplish before the orientation process is complete.

The ED Director and Clinical Educator have an interactive roll in the orientation period with frequent follow-up, instruction and guidance. The newly graduated RN participates in an internship program that occurs over one year. During this period of time, the new graduate receives didactic information and practices skills in a simulation lab. The internship program offers the orientee the opportunity to share experiences with other new graduates in the class creating a supportive network within their work environment.