RN Clinical - Day Hospital - Per Diem 10 Hour Days (Non-Exempt) (Union)

As an integral part of the multidisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients and their families in the outpatient setting with an emphasis on administering chemotherapy, biotherapy, blood products. The RN is also responsible to manage those patients who require acute care either prior to or instead of admitting the patient. Essential Duties: Follows policies and procedures; demonstrates ability to access online manuals. Transfers learned scientific knowledge into practical application in applying the Nursing Process. ASSESSMENT Appropriately completes Nursing Assessment upon patient admission, at each shift and with change of condition. Completes patient acuity by 0200/1400 daily. DIAGNOSIS Interprets assessment information and formulates Nursing Diagnoses. PLAN Develops Plans of Care with individualized interventions. Documents expected/projected patient outcomes. Reviews/Revises/Updates Plans of Care daily based on evaluation and interpretation of patient outcomes. INTERVENTION Administers medication and IV therapy appropriately at prescribed intervals. Completes patient care procedures correctly per policy at prescribed intervals. Delegates tasks based on others' scope of practice and competency. Acts as patient advocate. Manages restraint use per policy Attempts alternative non-restraint measures first. Assures complete MD order per policy. Ensures MD assessment per policy. Assures patient monitoring per policy. Ensures Restraint Audit Form is completed each shift. DOCUMENTATION Documentation is complete and correct on all flow sheets and chart forms: Admission Assessment Pain scale assessment and reassessment before and after intervention Daily flow sheet Restraint flow sheet Diabetes flow sheet Educational flow sheet Kardex Care Plan Risk Assessment & Reassessment upon Fall MAR Equipment & Supplies Intra and Inter Facility Transfer Forms Belonging Tracking Form Ensures orders are transcribed and signed off prior to the end of the shift. Completes 12h/24h chart checks EDUCATION Provides patient/family education as needed Room/unit orientation Plan of Care Identifies knowledge deficits related to diagnoses and care Uses and provides MICROMEDEX information to patients and families. TRANSFER & DISCHARGE Collaborates with Case Manager and/or physician regarding discharge planning. Ensures all transfer paperwork is completed. Ensures belongings are sent with patient. EQUIPMENT Utilizes patient care equipment appropriately and safely according to manufacture guidelines IV pump Feeding pump PCA pump Epidural pump Sequential compression device Wound VAC Heating pad/pump COMMUNICATION Communicates effectively with all members of the healthcare team including patient and family: Shift to shift report Physician Rounds Patient/family interactions MDP Rounds Hand-Off reports Facility E-mail Student/New employee/Contract employee ORGANIZATION Manages time effectively. Able to organize and prioritize responsibilities. Takes meal breaks without incurring overtime. Completes shift on time. OBSERVES REGULATORY AGENCY REQUIREMENTS: National Patient Safety Goals Patient identifiers Unapproved abbreviations Universal Protocol (Procedural Time Out) Hand-Off Medication Reconciliation Clinical Alarms Other Hazardous waste management Biohazard Medication Sharps HIPAA OSHA requirements (i.e. no food or drink in clinical areas) JCAHO - continuous survey readiness Critical Values * Write Down * Read Back * Follow up Telephone order * Appropriate * Documented * Signed, Timed and Dated * Stamped * Entered into unit log Maintains safe practice in the work environment * Correct body mechanics * Electrical safety * Infection Control Procedures * Hand Washing MANAGEMENT OF THE CARE OF MEDICAL SURGICAL PATIENTS Demonstrates the ability to manage patients with THA, TKA, spinal surgery, cystic fibrosis, abdominal organ transplants, and hepatic encephalopathy. MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT/S Demonstrates the ability to manage complex critically ill patients, including neurosurgery, thoracic-forgut, gastric bypass, orthopedic, liver/kidney/pancreas transplants, and hepatobiliary patients. MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY UNITS Demonstrates the ability to manage high acuity patients requiring specialized monitoring and care, including status post open heart, heart transplant, lung transplant, liver/kidney transplants, orthopedics, hepatobiliary, and general surgeries. MANAGEMENT OF THE CARE OF PATIENTS UNDERGOING DIALYSIS TREATMENT Initiates, performs, and terminates all dialysis treatments according to policy and dialysis standards of care. MANAGEMENT OF THE CARE OF THE PSYCHIATRIC PATIENT Engages patients in therapeutic interactions, maintains therapeutic milieu, and assesses and monitors for patient safety. BEHAVIORAL RESTRAINTS Demonstrates de-escalation techniques as an effort to prevent the need for behavioral restraint/seclusion. QUALITY MEASURES Accurately identifies patient that fit Core Measure criteria, completes Core Measure Documentation, and identifies and participates in data collection and process improvements related to Nurse Sensitive Quality Indicators. PROFESSIONAL DEVELOPMENT Participates in professional hospital/nursing activities, including relief charge nurse, nursing committees/councils, hospital teams, unit-based projects, and research. Performs other related duties as assigned. Required Qualifications: Bachelor's Degree in Nursing (BSN) *Grandfathered from BSN if hired prior to 12/2019 One year experience in an outpatient infusion setting required Excellent communication skills, including the ability to speak, read, and write English proficiently. Knowledge of medical procedures and conditions and ability to understand, follow, and successfully perform duties. Committed to excellence in patient care and customer service. Demonstrates ability to work independently with minimal direction and supervision. Preferred Qualifications: Oncology focus is strongly preferred. Specialty certification in oncology is preferred. Required Licenses/Certifications: Registered Nurse - RN (CA Board of Registered Nursing) Basic Life Support (BLS) Healthcare Provider from American Heart Association Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. ONS Chemotherapy & Biotherapy Required when eligibility criteria have been met. The hourly rate range for this position is $44.00 - $95.00.

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