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Antelope Valley Medical Center

Registered Nurse - Emergency - Full Time/Nights - Req#2030317363

Antelope Valley Medical Center, Lancaster, California, us, 93586

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Job Objective An Emergency Department Registered Nurse must be knowledgeable in multiple disciplines, pediatrics, obstetrics, medicine, cardiology, trauma, orthopedics, oncology, infectious disease, and psychiatry. He/she must be knowledgeable in caring for all age groups; newborns, infants, toddlers, childhood, adolescence, adult and geriatric.

Essential Duties for all RN’s in the Emergency Department Meets all the essential duties of a Registered Nurse.

Nursing Process Applies nursing process in direct patient care.

Skillfully practices triage of patients per Triage Policy

Assesses patients and documents on the ED nursing T-system a minimum of

every two hours or more often when necessary.

Appropriately intervenes when assessment reveals an abnormal finding, examples include but are not limited to airway, breathing, circulation.

Knowledgeable regarding pre-hospital forms.

Nursing Care Delivery Process

Knowledgeable regarding current emergency nursing practices and procedures.

Knowledgeable of the legal aspects of emergency nursing care, including

but not limited to:

Treatment and/or release of minor to someone other than parent.

EMTALA laws in regards to medical screening exams and transfer procedures.

Procedure for medical/legal examination and collection of evidence.

Procedure for obtaining legal blood alcohol specimen.

Requirements for reporting suspected elder/dependent adult and child abuse/neglect.

Coroner’s report

After-care instructions

Technical Equipment

Chest tubes, drainage system, and auto-transfuser.

Cardio-Respiratory monitors

Monitoring equipment; Arterial Lines, CVP, Swanz Ganz, ICP.

Invasive and non-invasive blood pressure monitoring.

Crash cart/defibrillator (external and internal), ambu bag.

Oxygen saturation/pulse oximetry

Fluid warmer

12 lead ECG

Pacemaker, internal and external

Competent operation of ReddiNet communication System

Environment

Refer to job description Registered Nurse

Leadership/Professionalism

Refer to job description Registered Nurse

Education

Refer to job description Registered Nurse

Attends a minimum of 50% of staff meetings annually.

Communication

Refer to job description, Registered Nurse

Age Specific & Cultural Requirements

Refer to job description, Registered Nurse

Non-Essential Duties

Participation on unit or hospital-based committees

Skills and Abilities

Refer to job description Registered Nurse

Ability to perform and interpret ECG correctly

Ability institute Thrombolytic therapy protocol

Ability to assist in ICP insertion and monitoring/interpretation of wave form

Ability to assist in insertion and monitoring of arterial line and central lines.

Required Licensure and/or Certifications

Current California Registered Nursing license

BLS

ACLS

PALS (within 6 months of hire or first available Antelope Valley Hospital course)

Nonviolent Crisis Intervention Certification, initial certification required at first available hospital training class. Annual recertification required

Annual Restraint Certification/Recertification

Annual JCAHO Review/Competencies

Working Conditions

Refer to job description Registered Nurse

Job Objective A Registered Nurse is responsible for the nursing care of patients as established by the Nursing Practice Act of the Board of Registered Nursing of the State of California and as guided by policies and procedures of the hospital.

Duties and Responsibilities 1. Nursing Process

Applies nursing process in direct patient care:

Provides accurate assessment and documentation of physiological, psycho social, cultural, developmental, socioeconomic, and spiritual needs of patient as evidenced by assessment within time frame appropriate for level of care

Provides logical sequence of action, updates nursing care plan as evidenced by notations on care plan, provides evaluation each shift of patient’s progress In relation to the patient care plan, if applicable to area of care

Provides Information to patient/family relating to educational resources available, Directs patient/family educational process

Provides discharge planning beginning on admission with appropriate referrals and update as required by the patient

Adheres to the admission and transfer criteria

Adheres to all current policies and procedures in providing patient care and seeks clarification if needed.

Evaluates and documents outcomes of medical, nursing, and ancillary team interventions

Incorporates time management skills in accomplishing care

2. Nursing Care Delivery Process

Knowledgeable regarding current nursing practices and procedures

Demonstrates knowledge and use of resources and forms

Demonstrates knowledge of hospital structure and administrative resources

Demonstrates ability to interpret rules and regulations

Knowledge of legal aspects of nursing care

Demonstrates knowledge of legal documents pertinent to unit/area of care

Demonstrates knowledge of Patient rights

Acts as liaison between medical staff and patient care team

3. Technical Equipment

Able to operate technical equipment in area of care, safely, efficiently, and accurately

4. Environment

Assists in maintenance of a safe, comfortable and therapeutic environment

Assesses safety/cleanliness of patient/unit environment and reports conditions requiring change

Utilizes resources, equipment, and supplies efficiently and with cost awareness

Reports hazardous conditions to appropriate department for correction

Uses clean and aseptic techniques for protection of patients and personal safety

Prevents contamination and/or transfer of Infection by use of the Exposure Control Plan and Standard Precautions in daily work

Demonstrates knowledge of emergency codes

5. Leadership/Professionalism

Supervises care provided by others

Assumes responsibility for quality of care given

Gives accurate and concise patient care report to appropriate persons

Gives accurate, concise patient care reports

Demonstrates knowledge of scheduling guidelines

Maintains professional attitude and effective working relationships with fellow staff members, other departments, patients’ families, medical staff and volunteers

Functions appropriately and effectively under pressure. Provides care as part of team effort in crisis or emergency situation

Adheres to all privacy laws when dealing with confidential and protected health information (PHI)

Maintains the confidentiality of patient, hospital and department information

Adheres to the Code of Conduct

Adheres to all Antelope Valley Hospital Compliance & Integrity Program policies and procedures including the duty to report compliance violations and the duty to disclose conflicts of interest

Completion of all mandatory initial and annual training within assigned time frames per established guidelines

Demonstrates ethical decision making, integrity, and a willingness to promote a culture of safety

6. Communication

Communicates effectively with patients, families, visitors, and physicians

Responsible for problem solving and crisis intervention related to physicians, patients, families, and staff

Follows the Chain of Command and Conflict Management process established by AVH

Displays a willingness to follow directions and to accept and utilize constructive criticism

7. Age Specific & Cultural Requirement

Demonstrate knowledge regarding special needs and behaviors of age specific and cultural groups

Participates in age specific and cultural educational and training programs

Demonstrates proficiency in required age specific and cultural competencies

Non-Essential Duties

Participates on unit or hospital based committees

Other duties as assigned, within compliance with Title 22, The Joint Commission, and CMS.

Knowledge, Skills and Abilities Knowledge

Supports and adheres to the values and mission statement established by the AVH Board of Directors

Conforms to required accreditation standards.

Conforms with and supports hospital quality management and performance improvement guidelines

Skills

Skill and ability to follow telephone etiquette/standards

Displays a willingness to work as a team player

Safely and effectively uses all equipment necessary to carry out duties

Abilities

Ability to adhere to all established AVH policies and procedures and to interpret and function under these.

Ability to organize work and establish priorities

Ability to expand on own initiative in performance of duties

Ability to function effectively under pressure and meet time parameters

Ability to relieve clerical staff at desk, or to adopt any function commonly assigned to unlicensed assistive personnel, or as allowed within scope of nursing practice, as needed

Ability to give and support the highest level of patient/customer satisfaction at all times

Ability to be flexible in meeting staffing requirements of the facility

Ability to meet basic health requirements and physical job standards

Education and Experience Education Adheres to required educational standards

Maintains current licensure, certifications, education, and physical health standards

Participates in mandatory and/or optional educational activities/offerings. Attends staff meetings regularly and as required by assigned unit

Demonstrates knowledge and competency on hospital information technologies used in the designated patient care area.

Successfully completes written and practical competencies annually or otherwise as assigned.

Experience

Two years’ acute care nursing preferred, new grad training provided as appropriate

Required Licensure and/or Certifications

Current California Registered Nursing license

BCLS Certification

ACLS, PALS, and/or other additional Certifications required for some specialty areas

Physical Requirements and Working Conditions

Work often performed under stressful, emotional, and physical conditions

Accepts additional workload during times of unexpected circumstances, e.g., high activity, high census, and sudden emergencies

May be exposed to contaminated instruments that may cause infections, burns, or cuts

May also be exposed to wet and/or humid conditions, fumes or airborne particles, toxic or caustic chemicals, risk of electrical shock, and risk of radiation

A detailed description of the physical requirements of this job is maintained in the Employee Health Department.

Education and Experience Education Adheres to required educational standards

Maintains current licensure, certifications, education, and physical health standards

Participates in mandatory and/or optional educational activities/offerings. Attends staff meetings regularly and as required by assigned unit

Demonstrates knowledge and competency on hospital information technologies used in the designated patient care area.

Successfully completes written and practical competencies annually or otherwise as assigned.

Experience

Two years’ acute care nursing preferred, new grad training provided as appropriate

Required Licensure and/or Certifications

Current California Registered Nursing license

BCLS Certification

ACLS, PALS, and/or other additional Certifications required for some specialty areas

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