Job Description

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 Medical Center.

Duties and Responsibilities:

Nursing Process

Apply nursing process in direct patient care.

Provides accurate assessment and documentation of physiological, psychosocial, cultural, developmental, socioeconomic, and spiritual needs of patients 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 seek clarification if needed.

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

Incorporates time management skills in accomplishing care

Nursing Care Delivery Process

Knowledgeable regarding current nursing practices and procedures


a. Demonstrates knowledge and use of resources and forms



b. Demonstrates knowledge of Medical Center structure and administrative resources



c. 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

Technical Equipment

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

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

Leadership/Professionalism

Supervises care provided by others


a. Assumes responsibility for quality of care given



b. Gives accurate and concise patient care reports to appropriate persons



c. Gives accurate, concise patient care reports



d. 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 patients, Medical Center and department information

Adheres to the Code of Conduct

Adheres to all Antelope Valley Medical Center 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

Communication

Communicate 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 AVMC

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

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 in 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 AVMC Board of Directors

Conforms to required accreditation standards.

Conforms with and supports Medical Center 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 use all equipment necessary to carry out duties

Abilities

Ability to adhere to all established AVMC 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

AVMC Values: All AVMC employees will effectively demonstrate these values:

Patients Come First - We listen actively and communicate with our patients and families, placing safety as a top priority. Accountability & Ownership - We fully complete tasks, are transparent, effectively communicate, and recognize that what we do reflects on us. Teamwork - We build trusting relationships, promote a sense of community, and are respectful of everyone. Success is about the whole team. Integrity & Honesty - We tell the truth at all times, speak up when something is wrong, and do the right thing when no one is looking. Excellence - We take pride in our work, are goal-oriented, and on a never-ending quest for top tier quality. Initiative & Innovation - Our can-do attitudes, creativity, and resourcefulness empower us to improve the patient's experience, solve our own problems, make timely decisions, and look for opportunities to add value. Tenderness & Compassion - We have genuine empathy, show kindness, and encourage and advocate for each other.

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. Attend 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

Resuscitation credentials such as (BLS, ACLS, PALS, etc.) are required before completion of orientation period.

AVMC Conduct/Compliance Expectations

:


Ability to adhere with AVMC Attendance and Punctuality Policy.

Ability to adhere with AVMC Leaves of Absence Policy.

Ability to adhere with AVMC Paid Time Off (PTO) Policy.

Ability to adhere to the department dress code.

Ability to organize work and establish priorities.

Ability to expand on own initiative in performance of duties.

Skill and ability to follow the telephone etiquette/standards.

Ability to function effectively under pressure and meet time parameters.

Ability to communicate effectively while maintaining good working relationships with co-workers, managers and other hospital staff.

Ability to adhere to the normal standards of courtesy and conduct as defined under the rules of hospitality at AVMC.

Ability to maintain the confidentiality of patients, hospital and department information.

Ability to adhere to safety rules and regulations.

Safely and effectively use all the equipment necessary to carry out duties.

Ability to interpret and function under hospital and department policies and procedures.

Conforms with required and appropriate accreditation and regulatory requirements.

Conforms with and supports hospital quality assurance and improvement guidelines.

Ability to participate effectively in department and hospital staff education.

Display a willingness to work as a team player.

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

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

Ability to demonstrate knowledge and understanding of the Compliance & Integrity Program and its established policies.

Ability to follow the Code of Conduct.

Physical Requirements and Working Conditions:

Work is 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




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






NOTE: THE ABOVE STATEMENTS ARE INTENDED TO DESCRIBE THE GENERAL NATURE AND LEVEL OF WORK PERFORMED BY PEOPLE ASSIGNED TO THIS JOB. THIS DOCUMENT IS NOT INTENDED TO BE AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, SKILLS, AND WORKING CONDITIONS FOR THE PERSONNEL SO CLASSIFIED.

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:

Meets all the essential duties of a Registered Nurse.

1.

Nursing

Process

===============================



Apply nursing process in direct patient care.

a. Skillfully practices triage of patients per Triage Policy



b. Assesses patients and documents on the ED nursing T-system a minimum of every two hours or more often when necessary.



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



d. Knowledgeable regarding pre-hospital forms.

2.

Nursing

Care

Delivery

Process

===================================================



a. Knowledgeable regarding current emergency nursing practices and procedures.



b. Knowledgeable of the legal aspects of emergency nursing care, including but not limited to:

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



2. EMTALA laws in regard to medical screening exams and transfer procedures.

3. Procedure for medical/legal examination and collection of evidence.



4. Procedure for obtaining legal blood alcohol specimen.



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

c. Coroner's report



d. After-care instructions

3.

Technical

Equipment

==================================



a. Chest tubes, drainage system, and auto-transfuser.



b. Cardio-Respiratory monitors



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



d. Invasive and non-invasive blood pressure monitoring.



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



f. Oxygen saturation/pulse oximetry



g. Fluid warmer



h. 12 lead ECG



i. Pacemaker, internal and external



j. Competent operation of Reddi Net communication System

4.

Environment

=======================



a. Refer to job description Registered Nurse

5.

Leadership/Professionalism

======================================



a. Refer to job description Registered Nurse

6.

Education

=====================



a. Refer to job description Registered Nurse



b. Attends a minimum of 50% of staff meetings annually.

7.

Communication

=========================



a. Refer to job description, Registered Nurse

8.

Age

Specific

&

Cultural

Requirements

=============================================================



a. Refer to job description, Registered Nurse

Non-Essential Duties:

Participation in 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.

Skills and Abilities:

Current California Registered Nursing license

BLS

ACLS

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

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

Annual Restraint Certification/Recertification

Annual JCAHO Review/Competencies

Physical Requirements and Working Conditions:

Refer to job description Registered Nurse




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






NOTE: THE ABOVE STATEMENTS ARE INTENDED TO DESCRIBE THE GENERAL NATURE AND LEVEL OF WORK PERFORMED BY PEOPLE ASSIGNED TO THIS JOB. THIS DOCUMENT IS NOT INTENDED TO BE AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, SKILLS, AND WORKING CONDITIONS FOR THE PERSONNEL SO CLASSIFIED.

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. Attend 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

*

Resuscitation credentials such as (BLS, ACLS, PALS, etc.) are required before completion of orientation period.