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

A Registered Nurse who is responsible for the nursing care of patients in the Progressive Care setting guided by policies and procedures of the Progressive Care Unit and hospital.

Duties and Responsibilities:

Nursing Process: + Applies nursing process in direct patient care

i. Assessment of physiological, psychosocial, educational, cultural, and spiritual needs of patient as evidenced by written assessment within one hour of admission and visual assessment within fifteen minutes of arrival.


ii. Documents written assessment every four hours on HTR flow sheet


iii. Reassesses patient's needs every four hours and more often when necessary and documents in HTR flow sheet and patient care plan.



iv. Provides further interventions as necessary and re-evaluates outcomes.


+ Care of acutely ill patients

i. Monitors vital sign, i.e. EKG, Sa02, etc. and intervene as necessary



ii. Initiate emergency medications and IV drips, i.e. Lidocaine, Dopamine, Dobutamine, nitroglycerin, etc.



iii. Monitor invasive lines, i.e. central lines, arterial lines, etc.



iv. Monitor ventilator patients and intervene when necessary



v. Operate various pain management equipment, i.e. PCA, Epidural, etc.



vi. Assess patients for respiratory depression and/or arrest and intervene immediately, if necessary, i.e. CPR, use Ambu bag, chin lift maneuvers airways, etc.



vii. Responds to codes in unit



viii. Ensures that patients have a safe post-operative/post-procedural period including conscious sedation



ix. Provides age specific and disease specific care and education to patients/families relating to post procedural care


Nursing Care Delivery


1. Demonstrates knowledge of patient classification system



2. Demonstrates knowledge of staffing guidelines for Progressive Care unit



3. Demonstrates knowledge of conscious sedation


Technical Equipment Operation + Operates technical equipment safely, efficiently and accurately

i. Pressure line set up and maintenance



ii. Cardiac monitors



iii. Insertion, maintenance, withdrawal of blood form arterial line, and removal of arterial line



iv. Crash cart/defibrillator/cardioversion



v. Ventilator management



vi. Transvenous pacemaker/non-invasive pacing


Environment + Assists in the maintenance of safe, comfortable and therapeutic environment.

i. Demonstrates knowledge of Progressive Care security policies and procedure

Non-Essential Duties:

Knowledge, Skills and Abilities:

Knowledge

Skills

Abilities

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

Experience

Required Licensure and/or Certifications:

Meets all required licensure and/or certifications necessary for Registered Nurse ACLS certification required on file in Department of Education

Desired Certifications:

National Certification (CCRN) on file with the Department of Education National Certification (Med/Surg) on file with the Department of Education

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:

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.

Education and Experience:

Education

Experience

Required Licensure and/or Certifications:

Meets all required licensure and/or certifications necessary for Registered Nurse ACLS certification required on file in Department of Education

Desired Certifications:

National Certification (CCRN) on file with the Department of Education * National Certification (Med/Surg) on file with the Department of Education