Registered Nurse - Emergency - Full Time/Days - Req# 1929642773

Brief 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 hospital.

Duties and Responsibilities:

• Incorporates time management skills in accomplishing care
• Applies nursing process in direct patient care:
• Adheres to the admission and transfer criteria
• 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
• Nursing Care Delivery Process
• Provides discharge planning beginning on admission with appropriate referrals and update as required by the patient
• Evaluates and documents outcomes of medical, nursing, and ancillary team interventions
• Knowledgeable regarding current nursing practices and procedures
• Provides Information to patient/family relating to educational resources available, Directs patient/family educational process
• Adheres to all current policies and procedures in providing patient care and seeks clarification if needed.
• Nursing Process

• Acts as liaison between medical staff and patient care team
• Technical Equipment
• Reports hazardous conditions to appropriate department for correction
• Uses clean and aseptic techniques for protection of patients and personal safety
• Demonstrates knowledge and use of resources and forms
• Prevents contamination and/or transfer of Infection by use of the Exposure Control Plan and Standard Precautions in daily work
• Demonstrates knowledge of hospital structure and administrative resources
• Demonstrates knowledge of emergency codes
• Assesses safety/cleanliness of patient/unit environment and reports conditions requiring change
• Demonstrates knowledge of Patient rights
• Assists in maintenance of a safe, comfortable and therapeutic environment
• Supervises care provided by others
• Knowledge of legal aspects of nursing care
• Leadership/Professionalism
• Able to operate technical equipment in area of care, safely, efficiently, and accurately
• Demonstrates knowledge of legal documents pertinent to unit/area of care
• Environment
• Utilizes resources, equipment, and supplies efficiently and with cost awareness
• Demonstrates ability to interpret rules and regulations

• BCLS Certification
• Ability to adhere with AVH Absenteeism and Tardiness Policy
• Procedure for obtaining legal blood alcohol specimen.
• Refer to job description Registered Nurse
• Communication
• Functions appropriately and effectively under pressure. Provides care as part of team effort in crisis or emergency situation
• Refer to job description, Registered Nurse
• Display a willingness to work as a team player
• Conforms to AVH Standards of Excellence
• Assesses patients and documents on the ED nursing T-system a minimum of
• Skills and Abilities
• 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
• 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.
• Every two hours or more often when necessary.
• ACLS
• Safely and effectively uses all equipment necessary to carry out duties
• Assistive personnel, or as allowed within scope of nursing practice, as needed
• Conforms with required and appropriate The Joint Commission requirements
• Knowledgeable regarding pre-hospital forms.
• Gives accurate, concise patient care reports
• Age Specific & Cultural Requirement
• Nursing Process
• 12 lead ECG
• Participates on unit or hospital based committees
• Ability to adhere with AVH Leaves of Absence Policy
• Maintains current licensure, certifications, education, and physical health standards
• Monitoring equipment; Arterial Lines, CVP, Swanz Ganz, ICP.
• Skill and ability to follow the telephone etiquette/standards
• Skillfully practices triage of patients per Triage Policy
• Attends a minimum of 50% of staff meetings annually.
• PALS (within 6 months of hire or first available Antelope Valley Hospital course)
• Gives accurate and concise patient care report to appropriate persons
• Pacemaker, internal and external
• Environment
• Cardio-Respiratory monitors
• Requirements for reporting suspected elder/dependent adult and child abuse/neglect.
• Resuscitation credentials such as (BLS, ACLS, PALS, etc) are required before completion of orientation period.
• Demonstrates ethical decision making, integrity, and a willingness to promote a culture of safety
• Follows the Chain of Command and Conflict Management process established by AVH
• Ability to adhere to safety rules and regulations
• Completion of all mandatory initial and annual training within assigned time frames per established guidelines
• 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.
• Annual JCAHO Review/Competencies
• May be exposed to contaminated instruments that may cause infections, burns, or cuts
• Tenderness & Compassion – We have genuine empathy, show kindness, and encourage and advocate for each other.
• Oxygen saturation/pulse oximetry
• Ability to organize work and establish priorities
• Treatment and/or release of minor to someone other than parent.
• Annual JCAHO Review/Competencies
• Two years’ acute care nursing preferred, new grad training provided as appropriate
• Ability to relieve clerical staff at desk, or to adopt any function commonly assigned to unlicensed
• Refer to job description, Registered Nurse
• Demonstrates proficiency in required age specific and cultural competencies
• Current California Registered Nursing license
• Annual Restraint Certification/Recertification
• Technical Equipment
• Coroner’s report
• Ability to adhere to the department dress code
• Responsible for problem solving and crisis intervention related to physicians, patients, families, and staff
• After-care instructions
• Assumes responsibility for quality of care given
• Ability to be flexible in meeting staffing requirements of the facility
• Knowledgeable regarding current emergency nursing practices and procedures.
• Nonviolent Crisis Intervention Certification, initial certification required at first available hospital training class. Annual recertification required
• Ability to adhere with AVH Paid Time Off (PTO) Policy
• Invasive and non-invasive blood pressure monitoring.
• PALS (within 6 months of hire or first available Antelope Valley Hospital course)
• Ability to communicate effectively while maintaining good working relationships with co-workers, managers and other hospital staff
• Appropriately intervenes when assessment reveals an abnormal finding, examples include but are not limited to airway, breathing, circulation.
• Ability to assist in insertion and monitoring of arterial line and central lines.
• Ability to assist in ICP insertion and monitoring/interpretation of wave form
• BLS
• Maintains professional attitude and effective working relationships with fellow staff members, other departments, patients’ families, medical staff and volunteers
• Conforms with and supports hospital quality management and performance improvement guidelines
• Ability to organize work and establish priorities
• Conforms with and supports hospital quality assurance and improvement guidelines
• Ability to adhere to the normal standards of courtesy and conduct as defined under the rules of hospitality at AVH
• Participation on unit or hospital-based committees
• Annual Restraint Certification/Recertification
• Ability to interpret and function under hospital and department policies and procedures
• Displays a willingness to follow directions and to accept and utilize constructive criticism
• Fluid warmer
• 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
• Age Specific & Cultural Requirements
• Demonstrate knowledge regarding special needs and behaviors of age specific and cultural groups
• Communication
• Leadership/Professionalism
• Excellence – We take pride in our work, are goal-oriented, and on a never-ending quest for top tier quality.
• Procedure for medical/legal examination and collection of evidence.
• Ability to expand on own initiative in performance of duties
• Ability to give and support the highest level of patient/customer satisfaction at all times
• Accepts additional workload during times of unexpected circumstances, e.g., high activity, high census, and sudden emergencies
• Demonstrates knowledge of scheduling guidelines
• Ability institute Thrombolytic therapy protocol
• Adheres to all privacy laws when dealing with confidential and protected health information (PHI)
• Chest tubes, drainage system, and auto-transfuser.
• Patients Come First – We listen actively and communicate with our patients and families, placing safety as a top priority.
• Refer to job description Registered Nurse
• Supports and adheres to the values and mission statement established by the AVH Board of Directors
• Other duties as assigned, within compliance with Title 22, The Joint Commission, and CMS.
• Safely and effectively uses all equipment necessary to carry out duties
• Successfully completes written and practical competencies annually or otherwise as assigned.
• Refer to job description Registered Nurse
• Ability to adhere to all established AVH policies and procedures and to interpret and function under these.
• Ability to perform and interpret ECG correctly
• EMTALA laws in regards to medical screening exams and transfer procedures.
• Education
• Ability to give and support the highest level of patient/customer satisfaction at all times
• Work often performed under stressful, emotional, and physical conditions
• Crash cart/defibrillator (external and internal), ambu bag.
• Ability to participate effectively in department and hospital staff education
• Ability to follow the Code of Conduct
• Meets all the essential duties of a Registered Nurse.
• Current California Registered Nursing license
• Maintains the confidentiality of patient, hospital and department information
• Ability to function effectively under pressure and meet time parameters
• Ability to meet basic health requirements and physical job standards
• ACLS
• Accountability & Ownership – We fully complete tasks, are transparent, effectively communicate, and recognize that what we do reflects on us.
• Ability to function effectively under pressure and meet time parameters
• ACLS, PALS, and/or other additional Certifications required for some specialty areas
• Current California Registered Nursing license
• Refer to job description Registered Nurse
• Ability to expand on own initiative in performance of duties
• Communicates effectively with patients, families, visitors, and physicians
• Two years’ acute care nursing preferred, new grad training provided as appropriate
• Competent operation of ReddiNet communication System
• BLS
• Refer to job description Registered Nurse
• Supports and adheres to the values and mission statement established by the AVH Board of Directors
• Ability to adhere with AVH Recording of Hours Worked Policy
• Conforms to required accreditation standards.
• Displays a willingness to work as a team player
• Participates in age specific and cultural educational and training programs
• Skill and ability to follow telephone etiquette/standards
• 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.
• Ability to maintain the confidentiality of patient, hospital and department information
• Teamwork – We build trusting relationships, promote a sense of community, and are respectful of everyone. Success is about the whole team.
• Ability to demonstrate knowledge and understanding of the Compliance & Integrity Program and its established policies.
• Knowledgeable of the legal aspects of emergency nursing care, including but not limited to:
• Nonviolent Crisis Intervention Certification, initial certification required at first available hospital training class. Annual recertification required