Medical Surgical

Registered Nurse

Provides direct patient care, collaborates with patients, families, peers, physicians and other members of the health care team in the delivery of health care services to the specific patient population. Assesses patient's needs, plans care, implements and evaluates patient care in accordance with the patient's needs based on the nurse's knowledge of growth/development, the hospital and nursing philosophy, policies/procedures and standards. Demonstrates leadership skills and a commitment to professional accountability and growth

Responsibilities:

• Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
• Assesses, utilizing age specific data, the patient's physical, psychosocial, and spiritual status in a comprehensive manner; provides accurate assessment based on scientific facts and principles.
• Performs initial assessment and completes required documentation within organizational standards.
• Performs and documents ongoing assessments including observation, physical examination, laboratory/test results, and patient response to procedural intervention.
• Participates in the identification and clarification of patient needs, as evidenced by participation in multidisciplinary care planning, to achieve optimal patient outcomes.
• Reviews and revises plan of care according to change in patient's status.
• Completes patient classification for assigned patients as required.
• Implements plan of care according to identified physical, psychosocial, and spiritual needs.
• Implements and utilizes the Relationship-Based Care Professional Practice Model as the guide to all interactions between patients, families, co-workers, staff, physicians, and self.
• Completes patient care assignments in compliance with established hospital policies and procedures of clinical area.
• Prioritizes nursing interventions commensurate with patient's needs.
• Utilizes effective verbal and written communication skills through the presentation of pertinent information using the SBAR format as appropriate.
• Assists other staff in the delivery of patient care, as appropriate.
• Incorporates patient teaching/discharge planning to promote optimal patient outcomes.
• Provides, evaluates retention of, and documents education to the patient/family/significant other according to organizational standards.
• Coordinates and documents appropriate discharge planning and referrals to ensure continuity of care after discharge.
• Recognizes, accepts responsibility for, and maintains commitment to professional development and clinical competency.
• Attends required professional development sessions and staff meetings. Identifies personal knowledge deficits and seeks resources/consultation to ensure safe patient care.
• Utilizes all channels of communication including reading organizational email, to obtain knowledge, transmit information, address concerns, and solve problems.
• Embraces change and continuously identifies opportunities for improvement by demonstrating a commitment to utilizing evidence based practice.
• Articulates knowledge and actively participates in nursing practice quality initiatives.
• Incorporates performance improvement recommendations into daily practice.
• Accepts accountability and participates in problem-solving issues related to quality patient care outcomes.
• Shares knowledge and acts as a professional resource to other members of the health care team.
• Supports and participates in Unit Based Council initiatives.
• Contributes to professional growth of peers by providing feedback through peer coaching and evaluation.
• Complies with divisional and unit specific matrices.
• May be required to work at alternate sites.
• Performs other duties as assigned.

Essential Skills:

• Ability to operate general office equipment (i.e., computer, printer, scanner, telephone, etc.)
• Accurate assessment skills, appropriate to the age of the patient, based on scientific facts and principles
• Knowledge and ability to function in a professional role and serve as a professional role model
• Knowledge of current nursing, medical and health trends and practices in rendering of patient care
• Written and verbal communication skills
• Ability to adapt quickly to changing priorities and unexpected situations
• Ability to handle difficult and stressful situations in a calm and professional manner

Experience:

Required: 3+ years of experience Preferred: Experience in the area of specialty

Education:

Required: Bachelor of Science in Nursing (BSN) or Master's degree in Nursing or enrollment in an RN-BSN or RN-MSN program within one (1) year of hire and completion within five (5) years of hire if hired after July 1, 2012

Licensure/Certification:

Required: California Registered Nurse (RN) licensure; Basic Life Support (BLS) from American Heart Association (AHA) required in all departments upon hire;

Additional certifications required as outlined based on assigned department:

Advanced Cardiovascular Life Support (ACLS) from AHA:

• 6400 2N LDRP
• 7010 Emergency Room

Within 90 days of hire:

• 6010 Intensive Care Units
• 6173 Vascular AP4S
• 6174 Renker Pavilion 1E
• 7420 Surgery Main
• 7426 Perianesthesia - EDOSC
• 7427 Perianesthesia - Main Surgery
• 7428 Special Procedures
• 7429 Perianesthesia - Same Day Surgery DHOC
• 7430 Surgery Same Day DHOC
• 7431 EDOSC Surgery
• 7570 Cardiac Cath Lab
• 7571 Electro Physiology Lab
• 7581 EDCC Cardiology Clinic
• 7588 EDCC OP Cardiovascular Testing
• 7590 Cardiology
• 7630 Radiology Main
• 7631 Interventional Radiology
• 7760 GI Lab
• 7761 Mirage Endoscopy

Pediatric Advanced Life Support (PALS) from AHA:

• 7426 Perianesthesia - EDOSC
• 7427 Perianesthesia - Main Surgery
• 7429 Perianesthesia - Same Day Surgery DHOC
• 7431 EDOSC Surgery
• 7630 Radiology Main
• 7631 Interventional Radiology

Within 30 days of hire:

• 7010 Emergency Room

Within 180 days of hire:

• 6172 Medical Surgical 4E (required only for Pediatric RNs)
• Neonatal Resuscitation Advanced Provider (NRP) certification from AHA and American Academy of Pediatrics (AAP):

Upon hire:

• 6400 2N LDRP
• 6530 Neonatal ICU Level II Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) Certification if assigned to cost center
• 6400 2N LDRP (as Labor RN only) Basic Fetal monitoring upon hire Intermediate Fetal monitoring within 90 days of hire Advanced Fetal monitoring

Within one (1) year of hire Sugar, Temperature, Airway, Blood Pressure, Lab Work, and Emotional Support (STABLE) course completion:

Within 30 days of hire:

• 6400 2N LDRP (required for Postpartum RN only)
• 6530 Neonatal ICU Level II

ONS Provider Card:

Within 90 days of hire:

• 7641 Main Infusion
• 7643 Hem/Onc Infusion (LCCC)
• 7646 Hem/Onc