RN Telemetry (4S) Full Time Nights

Critical Care Nurse

Reporting to the Manager, this position is responsible for planning, directing, coordinating and providing high quality, individualized patient care using the components of the nursing process. Performing duties in a manner that provides for the physical, psycho-social and spiritual needs of the critically ill patient including completing initial assessment in a timely manner and the ongoing reassessments when warranted by the patient's condition. Incorporates cultural and ethnic factors into assessments/reassessments; correctly differentiating between normal and abnormal findings; and incorporates the functional/developmental age into assessment/reassessment for the adolescent through geriatric patient population.

Using hospital and regulatory standards of care, the nurse demonstrates sound clinical judgment in the development, implementation and evaluation of the nursing aspects of the trans-disciplinary care plan. In conjunction with the patient/family, the nurse develops an individualized patient care plan and determines interventions based on assessment/reassessment findings. The nurse evaluates patient outcomes on an ongoing basis, establishes priorities for patient care services as evidenced by modification of the care plan, if necessary, and demonstrates the ability to accurately document patient care activities in the medical record.

Utilizing a case management approach, the nurse plans, guides, directs, coordinates and collaboratively incorporates the overall aspects of patient care across the continuum by effectively communicating with physicians, staff and other disciplines. Assessing and responding appropriately to ensure patient safety based on the physical environment, equipment and the patient's behavior. Participating in the patient/family teaching by reviewing educational materials and coaching nurses and hospital staff on education interventions. Demonstrating the ability to provide care in emergency situations and follows established emergency procedures and practices. Communicating and following the organizational chain of command for notification of patient care/service issues, when appropriate.

Maintaining knowledge of, and demonstrating the ability to identify therapeutic patient care issues/problems and determines measures and interventions to promote, maintain and/or restore health for the adolescent through geriatric patient population as described in the Nursing Skills Inventory. The nurse also provides appropriate care through the healthcare continuum including the end of life. Assuring that the rights of all patients are respected and maintained by allowing for privacy and dignity in the provision of patient care. Determining the presence and type of Advance Directive, if applicable. The nurse ensures patient and/or family involvement in the decision-making process as it relates to patient care, end of life and ethical issues. The nurse is aware of the reporting responsibilities and reports suspected cases of abuse or neglect relative to the adolescent through geriatric patient population as appropriate.

Demonstrating knowledge of age specific care, including but not limited to, identifying the need for additional safety measures, physiological normal values/readings; and assessing skin integrity, behavior, motor skills and/or activities that place patients at risk as well as communicates effectively in a clear, concise, understandable manner. Applicable for the populations checked below.

Adult (x) Geriatric (x)

Identifying patient/family educational needs; initiates and provides individualized teaching which considers the functional/developmental age and the needs of the adult patient population. The nurse evaluates and documents the effectiveness of the patient/family teaching through assessment of their comprehension of the instruction and demonstration of appropriate responses.

Demonstrates knowledge of age specific care for the adolescent through geriatric population, including but not limited to identifying the need for additional safety measures, equipment use; physiological normal values/readings; and assessing skin integrity, behavior, motor skills and/or activities that place patients at risk as well as communicates effectively in a clear, concise understandable manner.

Demonstrates effective Team Leader/Charge Nurse skills. Practicing Universal Precautions. Demonstrates flexibility in the work setting with changing patient's assignments, varying staffing levels and patient care environments and completes work on time.

Minimum Education: Graduate of a RN Training Program

Preferred Education: N/A

Minimum Work Experience and Qualifications: Minimum one-year recent experience in an acute care setting preferred Ability to communicate effectively verbally and in writing. Must be able to work in a union environment.

Preferred Work Experience and Qualifications: N/A

Required Licensure, Certification, Registration or Designation: Current California RN license AHA BLS card AHA ACLS card EKG certification NIHSS Certification Critical Care Course preferred Current Los Angeles County Fire Card required (within 30 days of hire). Assault Response Competency (ARC) (within 30 days of hire).

Shift: Nights Hours: 6:45pm - 7:15am Shift Hours: 12 Type: Full Time FTE: 0.9