Advanced Practice Nurse - Emergency Room (Nights)

As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery.

Every day, you will leverage your expertise to provide individualized, comprehensive care, making critical assessments, performing skilled procedures, and meticulously implementing patient care plans. To thrive in this vital role, you will possess keen assessment skills, acute critical thinking, and a patient-first mindset, driven by a profound enthusiasm to help others. Perform patient assessment/reassessment, including giving or receiving comprehensive change of shift and intermittent report, obtaining the nursing history, conducting a physical assessment, establishing priorities for care.

Completes both computer and hand written documentation using correct format in an accurate, precise, timely, legible and complete manner .

Provide direct patient care, as required. Assist physician with procedures, as necessary.

Report changes in patient's condition to physician.

The experience, training, and education requirements for the Registered Nurse authorized to perform Triage in the main Emergency Department are:

The RN must meet, at minimum, the qualifications in the job description for ED Staff Nurse.

The RN is required to complete an initial and annual skills validation which includes an ESI competency in accordance with hospital regulations.

The RN must have more than six months experience in Emergency Medicine and be able to predict the nature and number of tests, therapeutic interventions, and consultations that a patient would need during his/her ED stay.

The RN must be currently certified in ACLS, PALS, BLS and maintain continued clinical competence.

Quality monitoring audits will be conducted each month, by the department Director/Manager or Nursing Educator, which will indicate competent assessment with ESI categorization.

NURSING BUNDLE

Update white board in room, at shift change during bedside report, utilizing S-BAR communication tool.

Performs hourly rounding during the day and at night.

DEVELOP/IMPLEMENT/EVALUATE/DOCUMENT INTERDISCIPLINARY INDIVIDUALIZED CARE PLAN

Ensures coordinated interdisciplinary approach for all patients per policy.

The Interdisciplinary Care Plan is updated when there is a change in condition or additional patient care needs are identified by nursing and other appropriate disciplines updated daily or condition changes or warrants.

Completes both computer and hand written documentation using correct format in an accurate, precise, timely, legible and complete manner.

Nursing coordinates interdisciplinary collaboration and keeps the patient informed of progress toward expected outcomes and involves the patient/family in revisions toward the plan.

Address and meet patient's physical, emotional, spiritual, and psycho/social needs.

Identify and collaborates to address patient/family/SO learning needs and documents per policy on the interdisciplinay teaching record.

Demonstrates awareness of professional responsibility by being a role model for peers and subordinates while maintaining practice within The Patient's Bill of Rights and Dignity Health Core Values.

Adheres to Dignity Health standards and Behaviors by promoting teamwork and a positive work environment, model cooperative behavior with other staff members behavior and act in a professional manner and uses effective lines of communication.

Participates in problem-solving processes in which unit-based problems are identified and a plan is made and implemented for correction.

Functions as an effective resource for peers and other staff with regard to policy and procedure.

Team leads and monitors objectives set for other work groups within your unit as appropriate.

Registered Nurse: CA, upon hire and

Bachelors Of Nursing BSN, upon hire and

• 1-2 years of Emergency Nursing
• Trauma Nurse Core Course, upon hire and
• Certified Emergency Nurse, upon hire

Founded in 1956, Dignity Health - Memorial Hospital is a 385-bed, acute care, nonprofit hospital located in Bakersfield, California. Serving nearly 100,000 patients annually, the hospital offers a full complement of services including heart care, maternity care, and orthopedics. Additionally, Memorial Hospital has been recognized as an LGBTQ+ Healthcare Equality Leader by the Human Rights Campaign Foundation. It is a Joint Commission-certified Primary Stroke Center, and its Lauren Small Children’s Center is the first comprehensive pediatric program in Kern County.

One Community.