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:
1. 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
2. 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
3. Technical Equipment
• Able to operate technical equipment in area of care, safely, efficiently, and accurately
4. 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
5. 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
6. 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
7. 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
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.
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
Addendum CV Prep/Recovery Job Objective: Under the administrative direction of the Cardiac Cath Lab Manager, the Registered Nurse shall be responsible for cardiac stress testing, providing moderate sedation for cardiology/interventional radiology procedures and pre/post nursing care of patients undergoing surgical and/or other invasive/procedures.
Duties and Responsibilities:
A. Meets all essential duties of the Registered Nurse
B. Promotes client centered care
C. Pre -Op
1. Prepares patient for procedures/test/surgery
2. Provides client and family education
3. Contacts physician/anesthesiologist with abnormal lab results/client issues
4. Completes and reviews admission assessment, anesthesia assessment, pre-procedural checklist, procedural/surgical consent and all relevant forms
D. Post-Op
1. Follow guidelines to provide quality recovery from procedures/surgeries
2. Provides client and family education
3. Promotes family center care environment
E. Stress Testing/Procedures
1. Administers medications and monitors patients during/post testing
2. Provides moderate sedation for procedures in radiology and in prep holding area
3. Reviews pertinent lab work prior to procedure, notifies physician for abnormal values
Non-Essential Duties:
• Assure all actions are reflected by end of shift to ensure accurate billing
• Track departmental and physician statistics
• Data Entry
• Answer phones
• Coordinate scheduling
Knowledge, Skills and Abilities:
Knowledge
• Moderate Sedation Guidelines
• ASPAN standards
• Core Measure
• ECG interpretation
• Diagnostic/Intervention procedures including cardiology, electrophysiology and interventional radiology
Skills
• Provide emergency management of clients
• Critical thinking
• Removal of arterial and venous sheaths manually
Abilities
• Administer moderate sedation and monitoring
• Assist with interventional radiology procedures within radiology
• Assessment, administration of IV medications and monitoring during cardiac stress test
• Prepare patients for procedures
• Provide recovery care for clients post procedure
• Function under pressure and meet time parameters
• Assist physicians during procedures
Tenderness & Compassion - We have genuine empathy, show kindness, and encourage and advocate for each other.
