STAFF NURSE I

POSITION SPECIFIC DUTIES

• Clinical Practice Nursing 1: Assesses, collects and documents health assessment data focusing on the physical, emotional, spiritual, psychosocial and educational needs of the patient. Interviews the patient/family/significant other to complete Triage information. Identifies actual and potential needs and determines priority. Identifies barriers to learning. After initial triage evaluation, completes and documents an assessment, focusing on abnormal systems and actual and potential problems. Performs ongoing assessment as indicated.
• Clinical Practice Nursing 2: Plans nursing care, based on priority of physical and psychosocial-emotional needs. Develops realistic short-term goals for each problem, involving the patient, family or significant others. Plan demonstrates understanding of age-related needs of the patient. Negotiates with patient, family, significant other and health care team members in planning for education and discharge needs.
• Clinical Practice Nursing 3: Implements the plan of care including prescribed procedures and treatments. Organizes and prioritizes care based on individual needs and unit activity. Assesses for changes in patient’s condition and appropriateness of the plan. Initiates interventions using appropriate clinical expertise and knowledge. As Primary Nurse, coordinates the activities of health care team members in completing diagnostic and therapeutic interventions.
• Educational/Teaching: Provides health education and teaching to patient’s, family members and/or significant others, that is age specific, providing for any barriers to learning. Clearly communicates health, treatment and discharge information, ensuring the patient, family member or significant other understands all discharge and follow-up instructions.
• Emergency Nursing: Utilizes professional nursing knowledge and skills. Appropriately assesses for Physical and psychosocial-emotional needs. Barriers to learning. Educational/learning needs. Discharge needs. Age-related needs. Issues related to assault or abuse. Analyzes patient related data, such as vital signs, past medical history, physical exam findings, laboratory values and other information, including age-specific criteria, to determine appropriate care. Utilizes advanced, specialized knowledge and skills to implement interventions for all Emergency Services patients, by prioritizing needs, and using a patient centered approach. Provides health education and teaching to patient’s, family members and/or significant others, that is age specific, providing for any barriers to learning. Clearly communicates health, treatment and discharge information, ensuring the patient, family member or significant other understands all discharge and follow-up instructions. Effectively performs procedures, such as initiation of IV catheters and fluids, medication administration, dressings, patient teaching, etc., within their scope of practice, and unit, department and Medical Center policies and procedures. Effectively performs other nursing procedures/skills, such as cardiac monitoring, rhythm interpretation, defibrillation, monitoring of conscious sedation, ABGs etc., based completed specialty training and their scope of practice, and unit, department and Medical Center policies and procedures. Appropriately recognizes and quickly responds to emergency medical situations. Accurately assesses “A-B-Cs.” Initiates appropriate emergency treatment, i.e., CPR, O2, etc. Communicates critical information to other team members.
• Documentation: Consistently completes required documentation of the Emergency Services visit. Consistently demonstrates caring and compassion through behaviors and interactions in performance of all duties, recognizing the inherent worth and dignity of patients, families, other staff and physicians.

QUALIFICATIONS/JOB REQUIREMENTS

• Education: Graduation from an accredited school of professional nursing. Baccalaureate degree in Nursing preferred.
• Experience: Staff Nurse II - Minimum of six months Registered Nurse experience. Six months current ER & triage experience or completion of Seton ER Nurse Training Program.
• Certifications/Licenses: Active California Registered Nurse licensure. Basic Life Support certification (BLS) required. ACLS certification required. PALS certification required. NIHSS certification required. Workplace Violence Prevention De-escalation 8-hr (AB508) certification or CPI certification required within 3 months of hire date. Preferred: NRP certification.
• Skills, Abilities & Knowledge: Diffusing Assaultive Behavior Training. Knowledgeable of the California Nursing Practice Act. Able to understand and follow all policies, procedures, guidelines, rules and regulations of Nursing Service, Seton Medical Center, Title XXII. Excellent communication and customer service skills. Proficient in Evident computerized documentation system preferred.