Pediatric Clinical Nurse Specialist, Acute Care

Lucile Packard Children's Hospital Stanford Palo Alto, CA, US

$90.19 - $112.73 / hour

Company Description

We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*.

This benefit is for eligible positions as outlined in our program guidelines.

At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.

Job ID: LP_00020517-2657795

Job Description

Specialty Areas: PCU 300, PCU 350, PCU 360 – Patient populations include: Solid Organ Transplant, General Surgery, Ortho, Plastic Surgery, General Peds

Job Summary

This paragraph summarizes the general nature, level and purpose of the job.

Clinical Nurse Specialists are Master's Degree prepared advanced practice Registered Nurses in roles characterized by the following responsibilities:

Provide care for patients with multiple or complex health needs within a specific clinical area;
Use advanced clinical skills in the assessment, diagnosis, treatment and evaluation of patients;
Use theoretical and clinical expertise to assist health care providers and patients in promoting or achieving optimal health;
Develop and implement standards of nursing practice;
Serve as a consultant or expert resource person for other health providers;
Facilitate an interdisciplinary and collaborative approach to meeting the needs of patients;
Seek consultations and make referrals as needed; and
Promote research to improve clinical nursing practice.

Clinical Nurse Specialists assess, plan, provide and evaluate specialized nursing care of patients by advancing the quality and scope of nursing practice through clinical practice, education, research, consultation, and administrative roles in the area of clinical expertise (e.g., diabetes, cardiology, respiratory, pediatrics, etc.) for a specified patient population.

Essential Functions

The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.

Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.

Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct.

Analyzes unit patient care plans currently for evidence of documentation of standards of practice, shares findings with staff, and collaborates in developing a variety of valid and reliable assessment tools to assist staff with documentation records.
Demonstrates expertise in the execution of daily patient care, providing collaboration, direction, and instruction to the staff in the application and utilization of the nursing process.
Elects, implements, and evaluates comforting, therapeutic, restorative, and preventative nursing measures for selected patients; expertise in the planning and delivery of special patient care problems.
In collaboration with nursing managers and other researchers, performs, assists with, and Initiates, evaluates and revises nursing plans of care that reflect a multidisciplinary approach to patient care; coordinates the nursing plan of care with the medical plan of care.
Maintains and teaches others the specialized knowledge and skill necessary to perform techniques and routines in the specialty service area.
Offers consultative services within nursing services and to other disciplines to provide or participates in planning, development, execution and evaluation of clinical research.
Participates in the hospital's quality improvement program; collaborates in setting unit standards of care and monitors indicators of quality projects.
Provides direct patient care using consistency in assessing current patient care situations, priorities, and needs.
Provides safety, comfort care, and treatment of patients according to established legal, ethical, and institutional standards.
Serves as a consultant to patients, families, and staff.

Qualifications

MINIMUM QUALIFICATIONS

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Education: Master's degree in a work-related discipline/field from an accredited college or university.

Experience: Three (3) years of progressively responsible and directly related work experience.

License/Certification: CA Registered Nurse (RN)

-AND-

CNS - Clinical Nurse Specialist

KNOWLEDGE

These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification.

Ability to communicate effectively, both orally and in writing.
Ability to conduct research, document results, draw conclusions and make recommendations.
Ability to develop and perform patient assessment and plan of care.
Ability to identify competency-based education needs of and implement educational programs for staff.
Ability to perform patient assessment and triage.
Ability to provide consultation to physicians, nurses and other health care providers in meeting care needs of patients.
Ability to provide direct evaluation and consultation to patients.
Knowledge of advanced clinical practice education, consultation, research, and administration.
Knowledge of clinical operations, workflow and procedures.
Knowledge of principles and processes for providing customer and personal services including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
Knowledge of the principles, practices and objectives as well as issues and developments in the field of nursing, especially as applied to the area of nursing specialty.
Skill: Advanced nursing skills in area of specialty.

Physical Requirements

The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.

Additional Information

Pay Range

Compensation is based on the level and requirements of the role.

Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data.

Typically, new team members join at the minimum to mid salary range.

Minimum to Midpoint Range (Hourly): $90.19 to $112.73

Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.

Share this job

Related Jobs

Other

1 week ago

STAFF NURSE I

AHMC Healthcare Broadmoor, CA

Overview The Staff Nurse is a professional caregiver who assumes responsibility and accountability for the assessment, nursing diagnosis, planning, implementation and evaluation of care for patients and their families in emergency services in compliance with the standards for care at Seton Medical Center, AHMC and Nurse Practice Act. Responsibilities POSITION SPECIFIC DUTIES (other duties may be assigned) 1 Assesses , collects and documents health assessment data focusing on the physical, emotional, spiritual, psychosocial and educational needs of the patient. a) Interviews the patient/family/significant other to complete Triage information. b) Identifies actual and potential needs and determines priority. c) 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. 2 Plans nursing care, based on priority of physical and psychosocial-emotional needs. a) Develops realistic short-term goals for each problem, involving the patient, family or significant others. b) Plan demonstrates understanding of age-related needs of the patient. c) Negotiates with patient, family, significant other and health care team members in planning for education and discharge needs. 3 Implements the plan of care including prescribed procedures and treatments. Organizes and prioritizes care based on individual needs and unit activity. Provides continuous assessment for changes in patient’s condition and appropriateness of the plan. Initiates interventions using appropriate clinical expertise and knowledge based upon evidence based practice. As Primary Nurse, proactively coordinates the activities of health care team members in completing diagnostic and therapeutic interventions. 4 Evaluates the effectiveness of nursing care delivered to reach the expected outcome. a) Evaluates the plan of care and adjust based on according to the current condition and changing needs of the patient. b) Accurately and concisely documents the patient’s status and response to the care delivered. 5 Utilizing professional nursing knowledge and skills based upon evidence based practice . Appropriately assesses for: Physical and psychosocial-emotional needs. Barriers to learning (language, cultural awareness, sensory, etc. Educational/learning needs. Discharge needs. Age-related needs. Issues related to assault or abuse. 6 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 and adjust as needed to provide the appropriate care. 7 Utilizes advanced, specialized knowledge and skills to implement interventions for all Emergency Services patients, by prioritizing needs, and using a patient centered approach. 8 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. 9 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. 10 Effectively performs other nursing procedures/skills, based on completed specialty training and their scope of practice, and unit, department and Medical Center policies and procedures. 11 Appropriately recognizes and quickly responds to emergency medical situations. a) Accurately assesses “CAB’s.” b) Initiates appropriate emergency treatment, i.e., CPR, O2, etc. c) Communicates critical information to other team members. 12 Remains current on treatments/practices/procedures through attendance at continuing education events, in-services and the review of professional literature. 13 Integrates/applies new knowledge from education and research into clinical practice and utilizes effective critical thinking and judgement for optimal patient care 14 Demonstrates knowledge of and competence in age-related patient care. 14 Understand and practice according to the Nurse Practice Act, RN as Supervisor over appropriate clinical staff. 15 Consistently demonstrates knowledge of state and federal regulations, such as Title XXII. Follows all TJC guidelines and National Patient Safety Goals. 16 Advocates for public health and safety through patient and family education. 17 Consistently and accurately completes required documentation. 18 Understand and practice according to the Nurse Practice Act, RN as Supervisor over appropriate clinical staff. 19 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 QUALIFICATIONS/JOB REQUIREMENTS: EDUCATION: Graduation from an accredited school of professional nursing. Baccalaureate degree in Nursing preferred. EXPERIENCE: Staff Nurse I– New grad or less than six months of experience as a Registered Nurse CERTIFICATIONS/LICENSURE: Current California licensure as a Registered Nurse required. Current Basic Life Support certification required. Current ACLS certification. Current NIHSS certification Current PALS certification Current CPI certification OTHER SKILLS, ABILITIES & KNOWLEDGE: Knowledgeable of the California Nursing Practice Act. Able to understand and follow all policies, procedures, guidelines, rules and regulations of Nursing Service,AHMC Seton Medical Center, TJC, CMS and Title XXII. Excellent communication and customer service skills.

Other

1 week ago

STAFF NURSE I

AHMC Healthcare Broadmoor, CA

Overview The Staff Nurse is a professional caregiver who assumes responsibility and accountability for the assessment, nursing diagnosis, planning, implementation and evaluation of care for patients and their families in compliance with the standards for care at Seton Medical Center, AHMC and Nurse Practice Act. Responsibilities POSITION SPECIFIC DUTIES (other duties may be assigned) 1 Assesses , collects and documents health assessment data focusing on the physical, emotional, spiritual, psychosocial and educational needs of the patient. a) Interviews the patient/family/significant other to complete Triage information. b) Identifies actual and potential needs and determines priority. c) 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. 2 Plans nursing care, based on priority of physical and psychosocial-emotional needs. a) Develops realistic short-term goals for each problem, involving the patient, family or significant others. b) Plan demonstrates understanding of age-related needs of the patient. c) Negotiates with patient, family, significant other and health care team members in planning for education and discharge needs. 3 Implements the plan of care including prescribed procedures and treatments. Organizes and prioritizes care based on individual needs and unit activity. Provides continuous assessment for changes in patient’s condition and appropriateness of the plan. Initiates interventions using appropriate clinical expertise and knowledge based upon evidence based practice. As Primary Nurse, proactively coordinates the activities of health care team members in completing diagnostic and therapeutic interventions. 4 Evaluates the effectiveness of nursing care delivered to reach the expected outcome. a) Evaluates the plan of care and adjust based on according to the current condition and changing needs of the patient. b) Accurately and concisely documents the patient’s status and response to the care delivered. 5 Utilizing professional nursing knowledge and skills based upon evidence based practice . Appropriately assesses for: Physical and psychosocial-emotional needs. Barriers to learning (language, cultural awareness, sensory, etc. Educational/learning needs. Discharge needs. Age-related needs. Issues related to assault or abuse. 6 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 and adjust as needed to provide the appropriate care. 7 Utilizes advanced, specialized knowledge and skills to implement interventions for all Emergency Services patients, by prioritizing needs, and using a patient centered approach. 8 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. 9 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. 10 Effectively performs other nursing procedures/skills, based on completed specialty training and their scope of practice, and unit, department and Medical Center policies and procedures. 11 Appropriately recognizes and quickly responds to emergency medical situations. a) Accurately assesses “CAB’s.” b) Initiates appropriate emergency treatment, i.e., CPR, O2, etc. c) Communicates critical information to other team members. 12 Remains current on treatments/practices/procedures through attendance at continuing education events, in-services and the review of professional literature. 13 Integrates/applies new knowledge from education and research into clinical practice and utilizes effective critical thinking and judgement for optimal patient care 14 Demonstrates knowledge of and competence in age-related patient care. 14 Understand and practice according to the Nurse Practice Act, RN as Supervisor over appropriate clinical staff. 15 Consistently demonstrates knowledge of state and federal regulations, such as Title XXII. Follows all TJC guidelines and National Patient Safety Goals. 16 Advocates for public health and safety through patient and family education. 17 Consistently and accurately completes required documentation. 18 Understand and practice according to the Nurse Practice Act, RN as Supervisor over appropriate clinical staff. 19 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 QUALIFICATIONS/JOB REQUIREMENTS: EDUCATION: Graduation from an accredited school of professional nursing. Baccalaureate degree in Nursing preferred. EXPERIENCE: Staff Nurse I– New grad or less than six months of experience as a Registered Nurse CERTIFICATIONS/LICENSURE: Current California licensure as a Registered Nurse required. Current Basic Life Support certification required. Current ACLS certification. Current NIHSS certification Current PALS certification Current CPI certification OTHER SKILLS, ABILITIES & KNOWLEDGE: Knowledgeable of the California Nursing Practice Act. Able to understand and follow all policies, procedures, guidelines, rules and regulations of Nursing Service,AHMC Seton Medical Center, TJC, CMS and Title XXII. Excellent communication and customer service skills.

Manager/Supervisor

Other

1 week ago

NURSE MANAGER

AHMC Healthcare Broadmoor, CA

Overview The Nurse Manager is responsible for assisting the Administrative Director in providing overall leadership and direction for the units or areas of responsibility, and for creating an environment that fosters collaboration among the team to achieve operational and clinical excellence. This will be achieved through the following activities: Participates in the selection and development of staff to achieve high performance; performs all probationary and annual evaluations; works collaboratively with physicians to develop methods for improving the quality of care; works collaboratively with department leadership to achieve quality, fiscal and patient experience goals and expectations. The Nurse Manager assumes responsibility and accountability for the quality of nursing activities and staff functions during the shift. Effectively directs nursing personnel and utilizes time, equipment and other unit resources to ensure the daily operation of the unit. Continually assesses care, monitors unit operations, and directs staff to make immediate changes to accommodate patient needs. Performs direct patient care, only when necessary, and within scope of practice Responsibilities Principal Accountabilities  Assumes responsibility and accountability for unit operations, including but not limited to:o Patient Safety initiativeso Quality standards and outcomeso Patient Experience strategies o Competency and clinical performance of nursing staffo Productivity management Oversees coordination of patient care, working with the Case Manager, as evidenced by:o Identification of appropriate patient admission/discharge/transfer (ADT) at beginning and end of each shift.o Identification and necessary facilitation care to accomplish the plan for the dayo Ensures preparation for and participation by nurses in Care Coordination rounds  Evaluates clinical performance of all unit staff under oversight of Administrative Director. Manages the unit based clinical competency program utilizingappropriate educational resourceso Assists with hiring decisionso Oversees new hire orientation to maximize the orientee’s learning experience. Assist the preceptor to find optimal learning situations.Facilitates developmental plans, as needed, to address opportunities to improve o Daily clinical observation of clinical staff’s performance during and after orientation is finished, including review of documentation to ensure regulatory and quality standards are met. o Continuous review of clinical competencies for key diagnostic categories, including, but not limited to: Core Measures (i.e. Stroke, SCIP, Immunizations) Harm indicators (i.e., CAUTI, CLABSI prevention) Pain Management Wound/Skin Care Restraints NPSGs Falls  Ensures floats, travelers, and registry personnel are oriented to unit routine. Serves as a resource and monitors their compliance with Seton patient care standards.  Responsible, with Administrative Director, to assure optimal quality of care and patient satisfaction by:o Making rounds on each patient every shift.o Discussing patient satisfaction with patients and/or family members.o Ensuring resolution of issues and communicating necessary information between shifts, staff, and units/floors.o Coaching nursing staff to anticipate patient’s needs by listening to patient/family concerns and providing explanations regarding care and treatment o Assessing pain control of patient’s and pro-active medication culture of unit.  Assists the Administrative Director to manage the unit communication process by:o Identifying unit operation topics for staff meetingso Utilizing communication book and Visibility Board (Vis-walls) Manages appropriate patient care assignment based on the competency of staff, acuity of patient and continuity of care.o Makes shift assignment at beginning of shift. Changes assignment as necessary to meet patient needs.o Maintains working knowledge of daily patient care needs by listening to report and rounding of all patients on unit. Focuses on desired outcomes and critical data/events to facilitate unit operations.o Facilitates unlicensed assistive personnel to support patient care delivery for the assigned team.  Serves as a primary communication resource for physician interaction for the unit. Facilitates the RN implementation of the plan of care for patients through effective communication with the health care team. Manages shift productivity every 4 hours including, but not limited to, staffing for ADT, midnight census and sitter utilization Clinical Effectiveness  Using the clinical effectiveness model, leads improvement efforts that improves clinical outcomes, patient safety, patient satisfaction and appropriate resource utilization. Maintains and administers the Seton Operation System for continuous monitoring and improvement of the quality of care and services provided. Responsible for monitoring daily compliance to standards of care, operational, and regulatory requirements. Promotes a culture of safety, continually evaluating the delivery of care and services that result in eliminating harm. Regulatory Compliance  Monitors compliance with all applicable external agency regulations. Ensures compliance with all personnel to safety standards, Hazardous Materials Management program, Universal Precautions, and Infection Control. Human Resource Management  Demonstrates sound management and leadership principles. Promotes employee growth and development through effective use of resources. Uses effective interviewing skills to hire qualified and compassionate staff. Coaches for success and uses progressive counseling for sub-standard performance. Demonstrates awareness of and ability to apply knowledge of current developments in healthcare. Accountability  Performs active daily management to ensure that operations are efficient and achieve a state of continual regulatory readiness. Set and holds standards for performance, patient care delivery, and department operations.  Maintains confidentiality of all patient and hospital related communications, documents, and records. Maintains clinical and management skills and expands knowledge base.  Performs required duties in accordance with prescribed hospital policies and procedures. Maintains a positive attendance record and is prompt in reporting to work. Assesses personal learning needs and utilizes available resources in selfdevelopment to address learning opportunities.  Demonstrates active listening skills and treats all contacts with dignity and respect. Accomplishes objectives within prescribed time frames by prioritizing and organizing workload. Ability to work under stressful situations while maintaining a positive attitude. Qualifications QUALIFICATIONS/JOB REQUIREMENTS:EDUCATION: Bachelor degree in Nursing or in progress of obtaining BSN. Master’s Degree preferred. EXPERIENCE:  At least one year of supervisory experience required or at least 3 years of charge nurse experience. CERTIFICATIONS/LICENSURE:  Current California Registered Nurse License. Certification in area of specialty preferred. Current BLS/ ACLS through American Heart Association OTHER SKILLS, ABILITIES & KNOWLEDGE: Effective written and verbal communication skills; able to communicate with variousindividuals both inside and outside the organization; and able to understand andcreate reports/presentations/proposals. Proficient with computer systems including but not limited to MS Office.

Outpatient

Per Diem

3 weeks ago

Per Diem Nurse

BayMark Health Services Oakland, CA

$32.45 - $35 / hour

Description Per Diem Dispensing Nurse – LPN/LVN BAART Program is looking for a detail oriented and empathetic Licensed Practical Nurse / Licensed Vocational Nurse to dispense prescribed medications as part of a treatment team in partnership with Physicians and Nursing Supervisors . The dispensing nurse also shares responsibility of maintaining dispensing equipment, managing medication inventory and reporting patient treatment information . An ideal dispensing nurse candidate works cooperatively with supervisory counseling staff and demonstrates a non-judgmental and accepting attitude toward the Substance Use Disorder Responsibilities: Administer daily medication to patients in accordance with program policy and medical protocols. Use automated dispensing system(s), calibrate pump and maintain dispensing equipment Produce and maintain appropriate records and reports as required by Company protocol, Federal and State Regulations Ensure compliance with security standards for the distribution and storage of controlled substances as set forth in the Code of Federal regulations Order, receive and stock medication in accordance with DEA and State regulations. (If granted Power of Attorney) Provide daily assessment of patients Assist Nursing Supervisor to orient new nursing staff Other related duties as determined by supervisor Qualifications: Current & good standing Licensed Practical Nurse (LPN) / Licensed Vocational Nurse (LVN) license in the State of California. In CA only, a CA license as a Psychiatric Technician may be substituted for nursing license. Current CPR certification required EMR & computer proficiency desired Experience in chemical dependency preferred, self-motivated and directed, must have a positive attitude toward individuals in substance abuse treatment. Satisfactory drug screen and criminal background check. Salary Range: Salary ranges from $32.45 to $35 .00 an hour. The salary of the candidate(s) selected for this role will be set based on a variety of factors, including but not limited to, experience, education, specialty and training. Qualified Per Diem Employees receive: 401K Retirement Plan Accrued Sick Time Candidate Referral Program BayMark University Learning Total compensation goes beyond the value on the paycheck. Please consider the total compensation package by contacting us at BayMark Health Services for more information. Here is what you can expect from us: BAART Program , a progressive substance abuse treatment organization, is committed to the highest quality of patient care in a comfortable outpatient clinic setting . Our ultimate goal is to address the physical, emotional, and mental aspects of opioid use disorder to help each of our patients achieve long-term recovery and an improved quality of life . BAART Program is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability or veteran’s status or any other classification protected by State/Federal laws.

Other

1 month ago

*STAFF NURSE II

AHMC Healthcare Broadmoor, CA

Overview JOB TITLE: Staff Nurse II CC/Department: 7010/Emergency Services Reports to: Administrative Director of Emergency Services JOB SUMMARY: The Staff Nurse is a professional caregiver who assumes responsibility and accountability for the assessment, nursing diagnosis, planning, implementation and evaluation of care for patients and their families in compliance with the standards for care at Seton Medical Center and Nurse Practice Act. Responsibilities Clinical Practice: Nursing 1 Assesses, collects and documents health assessment data focusing on the physical, emotional, spiritual, psychosocial and educational needs of the patient. a) Interviews the patient/family/significant other to complete Triage information. b) Identifies actual and potential needs and determines priority. c) 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. 2 Plans nursing care, based on priority of physical and psychosocial-emotional needs. a) Develops realistic short-term goals for each problem, involving the patient, family or significant others. b) Plan demonstrates understanding of age-related needs of the patient. c) Negotiates with patient, family, significant other and health care team members in planning for education and discharge needs. 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. 4 Evaluates the effectiveness of nursing care delivered to reach the expected outcome. a) Evaluates the plan of care according to the current condition and changing needs of the patient. b) Accurately and concisely documents the patient’s status and response to the care delivered. Clinical Practice: Emergency Nursing 6 Utilizing 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. 7 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. 8 Utilizes advanced, specialized knowledge and skills to implement interventions for all Emergency Services patients, by prioritizing needs, and using a patient centered approach. 9 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. 10 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. 11 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. 12 Appropriately recognizes and quickly responds to emergency medical situations. a) Accurately assesses “A-B-Cs.” b) Initiates appropriate emergency treatment, i.e., CPR, O2, etc. c) Communicates critical information to other team members. 13 Maintains all required credentials and training (CA RN license, BLS, ACLS, PALS, NIHSS, AB508). 14 Remains current on emergency treatments/practices/procedures through attendance at staff meetings, continuing education events, in-services and the review of professional literature. 15 Integrates/applies new knowledge from education and research into clinical practice. 16 Demonstrates knowledge of and competence in age-related patient care. 17 Consistently demonstrates knowledge of state and federal regulations, such as Title XXII and COBRA/EMTALA. Follow all TJC, CDPH, CMS guidelines. 18 Advocates for public health and safety through patient and family education. 19 Consistently completes required documentation of the Emergency Services visit. 20 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. 21 Will perform duties of Relief Charge RN if called upon to do so. 22 Adheres to departmental and medical center policies on scheduling, overtime, sick time and time off. 23 Arrives punctually, takes appropriate time for breaks, use sick time appropriately. Qualifications 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/LICENSURE: 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 Preferred: NRP certification. OTHER 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.