AHMC Healthcare

Registered Nurse

Overview Assesses patient/family health problems and resources, takes a leadership role in the development, implementation and outcomes evaluation of a plan for nursing care provided by the nursing team. Provides technical nursing care and interventions to designated patient populations. This position requires providing service to a one or more age populations including young adolescent through geriatric patient population in a manner that demonstrates an understanding of the functional/developmental age of the individual served. Admission coordination, make nursing assignments, coordinate shift activities and quality control functions This position requires the full understanding and active participation in fulfilling the Mission of San Gabriel Valley Medical Center. It is expected that the employee demonstrate behavior consistent with the Core Values. The employee shall support San Gabriel Valley Medical Center’s strategic plan and the goals and direction of the Performance Improvement Plan (PIP). Responsibilities Completes and documents initial assessment/care within required time frames. Performs reassessments/care at intervals as required or appropriate to the patient’s specific needs. Ensures physical assessment/care includes all major body systems. Ensures spiritual assessment/care includes actual/expressed needs. Incorporates cultural and ethnic factors into assessment/care. Correctly differentiates between normal and abnormal findings. Makes appropriate referrals for positive high risk screens. Identifies educational needs upon admission and thereafter. Identifies barriers to learning. Provides teaching based on identified needs. Evaluates the effectiveness of instruction provided. Assessment and teaching incorporates cultural and ethnic factors. Assessment and teaching incorporates functional needs. Develops and implements the plan of care based on assessment findings. Establishes the plan of care on admission. Re-evaluates and modifies the plan of care, based on the patient’s response to the interventions. Communicates the plan of care to members of the nursing team. Involves the patient/family in developing the plan of care. Demonstrates sound clinical judgement in decision-making regarding patient care. Communicates effectively with physicians and allied health team. Coordinates nursing care with other disciplines involved. Involves allied health team members, as necessary. Actively participates in multidisciplinary care conferences. Provides local wound care as ordered. Applies dressings as ordered or as appropriate to the type of wound. Documents nursing interventions using the FOCUS charting format. Demonstrates knowledge of procedures and post-care. Follows established protocols for patients at high risk for suicide or unpredictable behavior. Follows established protocols for patients at high risk for falls and skin breakdown. Follows appropriate Code Blue notification procedures. Functions in a Code Blue quickly and calmly providing CPR, administering and documenting medications/interventions accurately. Effectively prioritizes clinical interventions and care. Communicates significant changes in patient’s condition/status in a timely manner. Understands actions, side-effects, contra-indications of drugs. Follows five “rights” of medication administration. Adheres to medication policies, practices and standards. Administers medication, intravenous therapy and fluid management only on physician request and guidance. Obtains necessary training prior to initial equipment use. Assures equipment is in operating order prior to use. Differentiates between patient complications and equipment malfunction. Uses the following equipment in accordance with manufacturer’s operating instructions, including but not limited to: IV Pump Glucoscan PCA Pump Tube Feeding Pump Chest Tube Suction Defibrillator Bedside monitor Other duties as assigned. Qualifications E DUCATION /T RAINING /E XPERIENCE Graduate of a RN School of Nursing BSN- Preferred Excellent written and verbal communication skills Bilingual (English/Spanish/Vietnamese/Chinese) preferred Computer skills L ICENSES /C ERTIFICATIONS Current California RN License Current ACLS, BLS - AHA NIH Certification- within 90days of hire CCRN- Preferred
AHMC Healthcare

Experienced NICU Registered Nurse (PD)

Overview The staff RN is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients via therapeutic use of self, the nursing process, the therapeutic environments, treatment and modalities and interdisciplinary collaboration. Qualifications Current California RN License. Current Basic Life Support Level C (Healthcare Provider) certification. Current NRP certification. One year level III NICU nursing experience to include care of the ventilated infant.
AHMC Healthcare

Registered Nurse (PD)

Overview The staff RN is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients via therapeutic use of self, the nursing process, the therapeutic environments, treatment and modalities and interdisciplinary collaboration. Responsibilities The RN shall, for their patient, collaborate in the formulation of the overall plan of care for the patient, as evidenced by written documentation. Identifies needs and problems specific to biophysical, cognitive, developmental, emotional, socio-cultural, and spiritual. Demonstrates accountability for on-going awareness of the status of assigned patients. Collects and documents data appropriate to the nature and severity of the condition. Qualifications Current CA Registered Nurse license. Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Basic Dysrhythmia certifications are required. NIHSS certification, and management of assaultive behavior is required within 90 days of employment.
AHMC Healthcare

Certified Nursing Assistant

Overview As a member of the health care team responsible for providing basic nursing care to patients under the direct supervision of the Registered Nurse in charge of the team or unit. Responsibilities Assists patients with activities of daily living and helps to promote a safe, comfortable environment that fosters the physiological and psychosocial well-being of the patient. Notifies R.N. and/or L.V.N. of relevant changes in the patient’s condition including, but not limited to changes in V.S., level of consciousness and/or pain, breathing pattern, drainage, amount of bleeding, mood, or increase and decrease in capabilities/limitations. Qualifications Recent experience in an acute care setting preferred. Graduate from high school or its equivalent. Current CA C.N.A certification, BLS and MAB.
AHMC Healthcare

Certified Nursing Assistant

Overview As a member of the health care team responsible for providing basic nursing care to patients under the direct supervision of the Registered Nurse in charge of the team or unit. Responsibilities Assists patients with activities of daily living and helps to promote a safe, comfortable environment that fosters the physiological and psychosocial well-being of the patient. Notifies R.N. and/or L.V.N. of relevant changes in the patient’s condition including, but not limited to changes in V.S., level of consciousness and/or pain, breathing pattern, drainage, amount of bleeding, mood, or increase and decrease in capabilities/limitations. Qualifications Recent experience in an acute care setting preferred. Graduate from high school or its equivalent. Current CA C.N.A certification, BLS and MAB.
AHMC Healthcare

Experienced Labor and Delivery Registered Nurse

Overview The staff RN is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients via therapeutic use of self, the nursing process, the therapeutic environments, treatment and modalities and interdisciplinary collaboration. Responsibilities The RN shall, for their patient, collaborate in the formulation of the overall plan of care for the patient, as evidenced by written documentation. Identifies needs and problems specific to biophysical, cognitive, developmental, emotional, socio-cultural, and spiritual. Demonstrates accountability for on-going awareness of the status of assigned patients. Collects and documents data appropriate to the nature and severity of the condition. Qualifications Minimum 2 years experience in Labor & Delivery. Current CA Registered Nurse license. Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Neonatal Resuscitation Program (NRP) and Advanced Fetal Monitoring certifications are required. NIHSS certification is required within 90 days of employment.
AHMC Healthcare

Certified Nursing Assistant

Overview As a member of the health care team responsible for providing basic nursing care to patients under the direct supervision of the Registered Nurse in charge of the team or unit. Responsibilities Assists patients with activities of daily living and helps to promote a safe, comfortable environment that fosters the physiological and psychosocial well-being of the patient. Notifies R.N. and/or L.V.N. of relevant changes in the patient’s condition including, but not limited to changes in V.S., level of consciousness and/or pain, breathing pattern, drainage, amount of bleeding, mood, or increase and decrease in capabilities/limitations. Qualifications Recent experience in an acute care setting preferred. Graduate from high school or its equivalent. Current CA C.N.A certification, BLS and MAB.
AHMC Healthcare

Experienced PACU Registered Nurse

Overview The staff RN is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. Responsibilities Provides care to these patients via therapeutic use of self, the nursing process, the therapeutic environments, treatment and modalities and interdisciplinary collaboration. Perform initial physiological and psychosocial needs assessment on all patients within 30 minutes of admission and shift assessment within 2 (two) hours if coming on duty. The RN shall, for their patients, collaborate in the formulation of the overall plan of care for the patient, as evidenced by written documentation. Identifies needs and problems specific to biophysical, cognitive, developmental, emotional, socio-cultural, and spiritual assessments. Qualifications Current California RN License. Current Basic Life Support Level C (Healthcare Provider) certification. Current ACLS, PALS and NIHSS certifications. Two years of PACU or critical care experience and/or approved PACU RN training course.
AHMC Healthcare

Experienced OR Registered Nurse

Overview The staff RN is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. Responsibilities Provides care to these patients via therapeutic use of self, the nursing process, the therapeutic environments, treatment and modalities and interdisciplinary collaboration. Perform initial physiological and psychosocial needs assessment on all patients within 30 minutes of admission and shift assessment within 2 (two) hours if coming on duty. The RN shall, for their patients, collaborate in the formulation of the overall plan of care for the patient, as evidenced by written documentation. Identifies needs and problems specific to biophysical, cognitive, developmental, emotional, socio-cultural, and spiritual assessments. Qualifications Current California RN License. Current Basic Life Support Level C (Healthcare Provider) certification. Current ACLS, PALS and NIHSS certifications. Two years of PACU or critical care experience and/or approved PACU RN training course.
AHMC Healthcare

Pediatrics Subacute CNA

Overview The Certified Nursing Assistant assists the clinical staff in the care of and treatment for patients in an acute care setting under the supervision of a licensed nurse. Responsibilities may vary based on department assignment. Responsibilities Patient Care Activities Participates in nursing reports by receiving and contributing to status report of patients. Communicates abnormal findings or changes in patient status in a timely manner to supervising RN. Prepares patient and/or patient room for the admission, transfer or discharge process. Provides morning and evening care as well as general care routines such as bathing, personal hygiene, etc. in accordance with established nursing care procedures to assure patients' physical comfort. Takes and records vital signs, pulse oximetery, pain level, height, weight (and other measurements, as applicable) in an accurate and precise manner. Prepares patients for meals, assists in feeding patients, and distributes water and other nourishment according to patients' needs. Performs general care activities. Consistently follows hand hygiene and isolation practice guidelines established at WHMC. Makes rounds, anticipates patients' needs and responds to call lights promptly. Assumes responsibility for patients' clothing and personal property (prosthetic devices, hearing aides, glasses, etc.), securing items in accordance with. Ambulates patients as per plan of care. Assists with or transports patients as necessary. Collects appropriate specimens and labels specimens at the bedside properly. Transports in a proper and timely manner. Reports and/or records any changes observed in condition or behavior of the patient. Utilizes restraints as per physician order and only as a last resort. Appropriately monitors and assures appropriate device is used. Frequently toilets patients. Ambulates patients. Utilizes lift equipment appropriately and safely for all lifts/transport. Applies and utilized gait belt appropriately to assist patients. Ensures accurate and timely documentation using the electronic medical record and assuring use of own login at all times. Initiative and Dependability Independently performs assigned duties, assists staff in deliver of more complex treatments and procedures. Demonstrates initiative by recognizing and performing duties which need to be performed, although not directly assigned. Seeks guidance and direction, as necessary, for performance of duties. Recognizes and responds to priorities in the patient care process. Maintains a clean and safe environment for patients. Maintains equipment assigned to patient care and reports malfunctioning of equipment to appropriate personnel. Has the willingness and ability to perform additional duties and responsibilities in different areas of the department of the department or different departments on an as-needed basis or as determined by management. Follows established hospital and department policies. Demonstrates the philosophy of team concept. Participates in group projects and staff meetings with suggestions that enhance the work environment and increase productivity. Maintains confidentiality as related to job responsibilities. Exhibits willingness to resolve problems as they arise. Consistently projects positive professional image through appearance and behavior. Completes assigned work within shift. Complies with time and attendance policy. Assists in the orientation of new personnel to the unit. Acts as a buddy for new and/or registry staff. Unit Specific Job Activities & Competencies Positioning orthopaedic patients (i.e. total knee/hip) Application of splints. Use of bed enclosures, specialty beds and restraints. Ensures that professional licensure/certification responsibilities are completed timely as appropriate. Customer Service As observed, all interactions are conducted in a professional manner; is supportive and consistently demonstrates customer service standards. Verbal and written feedback from patients, family members/significant others, medical staff, visitors and co-workers indicates behavior conducive to positive guest relations. Consistently exhibits appropriate phone protocol (e.g., answers phone promptly by the 3rd ring, is courteous and helpful). Consistently contributes to the team effort (e.g., assists co-workers when need is observed or when required; offers constructive suggestions and ideas, rather than complaints). Consistently displays a cheerful and positive attitude. Smiles in all interactions. Is present to greet all new admissions. Welcomes and Orients patient to the room and surroundings. Provides essential supplies for each patient. Rounds hourly on patients & families focusing on pain, positioning, toileting (potty) and patient safety. Responds promptly to patient calls. Utilizes AIDET (acknowledge, introduction, duration, explanation, thank you) in all communications with patients and staff. Utilizes Onstage/Backstage techniques for communication with patient, family and hospital staff. Consistently strives to understand, anticipate and meet the needs, expectations and satisfaction levels of patients and other customers. Quality (Performance Improvement, Risk & Patient Safety) Is aware of and participates in the performance improvement activities of the department. Completes incident reports regarding complaints or other issues. Actively promotes a culture of safety by speaking up when safety concerns are. Participates in departments "Survey Ready" efforts. Professional Conduct, Growth and Development Completes Mandatory Requirements (Such as Annual Updates, Employee Health Screenings, license/certification updates and other requirements within. Follows the chain of command. Attends 80% of department meetings, in-service programs and training. Implements practices. Ensures that professional license/certification responsibilities are completed timely as appropriate. Cultural Specific Competencies Exhibits culturally responsive attitude including, flexibility, empathy, and awareness of communication needs. Qualifications Education/Training/Experience All Departments Require: One year acute care experience preferred, may consider experience in a sub-acute or skilled nursing environment. Effective communication skills in English. Bilingual in English/Spanish and/or English/Mandarin preferred. Licenses/Certifications All Departments Require: Current California CNA certificate Current BLS certificate Pediatric Sub-acute Requirements: Prior experience working with the pediatric population
AHMC Healthcare

RN-Critical Care, ER (PT, Nights) Monterey Park Hospital

Overview Monterey Park Hospital, located in the San Gabriel Valley of Los Angeles County, is searching for a Registered Nurse for our Emergency Department. This is a part-time, night shift position. This position reports to the Director of Critical Care Services. Responsibilities The RN will provide care to the ED patient, including timely triage, physical assessment, treatment, reassessment, discharge planning, and health education. The RN is responsible for meeting core measures, contributing to a reduction in LOS, active participation in all aspects of quality, safety, and performance improvement activities, and collaboration with all members of the multidisciplinary team to provide outstanding customer service to patients, family members, physicians, and the public. Meets and exceeds the CDPH, The Joint Commission, and other regulatory requirements . Qualifications 6 months of recent ER or critical care experience in an acute general hospital required. Current CA RN License Current BLS, ACLS, and PALS (AHA) required. CPI/AB508 or equivalent within 90 days of hire, transfer, or promotion. Completion of a critical care training program preferred. Proficiency in both written and oral English.
AHMC Healthcare

RN-Critical Care, ER (FT, Nights) Monterey Park Hospital

Overview Monterey Park Hospital, located in the San Gabriel Valley of Los Angeles County, is searching for a Registered Nurse for our Emergency Department. This is a full-time, night shift position. This position reports to the Director of Critical Care Services. Responsibilities The RN will provide care to the ED patient, including timely triage, physical assessment, treatment, reassessment, discharge planning, and health education. The RN is responsible for meeting core measures, contributing to a reduction in LOS, active participation in all aspects of quality, safety, and performance improvement activities, and collaboration with all members of the multidisciplinary team to provide outstanding customer service to patients, family members, physicians, and the public. Meets and exceeds the CDPH, The Joint Commission, and other regulatory requirements . Qualifications 6 months of recent ER or critical care experience in an acute general hospital required. Current CA RN License Current BLS, ACLS, and PALS (AHA) required. CPI/AB508 or equivalent within 90 days of hire, transfer, or promotion. Completion of a critical care training program preferred. Proficiency in both written and oral English.
AHMC Healthcare

*STAFF NURSE II

Overview JOB DESCRIPTION – POSITION REQUIREMENTS 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.
AHMC Healthcare

Registered Nurse, Float Pool

Overview The staff RN is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients via therapeutic use of self, the nursing process, the therapeutic environments, treatment and modalities and interdisciplinary collaboration. Responsibilities The RN shall, for their patient, collaborate in the formulation of the overall plan of care for the patient, as evidenced by written documentation. Identifies needs and problems specific to biophysical, cognitive, developmental, emotional, socio-cultural, and spiritual. Demonstrates accountability for on-going awareness of the status of assigned patients. Collects and documents data appropriate to the nature and severity of the condition. Qualifications Current California RN License. Current Basic Life Support (Healthcare Provider) certification. Current ACLS. Dysrhythmia certification. Current NIHSS certification, or within 90 days of employment.
AHMC Healthcare

Staff RN I

Overview This position is responsible for providing patient care in a safe and effective manner. Responsibilities include directingPCA activity, synthesizing patient information, assessment of patients, planning of care/intervention, teaching ofpatients/family, implementation of treatment plan, MD orders, documentation and evaluation. Integration of patient carestandards are incorporated into all clinical activities.This position requires the full understanding and active participation in fulfilling the mission of AHMC Anaheim RegionalMedical Center. It is expected that the employee demonstrate behavior consistent with the core values of AHMCAnaheim Regional Medical Center and AHMC Healthcare Inc. The employee shall support AHMC Anaheim RegionalMedical Center’s strategic plan and goals and direction of the performance improvement plan. The employee will alsobe expected to support all organizational expectations including, but not limited to; Customer Service, Patient’s Rights,Confidentiality of Information, Environment of Care and other initiatives. Qualifications EDUCATION/TRAINING/EXPERIENCEGraduate of RN School of Nursing; BSN preferred.One year acute care experience preferred.Basic computer skills preferred.LICENSES/CERTIFICATIONSCurrent CA RN licenseCurrent BLS-HCPCurrent ACLS (Excludes NICU)Current NRP (Labor & Delivery / OB Acute / NICU)Current PALS (Emergency Dept. only)Basic Dysrhythmia Class completion: Optional for RN with at least 6 months experience, and successful completion ofEKG competency examUnit specific certification:
AHMC Healthcare

*STAFF NURSE II

Overview JOB TITLE: Staff Nurse II CC/Department: 6010/Intensive Care Unit Reports to: Nurse Manager 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 AHMC Seton Medical Center, and Nurse Practice Act. Responsibilities POSITION SPECIFIC DUTIES (other duties may be assigned) 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: Intensive Care Unit 5 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. 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 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 “A-B-Cs.” 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. 14 Demonstrates knowledge of and competence in age-related patient care. 15 Consistently demonstrates knowledge of state and federal regulations, such as Title XXII. Follows all JCAHO 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 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 II – Minimum of six months Registered Nurse experience. Recent Critical Care experience with post open heart and post PCI, hemodynamic monitoring, pacemaker insertion, IABP preferred Hemodynamic Monitoring experience preferred CERTIFICATIONS/LICENSURE: Current California licensure as a Registered Nurse. Current Basic Life Support certification. Current ACLS certification. Current NIHSS 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, Seton Medical Center, Title XXII. Excellent customer service & communication skills.
AHMC Healthcare

Registered Nurse

Overview The staff RN is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients via therapeutic use of self, the nursing process, the therapeutic environments, treatment and modalities and interdisciplinary collaboration. Responsibilities The RN shall, for their patient, collaborate in the formulation of the overall plan of care for the patient, as evidenced by written documentation. Identifies needs and problems specific to biophysical, cognitive, developmental, emotional, socio-cultural, and spiritual. Demonstrates accountability for on-going awareness of the status of assigned patients. Collects and documents data appropriate to the nature and severity of the condition. Qualifications Minimum 2 years experience in Postpartum. Current CA Registered Nurse license. Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Neonatal Resuscitation Program (NRP) and Advanced Fetal Monitoring certifications are required. NIHSS certification is required within 90 days of employment.
AHMC Healthcare

Registered Nurse

Overview The staff RN is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients via therapeutic use of self, the nursing process, the therapeutic environments, treatment and modalities and interdisciplinary collaboration. Responsibilities The RN shall, for their patient, collaborate in the formulation of the overall plan of care for the patient, as evidenced by written documentation. Identifies needs and problems specific to biophysical, cognitive, developmental, emotional, socio-cultural, and spiritual. Demonstrates accountability for on-going awareness of the status of assigned patients. Collects and documents data appropriate to the nature and severity of the condition. Qualifications Minimum 2 years experience in Labor & Delivery. Current CA Registered Nurse license. Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Neonatal Resuscitation Program (NRP) and Advanced Fetal Monitoring certifications are required. NIHSS certification is required within 90 days of employment.
AHMC Healthcare

Case Manager RN

Overview The Case Manager Registered Nurse is primarily responsible for the preparation, recording and tracking of initial and retrospective payments for hospital services. Answers, directs and records departmental phone calls from a variety of sources (Insurance companies, Skilled Nursing Facilities, Home Health Agencies, Durable Medical Equipment, other health care providers, etc.) understanding priorities for the delivery of quality patient care. Coordinates with Discharge Planners for continuum of patient care, for example, durable medical equipment (DME) and Levels of Care. Responsibilities The Case Manager Registered Nurse is primarily responsible for the preparation, recording and tracking of initial and retrospective payments for hospital services. Answers, directs and records departmental phone calls from a variety of sources (Insurance companies, Skilled Nursing Facilities, Home Health Agencies, Durable Medical Equipment, other health care providers, etc.) understanding priorities for the delivery of quality patient care. Coordinates with Discharge Planners for continuum of patient care, for example, durable medical equipment (DME) and Levels of Care. Qualifications Current CA RN license. Must be able to type a minimum of 45-55 wpm. Fluent in medical terminology. Must have strong communication and written grammatical skills. Current Basic Life Support (Healthcare Provider) certification.
AHMC Healthcare

Experienced NICU Registered Nurse (PD)

Overview The staff RN is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients via therapeutic use of self, the nursing process, the therapeutic environments, treatment and modalities and interdisciplinary collaboration. Qualifications Current California RN License. Current Basic Life Support Level C (Healthcare Provider) certification. Current NRP certification. One year level III NICU nursing experience to include care of the ventilated infant.
AHMC Healthcare

Certified Nurse Midwife

Overview Documentation of experience as defind by the CNM Allied Health Credentialing policy to include the care of a normal laboring patient and recognition of deviations from normal which require supervising physician consultation and/or management. Responsible for providing evidence of back-up supervision by an obstetrician fully credentialed at Parkview. Responsibilities CNM will attend Association of Women's Health Onstetric and Neonatal Nurses advanced fetal monitoring training every two years. The CNM will be credentialed through Medical staff, initial and on-going. Additionally the CNMs ar erequired to have experience and provide evidence that they have assisted in a minimum of 25 cesarian section surgical procedures prior to performing the role. CNMs must perform the first assistant role at minimum 10 times per year. Qualifications Must have current and valid California State RN license. Must have currentlicense to practice as a CNM in the State of CA. Advanced Fetal Monitoring.
AHMC Healthcare

*STAFF NURSE II

Overview The Perioperative Nurse performs circulating and scrubbing duties for operative procedures. He/she is responsible to the Nurse Manager, Surgery/GI Lab, and works closely with surgeons, anesthesiologists and other members of the operative team to prepare the patient and the operating room for the intended surgical procedure. The Perioperative Nurse is independently responsible for the welfare and safety of the patient during the surgical procedure. Contributes to the team spirit and cohesiveness of the unit and nursing department. Contributes to the unit and department problem solving and issue resolution. Contributes to positive unit and interdepartmental communications and relationships. Communicates effectively, including speaking English, as appropriate.Maintains a professional attitude, demeanor and appearance, wears prescribed departmental uniform, wears identification name badge. Arrives punctually, takes appropriate time for breaks, uses sick time appropriately. Adheres to the departmental and Medical Center policies on scheduling, overtime, sick time and time off. Through a process of ongoing self-assessment, plans and implements steps to improve knowledge and skills. Attends assigned classes and in-services, staff meetings, reads all departmental communications and assigned materials. Maintains a safe environment, prevents/corrects hazardous conditions, reports accidents promptly. Uses appropriate body mechanics for all work assignments. Knowledgeable of the Medical Center’s Environment of Care plans and programs. Appropriately responds to all safety and emergency signals and notifications. Contributes to cost containment through the wise use of both human and material resources. Participates in the unit, departmental and Medical Center’s Quality Improvement Program, as assigned. Follows all unit, departmental and Medical Center Policies and Procedures. Demonstrates excellent Customer Service in all interactions. Demonstrates a knowledge of and competence in age-related patient care, as defined and documented in department standards. Responsibilities Assessment1. Assesses and collects health status data that is documented, retrievable, continuous and communicated to all health care team members, focusing on the emotional, physical, spiritual, educational, and pyschosocial needs of the patient/resident. a. Interviews the patient/resident/family/significant others on admission, and as needed, and completes an appropriate, documented detailed patient/resident history (admission Database.) b. Identifies actual and/or potential discharge needs and initiates a plan in collaboration with physician(s), case manager, and other health care team members. c. Prioritizes data collection as determined by the patient’s/resident’s immediate condition or needs. d. Correlates findings from all body systems to determine additional signs/symptoms that should be assessed. e. Recognizes deviations in development/age-specific behaviors and plans interventions, as appropriate, towards a return in normalcy of the patient/resident. Consistently and proficiently performs accurate patient/resident physical assessment, incorporating bio-psychosocial, age-specific, and spiritual needs, which are based upon clinical and theoretical knowledge.3. Interprets messages and subtle cues in patient/resident/family movements, gestures, physical appearances, facial expressions, etc., and validates their meaning with the individuals in a supportive/professional manner. 4. Identifies variables and relationships in data to assist in developing an individualized plan of care.5. Identifies effectiveness of patient’s/resident’s support systems. Nursing Diagnosis1. Uses analytical and critical thinking skills to assess data, symptomatology, and age-specific needs related to pathophysiologic processes to formulate nursing diagnostichypothesis. 2. Formulates a plan of care within the established time frame to specific unit, based on the identified problems as documented on the plan of care for continuous individualized care. 3. Nursing diagnoses are validated with patient/resident/significant others, and health care providers, when possible. Planning1. Develops a written individualized patient/resident plan of care using nursing diagnosis and establishes measurable expected outcomes in behavioral terms for planned nursinginterventions consistent with current scientific knowledge of disease, entities and human behavior.2. Develops realistic short-term goals for each problem, involving patient/resident/family, significant others, and health care providers, when appropriate with understanding of the developmental (age-specific) needs of the patient/resident. 3. Establishes priorities for care based on multi-disciplinary, teaching, discharge planning and age-specific needs.4. Outcomes: a.Are realistic in relation to the patient’s/resident’s present and potential capabilities. b. Are attainable in relation to resources available to the patient/resident. c. Include a time estimate for attainment. d. Provide direction for continuing care. e. Are documented. Interventions Orients patients/residents/families to physical environment and routines, ensures the documentation and safety of belongings, sets basic care priorities accommodating to changing needs, provides physical care/comfort measures, and assists with activities of daily living. 2. Processes or ensures timely processing of physicians’ orders, protocols, prescribed tests, procedures and treatments.3. Schedules and coordinates patient/resident care services (i.e., tests, therapies, procedures, etc.) to avoid delays in hospitalization, waste of resources and duplication of services. 4. Organized and priorities care based on individual needs and the overall activity of the unit.5. Prescribes, implements, and/or delegates, appropriate interventions (actions) to achieve stated or written measurable, expected outcomes to the identified problems in the plan of care. Delegation is based on consideration of health care team members competency, skills and abilities. 6. Coordinates the activities of team members in completing their diagnostic and therapeutic interventions. 7. Utilizes a variety of available resources (i.e. physicians, peers, other employees and administrative leaders), effectively and efficiently in providing care. 8. Performs general and specific nursing technical skills to individuals and groups of patients/residents utilizing equipment safely and properly and to avoid complications leading to additional services and/or prolonged hospitalization.9. Proficiently performs all procedures related to the area of practice. 10. Applies the principles of counseling, therapeutic communication, and teaching/learning in patient/resident interactions – demonstrating caring and compassionate behaviors. 11. Creates relationships that acknowledge and support patients’/residents’ rights to self-determination. 12. Identifies strategies in creating and maintaining positive patient/resident interactions while respecting their social/cultural values in therapy.13. Assess patients’/residents’ condition on an ongoing basis for changes and the appropriateness of the plan of care.14. Communicates significant changes in the patients’/residents’ condition to the appropriate health team members in a timely manner. Patient/Resident/Family Teaching1. Assesses patient/resident (and family if appropriate) learning (age-specific) needs, abilities, and readiness to learn and gives consideration to the patients’/residents’ family, cultural, religious, emotional, motivational, psychosocial, physical, cognitive and language status. 2. Assesses patient/resident and family interpretations of health and illness, in order to develop and appropriate teaching plan aimed at facilitating adaptation to illness/injury/limitations. 3. Provides an interpretation of conditions and gives rationale for procedures to patients/resident including expected and/or potential changes. 4. Negotiates with patients/residents, families, and health care team members in planning patient/resident-teaching strategies and in formulating a realistic discharge plan.5. Collaborates with other health care team members to identify patient/resident and family needs for teaching to achieve expected outcomes. Uses support services/resources to provide education and discharge planning. These include, but are not limited to: Social Services, Case Managers, Home Care, Wound Care, Diabetes Specialist, Dietician, Interpreters, Occupational Health, Physical Therapy, Infection Control Coordinator, Pharmacist, Community Resources, etc. 7. Records indicate that the patient’s/resident’s (and family’s if appropriate) learning needs concerning the following are identified and addressed: a. Safe use of medication b. Use of medical equipment c. Diet and nutrition d. Rehabilitation (if needed) e. Referral Services f. Follow-up care and how it’s obtained. g. The patient’s/resident’s and family’s responsibilities in the provision of care.8. Provides pre-operative/pre-procedure and post-operative/post-procedure teaching and documentsresponses and understanding of patient/resident and family.9. Assesses outcome data to determine effectiveness of education/counseling.10. Minimizes barriers to patient/resident education and/or health behavior changes by modifyingteaching methodologies based on ongoing assessment of patient/resident comprehension of material. Evaluation1. Evaluates the plan of care according to the current condition and changing needs of the patient/resident. Involves the patient/resident, family’s significant others and health care provider in the evaluation process. 2. Accurately and concisely documents on the appropriate medical record forms, the patients’/residents’ status and responses, including age-specific responses, to interventions given by all health care team members in reaching expected outcomes. 3. Evaluates the plan of care for patients/residents on a 24-hour basis or more often as indicated.4. Modifies the plan of care as needed based on changing patient/resident needs as determined by continuing assessment.Leadership, Professionalism, Self-Development, Teaching1. Teaches in accordance with established policies and procedures and serves as a preceptor/resource for new staff, orientees, and students.2. Provides formal/informal in-service programs to staff, students, and faculty, e.g., demonstratesrationale and use of complex/new equipment and/or procedures.3. Alerts faculty and students to educational opportunities and experiences that become available. 4. Readily acknowledges limitations of knowledge/skills and seeks assistance from appropriate resources in self-development including new equipment and products used in performance of job.5. Demonstrates awareness of legal implications in matters of patient/resident care and unit operations a. Documentation is legible, timely, comprehensive, and accurate. b. Follow established written policies and procedures.6. Consults others for validation and guidance in decision making, as necessary.7. Takes control of crisis situations, e.g., acting out, combativeness, withdrawn/suicidal patient/resident behaviors; internal disaster situation sin department, etc. Initiates appropriate actions and mobilizes others in situations of multiple and conflicting stimuli.8. Demonstrates appropriate leadership skills in the delegation of tasks and duties to other health care team members in order to promote quality patient/resident care. Identifies problems, offers solutions and uses sound judgement and ethical principles in their resolution.10. Gives constructive feedback to co-workers regarding care policies.11. Actively participates in achieving patient/resident, unit and Nursing Department goals/objectives. 12. Develops/updates/revises general teaching plans (as needed) for different patient/resident populations served.13. Demonstrates knowledge of the RN Scope of Practice and that of other team members, including the LVN Scope of Practice.14. Actively participates in ongoing performance improvement processes on the unit as well as the Nursing Department. Participates in peer review where appropriate and in the development and/or revision of nursing standards.15. Uses CQIP process to document any all unusual occurrences appropriately (includes reporting of ADVERSE DRUG REACTIONS). Interpersonal Relationships/Communication/Team Work1. Conveys ideas, concepts, and facts in a logical, understandable, and concise manner.2. Listens, comprehends and responds immediately to directions. 3. Uses oral and written skills to effectively communicate to others health care team members, patients/residents, and families, including speaking English, as per the Language policy, as appropriate. 4. Communicates verbally and non-verbally in a clear, caring and polite manner with all contacts; checks for understanding. 5. Recognizes and utilizes appropriate lines of communication and seeks guidance, direction and assistance when needed.6. Answers the telephone within 3 rings and patient/resident call system within 3 minutes courteously and relays calls or messages to the appropriate person in a timely manner.7. Initiates collaborative interchange with members of the health care team and chooses appropriate location and environment for verbalization of concerns.8. Facilitates the use of other professional/support roles in the delivery of patient/resident care. Adapts to changing workloads.9. Assigns and reassigns patient/resident care responsibilities considering skill/competency level of staff within the team in a timely, efficient manner to accommodate changes in patients’/residents’ needs. 10. Uses a problem-solving approach to resolving job-related issues.11. Directs and/or redirects criticisms to constructive discussion and minimizes role conflict andterritoriality.12. Fosters a cooperative effort in meeting the goals of the team and sharing the workload.13. Contributes to the team spirit of the department and positive interdepartmental relations.14. Participate sin physician rounds and encourage fellow staff to do the same, as appropriate. 15. Demonstrates awareness of unit (department) staff needs, provides feedback to Nurse Manager or designee and participates appropriately in providing staff.16. Delegates appropriately to team members, evaluates performance of tasks delegated and provides constructive feedback to team members. 17. Displays a caring, courteous attitude toward all patients, their families and visitors. 18. Responds quickly to the needs of patients, their families and visitors.19. Calls patients, their families and visitors by name, e.g., Mr. Or Mrs.20. Treats patients, their families and visitors with dignity and respect.21. Communicates effectively with angry or difficult patients, families, or visitors. 22. Resolves all patients’ questions and concerns quickly; if unable to do so, refers the issue to the appropriate individual.23. Demonstrates courtesy and respect for fellow employees, including volunteers and students. Identifies self and department on the telephone.25. Speaks in a polite and courteous manner on the telephone.26. On the telephone, offers assistance or takes a message. Accountability1. Demonstrates the ability to document pertinent information in the medical record using appropriate forms in an accurate, legible, timely, clear, and concise manner following established policy, for all assigned patients/residents. 2. Demonstrates competency in using the Nursing Process.3. Delivers care in a nonjudgmental and nondiscriminatory manner. In accordance with the mission, philosophy, and values of the organization, it provides patient/resident care consistent with the standards of Seton Medical Center, the community and regulatory agencies.4. Demonstrates competency as documented on the Nursing Skills/Competency Checklist, Standardized Procedures and other certifications on an annual basis.5. Identifies conflicting medical orders and nursing interventions and tasks appropriate actions to resolve them.6. Demonstrates poise and proficiency in managing emergency situations under established protocols. a. Demonstrates appropriate prompt action in “Code Blue.” b. Demonstrates appropriate prompt action in “Code Red.” c. Rapidly recognizes and acts upon conditions which threaten the patient's/resident’s physical and emotional well-being.7. Demonstrates safety-conscious behavior including using proper body mechanics and principles in moving objects, consistent with the hospital's safety program, infection control policies/procedures, including universal precautions, hazardous waste management program and all policies and procedures.8. Notifies Manager or designee or any injury (completes Employee/Volunteer Accident Report), unusual occurrence, situation or compliant; necessary repairs, etc., in a timely manner.9. Safeguards the patient’s/resident’s rights as delineated in the “Patient Bill of Rights.” a. Assists patient/resident/family in decision making process by making pertinent factual information available and assists them in comprehending data as necessary. b. Obtains documented consent for procedures requiring it. c. Maintains confidentiality of all patient/resident information and their records. d. Assists patients/residents in maintaining dignity and treats all patients/residents with respect. e. Properly applies and monitors safety restraints per policy. f. Utilizes the Ethics Committee as necessary.10. Accepts responsibility and accountability for assignment and the quality of care provided by self and health care team.11. Actively contributes to cost containment in supply usage, staff utilization, proper use of equipment, etc. Evaluates factors related to safety, effectiveness, and cost when two or more practice options would result in the same expected outcome. 12. Maintains a professional attitude and appearance; wears a picture ID badge. Follows departmental dress code.13. Takes appropriate amount of time for breaks and ensures coverage of patients/residents, by other health care team members while on break.14. Complies to the sick time policy and arrives punctually and ready to work.15. Checks with and obtains approval from Manager or designee before using overtime.16. Maintains proof of current license(s), certification(s), and special training, e.g., BCLS, ACLS, PALS, etc., as required per area of practice.17. Membership and participation in professional and/or specialty nursing organizations is highly encouraged. Actively participates at staff meetings. Age-Specific1. Assesses for age-related physical limitations and common age-associated conditions.2. Assess for age-related safety needs.3. Considers age-related variances when analyzing vital signs and lab values.4. Provides for age-related nutritional, psychosocial and functional needs.5. Communicates verbally and non-verbally effectively with specific age-related or cultural populations served. 6. Varies communication technique and teaching style based on age-related and/or cultural background. 7. Develops a plan of care that incorporates identified pertinent age-related needs.8. Evaluates patient response to medications based on age-related pharmacokinetics and weights. 9. Evaluates patient response to treatment based on age-related physiological and/or psychosocial factors. Qualifications EDUCATION: ∙ Graduation from an accredited school of nursing. EXPERIENCE: ∙ Experience and training as a perioperative nurse.∙ 3-5 years of genral, cardiac, vascular, and thoracic operating room experience. ∙ Scrub tech preferred. Circulating Nurse preferred. CERTIFICATIONS/LICENSURE: ∙ Licensure as a Registered Nurse by the State of California required∙ AHA Provider BLS, ACLS∙ Membership in AORN desirable∙ Certification as a Perioperative Nurse encouraged
AHMC Healthcare

Certified Nursing Assistant

Overview As a member of the health care team responsible for providing basic nursing care to patients under the direct supervision of the Registered Nurse in charge of the team or unit. Responsibilities Assists patients with activities of daily living and helps to promote a safe, comfortable environment that fosters the physiological and psychosocial well-being of the patient. Notifies R.N. and/or L.V.N. of relevant changes in the patient’s condition including, but not limited to changes in V.S., level of consciousness and/or pain, breathing pattern, drainage, amount of bleeding, mood, or increase and decrease in capabilities/limitations. Qualifications Recent experience in an acute care setting preferred. Graduate from high school or its equivalent. Current CA C.N.A certification, BLS and MAB.
AHMC Healthcare

Certified Nurse Midwife (PD)

Overview Documentation of experience as defind by the CNM Allied Health Credentialing policy to include the care of a normal laboring patient and recognition of deviations from normal which require supervising physician consultation and/or management. Responsible for providing evidence of back-up supervision by an obstetrician fully credentialed at Parkview. Responsibilities CNM will attend Association of Women's Health Onstetric and Neonatal Nurses advanced fetal monitoring training every two years. The CNM will be credentialed through Medical staff, initial and on-going. Additionally the CNMs ar erequired to have experience and provide evidence that they have assisted in a minimum of 25 cesarian section surgical procedures prior to performing the role. CNMs must perform the first assistant role at minimum 10 times per year. Qualifications Must have current and valid California State RN license. Must have currentlicense to practice as a CNM in the State of CA. Advanced Fetal Monitoring.
AHMC Healthcare

Registered Nurse

Overview Assesses patient/family health problems and resources, takes a leadership role in the development, implementation and outcomes evaluation of a plan for nursing care provided by the nursing team. Provides technical nursing care and interventions to designated patient populations. This position requires providing service to a one or more age populations including young adolescent through geriatric patient population in a manner that demonstrates an understanding of the functional/developmental age of the individual served. Admission coordination, make nursing assignments, coordinate shift activities and quality control functions This position requires the full understanding and active participation in fulfilling the Mission of San Gabriel Valley Medical Center. It is expected that the employee demonstrate behavior consistent with the Core Values. The employee shall support San Gabriel Valley Medical Center’s strategic plan and the goals and direction of the Performance Improvement Plan (PIP). Responsibilities Completes and documents initial assessment/care within required time frames. Performs reassessments/care at intervals as required or appropriate to the patient’s specific needs. Ensures physical assessment/care includes all major body systems. Ensures spiritual assessment/care includes actual/expressed needs. Incorporates cultural and ethnic factors into assessment/care. Correctly differentiates between normal and abnormal findings. Makes appropriate referrals for positive high risk screens. Identifies educational needs upon admission and thereafter. Identifies barriers to learning. Provides teaching based on identified needs. Evaluates the effectiveness of instruction provided. Assessment and teaching incorporates cultural and ethnic factors. Assessment and teaching incorporates functional needs. Develops and implements the plan of care based on assessment findings. Establishes the plan of care on admission. Re-evaluates and modifies the plan of care, based on the patient’s response to the interventions. Communicates the plan of care to members of the nursing team. Involves the patient/family in developing the plan of care. Demonstrates sound clinical judgement in decision-making regarding patient care. Communicates effectively with physicians and allied health team. Coordinates nursing care with other disciplines involved. Involves allied health team members, as necessary. Actively participates in multidisciplinary care conferences. Provides local wound care as ordered. Applies dressings as ordered or as appropriate to the type of wound. Documents nursing interventions using the FOCUS charting format. Demonstrates knowledge of procedures and post-care. Follows established protocols for patients at high risk for suicide or unpredictable behavior. Follows established protocols for patients at high risk for falls and skin breakdown. Follows appropriate Code Blue notification procedures. Functions in a Code Blue quickly and calmly providing CPR, administering and documenting medications/interventions accurately. Effectively prioritizes clinical interventions and care. Communicates significant changes in patient’s condition/status in a timely manner. Understands actions, side-effects, contra-indications of drugs. Follows five “rights” of medication administration. Adheres to medication policies, practices and standards. Administers medication, intravenous therapy and fluid management only on physician request and guidance. Obtains necessary training prior to initial equipment use. Assures equipment is in operating order prior to use. Differentiates between patient complications and equipment malfunction. Uses the following equipment in accordance with manufacturer’s operating instructions, including but not limited to: IV Pump Glucoscan PCA Pump Tube Feeding Pump Chest Tube Suction Defibrillator Bedside monitor Other duties as assigned. Qualifications E DUCATION /T RAINING /E XPERIENCE Graduate of a RN School of Nursing BSN- Preferred Excellent written and verbal communication skills Bilingual (English/Spanish/Vietnamese/Chinese) preferred Computer skills L ICENSES /C ERTIFICATIONS Current California RN License Current ACLS, BLS - AHA NIH Certification- within 90days of hire CCRN- Preferred