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 an ill neonate 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

SPECIFIC JOB DUTIES:

• 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
  • Glucometer
  • PCA Pump
  • Chest Tube Suction
  • Defibrillator
  • Epidural Pump
  • Rapid Blood Infuser
  • D&C Machine
  • Stratus Interpreter Machine
  • Fetal Monitor
  • Pulse Oximeter
• Other duties as assigned

Qualifications

Graduate of a RN School of Nursing

Excellent written and verbal communication skills

Bilingual (English/Spanish/Vietnamese/Chinese) preferred

Computer skills

Current California RN License

Current BLS, ACLS, NRP Card

Advanced Fetal Monitoring AWHONN Certificate