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Registered Nurse/Float Pool/PRN (Day and Night Shift)

JOB SUMMARY:
The Registered Nurse/Float Pool/PRN is a flexible and experienced professional RN who is competent to work within one of the following specialty groups:
Medical Surgical Units
Women's Services Post-Partum
Labor and Delivery/High Risk Prenatal /Post-Partum
Pediatrics/PICU
NICU
ICU/Telemetry
Emergency Department
Emergency Department/ICU
Cardiac Cath Lab, G.I. Lab, Radiology
Operating Room
Post Anesthesia Care Unit
The assignment will be based on the PRN clinical skills, critical thinking, and expertise, including required certifications.
The PRN is a clinical nurse who utilizes the nursing process to provide safe and therapeutic patient care. A PRN functions as a productive member of the interdisciplinary team, carries out established policies, procedures and standards to meet the needs of high acuity patients. A PRN advocates for the advancement of the mission, vision and values of the organization, i.e. promotes patient throughput, the optimal patient experience and integrates evidenced based nursing into clinical practice.
EXPERIENCE/QUALIFICATIONS:
Minimum two (2) years current clinical experience as a registered nurse in an acute-care setting.
Validated competencies in the following areas: clinical practice, evidence based practice, research, Quality/Process Improvement, education, and leadership (i.e. preceptor / mentor / charge responsibilities)
EDUCATION:
Bachelor of Science degree in Nursing
LICENSURES/CERTIFICATION:
Current licensure with the California Board of Registered Nursing
Must successfully complete and maintain LA City Fire Card certification 30 days of employment or transfer
Upon hire, see PRN Program Agreement for specific required certifications. Required certifications will be designated based on PRN assignment.
DUTIES AND RESPONSIBILITIES (These are the essential job functions for this position. The essential functions of this job include, but may not be limited to those listed in this job description. Employees hired for this position must be able to perform the essential function of this job without imposing significant risk of substantial harm to the health or safety of themselves or others):
Clinical Inquiry and Critical Thinking- Engages in the ongoing process of questioning and evaluating practice and bringing informed practice to the bedside. Creates practice changes through research utilization and experiential learning.
Communication - Communication with RN's, Physicians, and other members of the health care team is professional & collegial. Utilizes SBAR communication format when appropriate. Patient Discharge Process - Provides ongoing discharge instruction and education to patient/family based on individual patient needs. Adheres to VPH discharge process and applies necessary standards of care.
Confidentiality - Maintains strict confidentiality at all times. Follows HIPAA and VPH policies for confidentiality at all times. Conducts daily activities within the appropriate ethical and legal guidelines as defined by the Compliance program and in accordance with Valley Presbyterian Hospital's mission, vision and values. Maintains confidentiality, security, and integrity of patient and hospital data.
Delegation - Delegates tasks according to the BRN legal scope of practice and effectively supervises patient care.
Documentation and Computer System Utilization - Utilizes information technology to document processes of care in a timely manner within installed clinical information systems.
Evaluation of Care - Evaluates the effectiveness of the care plan through observation of the patient's physical condition, behavior, signs and symptoms of illness, and reactions to treatment, through communication with the client and the health team members, and modifies the plan as needed.
Evidenced-Based Practice - Follows advanced standards and guidelines, implements clinical changes and research-based practices.
Facilitator of Learning ? Consistently acts as a resource and role model for other clinical personnel.
Infection Control - Demonstrates knowledge of and adheres to Universal Precautions, and VPH infection control standards; including diligence with hand sanitation before and after each patient contact.
Information Seeking and Validation of Care Standards - Questions policies, guidelines, and current practice, seeks resources and information to improve patient care.
Medications/ Safety - Administers medications per hospital and department policy and role-modeling patient medication rights with proper identification of patient prior to administration. Reports medication errors to Charge Nurse, Manager, or medication safety hot-line. Promptly notifies physician of any medication error to patient. Serves as a safety role model for prevention and all other safety initiatives.
Nursing Process, Assessment, and Diagnosis - Collects and accurately interprets complex patient data using the nursing process to provide for total patient care needs, patient/family issues or problems. Provides highly effective physical, technical, interpersonal and organization skills to problem solve. Formulates a nursing diagnosis through the observation of the patient's physical condition, behavior, and through interpretation of information obtained from the patient and others, including the health care team. Consistently completes accurate, up to date care plans and/or treatment plans. Performs skills in a highly competent manner based on patient need, explains the treatments to the patient and family and teaches the patient and family how to care for their health needs.
Patient Advocate ? Represents the patient and family, advocating in support of their values and, beliefs. Recommends and implements best practices and standards.
Patient Experience - Demonstrates caring and compassion: uses a warm approach; maintains a kind attitude; provides a gentle touch. Anticipates patient and family needs so waiting is avoided when possible. When waiting is required, keeps patient/family informed and provides a comfortable setting for waiting. Apologizes for unanticipated delays in service. Promotes individualized patient care plans, hourly rounding, and individualized discharge teaching for patients. Functions as a team player, eager to offer assistance with an approachable attitude.
Performance Improvement - Actively participates in achieving unit or hospital quality initiatives such as patient satisfaction, core measures, DNV/regulatory compliance, DHS requirements, and PI projects (i.e.. fall prevention, decreasing the use of restraints, preventing hospital acquired pressure ulcers, and pain management)
Patient Throughput - Supports patient throughput efforts to place, transfer, and discharge patients in a safe and timely manner.
Preceptor? Orients new staff. Actively and willingly participates as a preceptor for new RN's, nursing students, and other clinical personnel.
Relief Charge Nurse ? May serve as a relief charge if needed.
Must be able to fulfill the essential functions of the position and other duties as assigned.
The following job accountabilities are not unique to this particular job but are common to all jobs at VPH:
Complies with VPH policies and procedures on customer satisfaction and service excellence. Demonstrates professionalism and cultural sensitivity in coordinating activities and communicating with all customers, peers, and the community at large. Conducts self in a professional, respectful and courteous manner during all interactions. Works effectively and collaboratively with others toward common goals.
Communicates accurately, honestly, supportively and in a timely manner with department and interdepartmental team members. Demonstrates effective business writing and oral communication skills, handwriting is clear and legible.
Participates in operational aspects of the department, and maintains/participates in performance improvement activities within the department.
Participates in all departmental specific training, Environment of Care (injury/illness prevention, fire/life safety, hazardous materials, emergency preparedness, utilities management, medical equipment management, safety and security management), infection control (standard precautions, TB Exposure Control Plan, Bloodborne Pathogen Exposure Control Plan).
Demonstrates knowledge of and follows safety practices. Understands the importance of safety, including patient safety in the work place. Maintains a safe environment for self and others.
Actively participates in the Patient Safety Program, including event reporting. Identifies sentinel events/near misses and responds per defined organization processes. Participates in education activities and process implementation. Demonstrates advocacy for the patient/customer and appropriately acknowledges patients, customers and visitors.
The above statements reflect the essential functions considered necessary to describe the principle content of the job. They are not intended to be a complete statement of all work requirements or duties that may be inherent in the job.
WORK ENVIRONMENT:
Primarily an inside building/office environment, well lighted and ventilated, which may consist of multiple treatment and/or work sites.
Fast and continuous work pace with variable workload.
Frequent contact with staff and public under a variety of circumstances.Requires ability to communicate clearly (in English) verbally and in writing for effective communication with other staff members, physicians, vendors, community members, patients and patient families, employees and applicants of all socio-economic levels from a diverse cultural and ethnic population.
Subject to many interruptions from multiple calls and inquiries and potentially emotional situations involving accidents, injuries, illness and/or death.
Handles emergency/crisis situations in accordance with Hospital policy.
Answers phones or pages; may carry a beeper/pager, and/or use a two-way radio.
Occasional travel may be required.
Potential risk of exposure to hazards from chemicals (toxic and non-toxic), flammable materials, gas or electrical or radiant energy or equipment with/without moving parts
PHYSICAL DEMANDS:
Patient Care ( Continuous: 66 to 100% of time, Frequent: 33 to 65% of time, Occasional: 0 to 32% of time)
Frequent sitting and standing/walking with frequent position change.
Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and chest level.
Occasional/intermittent reaching at or above shoulder level.
Occasional/intermittent bending, squatting, kneeling, pushing/pulling, twisting, and climbing.
Occasional/intermittent lifting and carrying objects/equipment weighing up to 25 pounds.
Continuous use of near vision, hearing and verbal communication skills in handling telephone calls, interacting with customers and co-workers and performing job duties.



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