New Grad RN ER Full Time Nights

Department Specific Duties:

• Obtains information and interpret information in terms of the patient’s needs.
• Demonstrates knowledge of growth and development. 
• Understands the range of treatment needed as appropriate to the ages of the patients served.
• Initiates interdisciplinary communications and incorporates recommendations.
• Consistently demonstrates the knowledge and skills necessary to provide care appropriate to the ages of the patients served in the Emergency Department.
• Acts as a liaison between patient, physicians, family/significant other and other health disciplines.
• Develops implements and updates an individualized teaching and Emergency Department discharge instructions.
• Initiates and documents progressive patient and family/significant teaching. 
• Facilitates the discharge process ensuring all goals are addressed prior to discharge.
• Utilizes current theories and knowledge for accurate assessments and evaluations on Emergency Department patients.
• Completes acuity evaluation on all assigned patients according to Emergency Department protocol.
• Consistently performs proficiently as a novice in the Emergency Department. Including but not limited to: Manages an average caseload specific to unit.  Adapts to altered work patterns, sets priorities, and modifies assignments to meet patient needs utilizing available resources and staff ability and availability.
• Administers medications prescribed by physicians according to policy, including IV’s, blood and blood products. Knows actions, indications, contraindications, precautions, adverse reactions, dosage and route of administration on all drugs before administering to patient Verifies against MAR for accuracy on an ongoing basis.  
• Consistently recognizes, evaluates and intervenes appropriately in life-threatening situations.
• Consistently checks for new patient orders throughout the shift and implements them in an appropriate timeframe. Completes an end of shift review of physician orders.
• Consistently recognizes variances of diagnostic tests, vital signs and assessments.  Notifies the physician in time appropriate to the variance.
• Functions as a charge nurse as assigned.
• Supports changes in clinical practice as evidenced by the plan of care for the patient and subsequent documentation.  
• Functions as a resource to co-workers.  
• Acts as preceptor, and other duties as assigned.
• Ensures compliance with Departmental policies and procedures.  Assume responsibility for knowledge and implementation of policy, procedure, practice, CPG, changes.  
• Maintains competence in nursing practice through in services and participation in ongoing continuing education per year.  3 = > 25 CEU or 10 CEU + 3 Units College Credit,  2 = 10 - 24 CEU , 1 = < 10 CEU  
• Participates in the Quality Improvement Program.
• Monitors resource utilization and charge completion utilization is inconsistent and or incomplete  
• Follows appropriate chain of command for problem resolution approaching problem solving with a positive attitude and suggestions.
• Consistently demonstrates accountability for supervision and communication when assigned with LVN’s , unlicensed assistive personnel, and float personnel.
• Reports, documents, and takes appropriate action (by the end of shift) for incidents and or quality care issues that may affect the patient’s or staff well-being.
• Consistently assesses patients for risk of injury and takes appropriate action to reduce risk and promote safety.
• Uses restraints according to policy and consistently explores other options less restrictive.  Accurate documentation demonstrated in medical record.
• Serves as advocate for patient/family by providing information and assists in utilization of available resources and or alternatives for making health care decisions (i.e. advanced directives, ethics consult etc.)
• Handles and disposes hazardous waste safely and appropriately
• Consistently handles oxygen safely
• Consistently practices hand washing and use of protective wear 
• Establishes or assesses proper identification prior to delivery of care.
• Requests clarification of Physician orders as necessary.

 1yr more ER experience required

1. Current CA Registered Nurse License 
2. Bachelor Degree in Nursing BSN
3. Current American Heart Association BLS Certification (maintain current at all times)
4. Current American Heart Association ACLS Certification (maintain current at all times)
5. Current American Heart Association PALS Certification (maintain current at all times)
6. Effective verbal and written skills to communicate with people on all levels and able to maintain positive working relationships with parents, families, and co-workers
7. Possess active listening skills
8. Compassionate and non-judgmental care giver and advocate
9. Able to independently manage multiple priorities
10. Must comply with Respiratory Fit Testing Protection
11. Must successfully complete EKG test within the first 30 day of hire 
12. NIHSS within the first 30 days of entry into this position
13. MICN and TNCC

Preferred:

        CEN, ENPC

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Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.