Clinical Nurse C - Adult ED

Loma Linda University Health • Loma Linda, CA

1d • Onsite

About The Position

The Clinical Nurse C-Emergency Department (ED), functions in a Magnet Recognized large tertiary academic medical center with level one trauma designation, ST-Elevation Myocardial Infarction (STEMI) receiving center designation, Comprehensive Stroke Center and Chest Pain Center accreditation. Performs the nursing process (assessment, care planning, intervention, evaluation) independently in a fast-paced environment that treats a culturally diverse patient population presenting with a variety of illnesses and diseases in varying stages and/or minor and major injuries. Rapidly assesses and stabilizes patients with life-threatening situations with a high level of competence. Exhibits proficient decision-making skills and effectively utilizes skilled discretion and independent judgment to prioritize, coordinate, provide and document direct and indirect age-specific and developmentally appropriate quality patient-centered care in accordance with LLUMC's established Professional Practice Model (Duffy's Quality Caring Theory). Makes complex effective decisions, multitasks and balances and prioritizes each patients' needs and treats accordingly. Demonstrates flexibility and efficiently manages multiple cases simultaneously and continuously prioritizes needs. Works collaboratively with physicians from multiple services lines and assists with common and complex procedures. Displays advanced confidence in dealing with community emergency situations, catastrophic incidents and mass casualties. Receives patients from first responders brought in by land and air ambulances, patients that are brought in during mass causalities, and walk-in patients seeking care. Demonstrates flexibility and manages multiple cases simultaneously and continuously prioritizes needs. Works at maximum efficiency without compromising patient care. Implements standing orders appropriately. Handles unexpected situations and changes in direction calmly and with a high level of confidence. Understands the significance each role of the multidisciplinary team plays to provide optimum care in the emergency/trauma patient, e.g., pre-hospital care providers, law enforcement agency staff, chaplains, social workers, case managers, multiple physician services and consult staff, licensed and unlicensed care providers, triage nurses, Mobile Intensive Care Nurses (MICNs), and the Hospital Emergency Response Team (HERT) that goes out into the community when needed. Demonstrates advanced knowledge about agencies governing emergency and trauma services, e.g., Emergency Medical Treatment & Labor Act (EMTALA), local Emergency Medical Services (EMS) agency, Inland Counties Emergency Medical Association (ICEMA), and State Emergency Medical Services Authorities (EMSA), in addition to state and federal hospital regulations. Applies advanced theoretical concepts to clinical practice and continually expands knowledge base and clinical skills with a focus in emergency and trauma medicine. Contributes to nursing excellence and embraces new knowledge, innovations and improvements in practice to enhance the patient experience and clinical outcomes. Exhibits refined interpersonal skills to maximize patient satisfaction, safe patient care and professionalism. Functions in a skills mix environment and effectively supervises and delegates tasks to licensed and unlicensed staff. Skillfully resolves disagreements and conflicts among team members as needed. Meets qualifications, licensure, certifications and competencies as defined in the department-specific Plan for Providing Care. Contributes to a work environment of caring and cooperation among a culturally diverse workforce and patient population. May be requested to serve in Shift Coordinator role upon completion of Shift Coordinator orientation. May be required to participate in on-call rotation based on department business needs. Performs other duties as needed.

Requirements

• Bachelor of Science Degree in Nursing (BSN) required.
• If hired into a Loma Linda University Health entity prior to April 1, 2020, an Associate Degree or Diploma Degree in Nursing required.
• Two years of nursing experience required.
• Active California Registered Nurse (RN) license required.
• Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS) certifications issued by the American Heart Association required.
• Trauma Nursing Care Course (TNCC) and Emergency Nurse Pediatric certification through the Emergency Nurse Association required within one year of hire.
• Demonstrates advanced competencies in clinical nursing.
• Ability to apply theoretical concepts to clinical practice and continually expands knowledge base and clinical skills with a focus in emergency and trauma nursing.
• Basic knowledge of healthcare regulations and accreditation required.
• Exhibit professional behavior at all times and works calmly and responds courteously when under pressure.
• Able to speak, read and write legibly in English (and Spanish preferred) with professional quality.
• Able to use computer, printer and software programs necessary to the position, e.g., Word, Excel, Outlook, electronic medical record, electronic event reporting program.
• Able to troubleshoot and calibrate patient care equipment.
• Able to perform technical patient care activities.
• Able to relate and communicate positively, effectively and professionally with others.
• Able to be assertive and consistent in following and/or enforcing policies.
• Able to teach, collaborate.
• Able to accept direction.
• Able to think critically.
• Able to work independently with minimal supervision.
• Able to perform basic math and statistical functions.
• Able to manage multiple patient assignments effectively.
• Able to organize and prioritize workload.
• Able to problem solve.
• Able to recall information with accuracy.
• Able to pay close attention to detail.
• Able to distinguish colors and smells as necessary for patient care.
• Able to hear sufficiently for general conversation in person and on the telephone.
• Able to identify and distinguish various sounds associated with the work place.
• Able to see adequately to read computer screens, medical records and written documents necessary to position.
• Able to discern temperature variances through touch.

Nice To Haves

• Certified Emergency Nurse preferred.

Responsibilities

• Performs the nursing process (assessment, care planning, intervention, evaluation) independently in a fast-paced environment that treats a culturally diverse patient population presenting with a variety of illnesses and diseases in varying stages and/or minor and major injuries.
• Rapidly assesses and stabilizes patients with life-threatening situations with a high level of competence.
• Exhibits proficient decision-making skills and effectively utilizes skilled discretion and independent judgment to prioritize, coordinate, provide and document direct and indirect age-specific and developmentally appropriate quality patient-centered care.
• Makes complex effective decisions, multitasks and balances and prioritizes each patients' needs and treats accordingly.
• Demonstrates flexibility and efficiently manages multiple cases simultaneously and continuously prioritizes needs.
• Works collaboratively with physicians from multiple services lines and assists with common and complex procedures.
• Displays advanced confidence in dealing with community emergency situations, catastrophic incidents and mass casualties.
• Receives patients from first responders brought in by land and air ambulances, patients that are brought in during mass causalities, and walk-in patients seeking care.
• Implements standing orders appropriately.
• Handles unexpected situations and changes in direction calmly and with a high level of confidence.
• Understands the significance each role of the multidisciplinary team plays to provide optimum care in the emergency/trauma patient.
• Demonstrates advanced knowledge about agencies governing emergency and trauma services.
• Applies advanced theoretical concepts to clinical practice and continually expands knowledge base and clinical skills with a focus in emergency and trauma medicine.
• Contributes to nursing excellence and embraces new knowledge, innovations and improvements in practice to enhance the patient experience and clinical outcomes.
• Exhibits refined interpersonal skills to maximize patient satisfaction, safe patient care and professionalism.
• Functions in a skills mix environment and effectively supervises and delegates tasks to licensed and unlicensed staff.
• Skillfully resolves disagreements and conflicts among team members as needed.
• Contributes to a work environment of caring and cooperation among a culturally diverse workforce and patient population.
• May be requested to serve in Shift Coordinator role upon completion of Shift Coordinator orientation.
• May be required to participate in on-call rotation based on department business needs.
• Performs other duties as needed.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior