Clinical Nurse I: Digestive Health Clinic

Hoag•Newport Beach, CA

About The Position

The Clinical Nurse I – MedSurg role provides direct patient care in accordance with the Nurse Practice Act to assigned patients on Medical/Surgical units. The nurse collaborates with other disciplines of the health care team to ensure the delivery of safe, timely and appropriate quality patient care. This includes providing physical assessments, nursing interventions, pain management, medication administrations, specimen collection, meeting nutritional needs, and teaching and discharge needs of the patients assigned. Utilizes the nursing process based on evidence-based best practices to meet patient care needs. Evaluates and adjusts the nursing care process as necessary with consultation as needed, and confers with the appropriate resource personnel when making ethical/legal/medical dilemma decisions. Performs other duties as assigned. Outpatient Chemical Dependency Program: Conducts Nursing assessments of patients, screening for needs and other health-related concerns. Performs patient assessments including vital signs and monitoring for patient needs. Work closely with MD/NP and therapists as a vital part of the treatment team. Coordinate care with outside providers. Monitor lab results and refer to physician within protocols and guidelines. Identify the need for crisis intervention and clinical nursing practice including personal care services, monitoring and reporting findings, medication self-administration, client teaching and health education, emergency intervention and other nursing services within professional scope of practice. Therapeutic Apheresis: Performs therapeutic apheresis procedures and mononuclear cell (MNC) collection processes in both the outpatient and inpatient settings. Collaborates with other disciplines of the health care team to ensure the delivery of safe, timely and appropriate quality patient care. Maintains professional accountability in maintaining compliance with all applicable regulatory agencies as they apply while providing the highest quality of therapeutic apheresis services to the community. May be called as a resource on a variety of central access catheters related issues. Performs the following apheresis procedures and give rationale for their use: Therapeutic Plasma Exchange, Therapeutic Leukopheresis, Mononuclear Cell Collection. Performs venipuncture and peripheral/central venous access care, including: Arterio-venous graft/fistula, subclavian, internal jugular and femoral central venous catheters. Conduct routine maintenance and quality control on all apheresis and procedure related equipment and assure documentation meets cGMP requirements.

Requirements

BSN or that a BSN program is started within one year of hire date and BSN degree is attained within two years of the starting the BSN program.
Current BLS certification prior to clinical rotation.
Registered Nurse in the State of California - Current and in good standing.
ADN required for Therapeutic Apheresis.
One year critical care, dialysis, or donor/patient apheresis experience for Therapeutic Apheresis.
Solid computer technical skills required, including proficiency with Microsoft Office products (Outlook, Word, Excel, PowerPoint, Visio) and additional Organizational systems (Affinity, SMS, and PACS).
Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order (for Home Health and Hospice).

Nice To Haves

BSN preferred.
Fulfills mandatory stroke education requirements per certification (Advanced Brain and Spine Unit).
Neurology and Neurosurgery telemetry experience preferred, including but not limited to: stroke, seizure, brain tumor/surgery, Parkinson’s, spinal surgery (Advanced Brain and Spine Unit).
Experience in Functional Improvement Measure (FIM) preferred (Acute Rehab).
Previous experience in rehab nursing preferred (Acute Rehab).
Successful completion of Sub-Intensive, Intermediate, Progressive or Critical Care course/experience preferred (Cardiac Telemetry).
Successful completion of ECG test required (Cardiac Telemetry).
Previous telemetry experience preferred including but not limited to PACU, ED, ICU/CCU, GI Lab units (Gamma Knife).
Successful completion of ECG test required (Gamma Knife).
Moderate Sedation experience required (GI Lab).
Previous GI nursing experience preferred (GI Lab).
Medical/Surgical, Gyn/Urology experience preferred (Gyn/Urol).
Experience in cardiac telemetry required (Heart and Vascular Institute (HVI)).
Successful completion of ECG test required (Hoag Orthopedic Institute (HOI)).
Orthopedic nursing experience preferred (Hoag Orthopedic Institute (HOI)).
One (1) year of home health care experience preferred (Home Health).
Minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred (Hospice).
Successful completion of ECG test required (Ortho Surgery Center).
Two years clinical/management experience preferred (Ortho Surgery Center).
At least 2 years of experience in addiction/behavioral health environment preferred (Outpatient Chemical Dependency Program).
Self-motivated and directed, must have a positive attitude toward individuals in substance abuse treatment (Outpatient Chemical Dependency Program).
For Oncology infusion, oncology infusion experience is required (Outpatient Treatment Centers Infusion).
For Non-Oncology Infusion, no experience is required (Outpatient Treatment Centers Infusion).
Pain Management Procedural/Clinic experience, Interventional Radiology Procedural experience, Vascular access experience, Spine Ortho/neuro specialty experience, OR Circulating experience preferred (Pain Management Center).
Oncology experience preferred (Radiation Oncology).
Interventional Radiology experience preferred (NB Interventional Radiology, CT, Magnetic Resonance, Ultrasound, Main X-Ray).
Interventional Radiology and/or vascular access experience preferred (HHI Main X-Ray).
Ultrasound guided vascular access experience is preferred (PICC Services).
Experience in SUB-ICU preferred (Surgical – 6 West).
Experience on Surgical-6 West unit preferred (Surgical – 6 West).
Previous Telemetry experience preferred (Telemetry).
BSN preferred (Therapeutic Apheresis).
One year donor/patient apheresis experience preferred (Therapeutic Apheresis).
Certified Rehabilitation Nurse (CRRN) and NIHSS certification (Acute Rehab).
CNRN &/or SCRN (Advanced Brain and Spine Unit).
PCCN (Cardiac Telemetry).
PCCN (Heart and Vascular Institute (HVI)).
PALS certification is preferred (Gamma Knife).
Chemotherapy/biotherapy certification preferred. ONSONCC (Outpatient Treatment Centers Infusion (Non-Oncology)).
Certified Addictions Registered Nurse Specialty Certification CARN (Outpatient Chemical Dependency Program).
Certified Addictions Registered Nurse Specialty Certiﬁcation CARN (Chemical Dependency In-Patient Detox).
CRN (Certified Radiology Nurse) is preferred (HHNB Interventional Radiology, CT Scan, Magnetic Resonance Imaging, Ultrasound, Main X-Ray).
ACLS Certification (Therapeutic Apheresis).
OCN preferred (Radiation Oncology).
ONS/ONCC Chemotherapy Immunotherapy Certificate Course (ONS- Oncology Nursing Society) required within 24 months of hire (Irvine Medical – Oncology).

Responsibilities

Provides direct patient care in accordance with the Nurse Practice Act to assigned patients on Medical/Surgical units.
Collaborates with other disciplines of the health care team to ensure the delivery of safe, timely and appropriate quality patient care.
Provides physical assessments, nursing interventions, pain management, medication administrations, specimen collection, meeting nutritional needs, and teaching and discharge needs of the patients assigned.
Utilizes the nursing process based on evidence-based best practices to meet patient care needs.
Evaluates and adjusts the nursing care process as necessary with consultation as needed, and confers with the appropriate resource personnel when making ethical/legal/medical dilemma decisions.
Conducts Nursing assessments of patients, screening for needs and other health-related concerns.
Performs patient assessments including vital signs and monitoring for patient needs.
Works closely with MD/NP and therapists as a vital part of the treatment team.
Coordinates care with outside providers.
Monitors lab results and refers to physician within protocols and guidelines.
Identifies the need for crisis intervention and clinical nursing practice including personal care services, monitoring and reporting findings, medication self-administration, client teaching and health education, emergency intervention and other nursing services within professional scope of practice.
Performs therapeutic apheresis procedures and mononuclear cell (MNC) collection processes in both the outpatient and inpatient settings.
Maintains professional accountability in maintaining compliance with all applicable regulatory agencies as they apply while providing the highest quality of therapeutic apheresis services to the community.
May be called as a resource on a variety of central access catheters related issues.
Performs therapeutic plasma exchange, therapeutic leukopheresis, and mononuclear cell collection.
Performs venipuncture and peripheral/central venous access care, including: Arterio-venous graft/fistula, subclavian, internal jugular and femoral central venous catheters.
Conducts routine maintenance and quality control on all apheresis and procedure related equipment and assures documentation meets cGMP requirements.