Registered Nurse - Emergency Room (PRN) 5394

Vantage Search Group•San Diego, CA

17h•Onsite

About The Position

The Registered Nurse provides emergency-room nursing services at the Naval Medical Center in San Diego, California. The RN coordinates patient care with healthcare professionals; performs examinations and takes health histories; provides counseling and education; administers medications and wound care; supervises care provided by other professionals; and responds to emergencies. The role includes making patient assignments appropriate to staff scope and skill, arranging referrals and specialty care, maintaining timely and accurate records, and following applicable standards, facility policies, infection-control requirements, safety procedures, and legal and patient-rights requirements. The RN also supports health promotion and wellness services. Responsibilities include assessing patients’ and families’ education needs, delivering individual and group education and counseling, supporting self-management of chronic conditions, coordinating follow-up and referrals, and collaborating with multidisciplinary teams and community programs. The RN may contribute to program development, health data evaluation, policy guidance, reports, training, performance improvement, and risk management activities. The posting additionally describes lead health educator duties, including coordinating and leading multidisciplinary health-promotion work and serving as a clinical resource to health educators and staff. This is a PRN position requiring a minimum of three shifts per month. Emergency-room coverage is required 24 hours a day, seven days a week, including federal holidays. Shifts are 12.5 hours; the listed night shift is 5:45 p.m. to 6:15 a.m.

Requirements

Baccalaureate Degree in Nursing, Graduate Diploma in Nursing, or Associate Degree in Nursing from an accredited agency such as ACEN or CCNE.
At least three years of Emergency Room RN experience within the last four years; alternatively, if there was a break in employment, at least three years of extensive previous Emergency Room RN experience within the last six years; prior military experience as an Emergency Room RN requires at least one year of experience.
Current, full, active, unrestricted RN license from any state.
Maintain current AHA or ARC BLS and PALS certifications.
Ability to pass a government background check/security clearance.

Responsibilities

Coordinate patient care with healthcare professionals and support optimal clinical, quality, and cost-effectiveness outcomes.
Comply with standards of care, practice guidelines, facility policies, procedures, and applicable clinical protocols.
Perform physical examinations and obtain health histories.
Provide health promotion, counseling, and patient and family education.
Administer medications, provide wound care, and deliver individualized nursing interventions.
Direct and supervise care provided by other healthcare professionals, and assign patient care according to staff scope of practice and skill level.
Recognize adverse signs and symptoms, anticipate emergencies, and intervene promptly according to established protocols.
Communicate and collaborate with patients, families, colleagues, and the healthcare team about care plans and education.
Make referral appointments and arrange specialty care as appropriate.
Maintain productivity comparable to others performing similar services and participate in peer review and performance-improvement activities.
Use aseptic techniques and comply with infection-control practices, including proper handling, storage, and disposal of infectious waste and use of universal precautions.
Follow safety procedures; notify designated leadership of problems the RN cannot manage; and apply legal and risk-reduction awareness in patient care.
Participate in the Family Advocacy Program as directed, including appropriate examination, documentation, and reporting.
Respect patient and significant-other rights and remain accountable for professional practice and continuing education.
Participate in performance-improvement and risk-management activities, care-review meetings, and corrective-action recommendations.
Provide in-service training and assist with training or clinical direction for supporting government healthcare workers, such as hospital corpsmen and students.
Attend meetings as directed and maintain timely, accurate, concise, and legible patient documentation and required reports in accordance with clinic instructions.
Operate automated systems such as ADS and MHS Genesis, maintain a DOD email account as directed, and respond to email and voicemail communications.
Manage Health and Wellness Department patient care to support education, self-management, and timely care delivery.
Collect, analyze, interpret, and evaluate data to identify trends and target health-promotion and wellness services.
Assess patient and family education needs and provide verbal and written instructions on self-management, chronic conditions, and health and wellness.
Coordinate nursing interventions using VA/DoD Clinical Practice Guidelines with medical professionals, including providers and pharmacists, to reduce disease progression and unfavorable outcomes.
Collaborate with multidisciplinary teams to assess health-promotion risks, analyze health data, develop educational content and policy guidance, and evaluate outcomes.
Coordinate reports and collaborate with departments, command, and community programs to support patients’ health and wellness goals.
Provide primary, secondary, and tertiary interventions, and educate patients about disease processes and strategies for engagement, including motivational interviewing and behavior-change models.
Support pre-visit planning, after-visit-summary review, follow-up on recommendations, goal setting, identification of barriers, and patient engagement.
Conduct individual and group education and counseling, including telephone follow-up, and evaluate learning objectives and arrange follow-up or referrals as appropriate.
Use adult-learning and behavior-change theories to provide health-promotion and disease-prevention interventions and support education programs for all populations.
Coordinate health-promotion programs with leadership and beneficiary populations, including workshops, health fairs, displays, and programs for special groups.
Document educational activities, services, and encounters in patient records while maintaining confidentiality.
For the additional lead health educator duties: coordinate and lead multidisciplinary health-promotion work, provide program input and technical guidance as requested, and serve as a clinical resource to Health and Wellness Department health educators and staff.