Registered Nurse - Emergency Room (PRN) 5394

Vantage Search Group•San Diego, CA

9h•$162,240 - $183,040•Onsite

About The Position

The Registered Nurse provides emergency room nursing services at Naval Medical Center San Diego, California. The RN coordinates patient care with healthcare professionals; performs examinations and health histories; provides counseling, education, medication administration, wound care, and other interventions; supervises and assigns care; and responds to emergencies. The role also includes accurate documentation, referrals, infection prevention, safety practices, legal and patient-rights awareness, continuing education, and participation in performance improvement, risk management, and staff training activities. The position also describes Health Promotion and Wellness responsibilities, including assessing patient and family education needs, delivering disease-prevention and self-management education, coordinating care and follow-up, evaluating learning and health outcomes, and working with multidisciplinary teams and community programs. The additional duties listed for a Lead Health Educator include coordinating data analysis and leading multidisciplinary health-promotion efforts; the posting does not state that the RN position is a Lead Health Educator role. 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 has been a break in employment, at least three years of extensive prior Emergency Room RN experience within the last six years; prior military Emergency Room RN experience requires at least one year.
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.
Minimum availability of three shifts per month.

Responsibilities

Coordinate patient care with healthcare professionals to support clinical outcomes, quality, and cost effectiveness.
Follow facility standards of care, policies, procedures, and guidelines.
Perform physical examinations and obtain health histories.
Provide health promotion, counseling, and education.
Administer medications, provide wound care, and perform other individualized interventions.
Direct and supervise care provided by other healthcare professionals and make assignments based on personnel scope of practice and skill level.
Recognize adverse signs and symptoms and respond promptly to emergencies, following protocols and documenting events.
Communicate and collaborate with patients, families, and healthcare staff 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 and disposal of infectious waste and universal precautions.
Follow safety procedures and escalate problems that cannot be managed independently.
Apply awareness of legal issues and reduce risk in patient-care situations.
Participate in the Family Advocacy Program as directed, including appropriate examinations, documentation, and reporting.
Respect patient and significant-other rights and maintain accountability for professional practice.
Participate in continuing education, staff in-service training, meetings, and clinical direction or training for supporting government healthcare workers as applicable.
Document patient care accurately, concisely, and promptly; maintain treatment records and required reports in accordance with clinic directives.
Operate automated systems such as ADS and MHS Genesis, participate in clinical Performance Improvement and Risk Management functions, 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 delivery of care.
Collect and evaluate health data to identify population trends and target Health Promotion and Wellness services.
Assess patient and family education needs and provide verbal and written instruction on self-management, chronic conditions, and wellness outcomes.
Coordinate nursing interventions with medical professionals using established VA/DoD Clinical Practice Guidelines to help prevent disease progression and unfavorable outcomes.
Coordinate and deliver reports to Health and Wellness teams and collaborate with departments, command, and community programs to connect patients with resources.
Provide primary, secondary, and tertiary interventions supporting education, self-management, and timely care.
Educate patients about disease processes and their effects on health and wellness, using motivational interviewing and behavior-change approaches.
Support pre-visit planning, after-visit summary review, follow-up contacts, goal setting, and identification of barriers to treatment goals.
Conduct individual and group education and counseling, including telephone follow-up and teaching to reinforce care-plan goals.
Evaluate patient and family learning and provide follow-up or referrals to specialty and community services as appropriate.
Use adult-learning and behavior-change theories to deliver health-promotion and disease-prevention interventions.
Help implement and evaluate health-promotion and disease-prevention education programs; coordinate programs with local leadership and target populations.
Coordinate special projects such as educational workshops, health fairs, displays, and programs for special groups.
Document educational activities and encounters in patient records in accordance with standards and confidentiality requirements.