Registered Nurse Iii, Sheriff/Correctional Health

County of Los Angeles • Los Angeles, CA

48d • Onsite

About The Position

This proficient level class provides professional nursing care and services to inmate patients in a Sheriff's custody facility. The County of Los Angeles is currently offering up to a 20% bonus for full-time Registered Nurse III, Sheriff positions hired by Correctional Health Services and working on-site in a designated facility to meet critical healthcare needs for the uniquely underserved jail population. Los Angeles County is under a Department of Justice Consent Decree to improve conditions and mental health care in County jails and support justice-involved populations post-release. LA Health Services is seeking qualified candidates to fill emergency Registered Nurse III, Sheriff vacancies related to the DOJ Consent Decree. Under the emergency order, applicants who meet the requirements may be hired for an initial period of up to 90 days, with an opportunity for permanent County employment. Before your initial work period ends, you will be assessed on your work performance. Those who successfully pass the assessment will be considered for permanent appointment to Registered Nurse III, Sheriff. LA Health Services is LA County’s integrated healthcare system and the second-largest public health system in the nation. Our system includes four public hospitals, more than 20 community health centers, Emergency Medical Services (EMS), Correctional Health Services, and community-based programs. We serve as the safety net for more than 10 million residents, providing care regardless of ability to pay, insurance coverage, or immigration status. Our mission is to advance the health of our patients and our communities by providing extraordinary care.

Requirements

• Six years of full-time registered nursing experience.
• Three years of which must be at the level of the Los Angeles County classification Registered Nurse II or Registered Nurse II, Sheriff.
• A license to practice as a Registered Nurse issued by the California Board of Registered Nursing.
• A current, active certification in accordance with the American Heart Associate's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program.
• A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.
• Full-time experience is defined as a minimum of 40 hours worked per week and must be post-license only.
• Experience at the level of Registered Nurse II or Registered nurse II, Sheriff in the County of Los Angeles is defined as: Providing professional nursing care and services to patients in a variety of settings.
• Serving as an expert or specialist who gives practical experience and training to a new hire, a re-entry, or a nurse that is transitioning into a new area.

Nice To Haves

• Applicants who meet the requirements may be hired for an initial period of up to 90 days, with an opportunity for permanent County employment.
• Those who successfully pass the assessment will be considered for permanent appointment to Registered Nurse III, Sheriff.

Responsibilities

• Follows established policies and procedures within their scope of practice.
• Complies with licensing and accreditation standards and other regulatory requirements.
• Interprets and supports standards and requirements to others.
• Conducts assessment of performance of self and others including goal setting.
• Identifies own learning needs.
• Seeks and provides feedback regarding patient and clinical practice issues.
• Accepts personal accountability and demonstrates initiative in continuing to develop nursing knowledge and skills.
• Communicates and collaborates effectively as a member of an interdisciplinary healthcare team as needed.
• Participate in a lead role during patient care conferences, committee meetings, staff development, standardized procedures and/or educational programs to increase or maintain professional competency.
• Seeks and obtains experiences that reflect current clinical practice, or evidenced-based practice, to maintain and enhance professional and clinical skills and competencies.
• Maintains knowledge of current techniques, trends, and professional issues; forecasts new knowledge needs for changing practice environment and/or population groups.
• Plans, implements, and evaluates strategies to meet those needs.
• Maintains courteous and respectful interactions with patients, co-workers, and members of the public.
• Provides care in a non-judgmental, non-discriminatory manner.
• Respects patient rights; adheres to and protects patient privacy, confidentiality, and security guidelines.
• Reviews and appropriately responds to ACLU inquiries, third party complaints, inmate complaints, and court orders by providing complete and accurate information in accordance with policies and procedures.
• Completes and maintains accurate and legible documentation, records, and unit reports in a clear, concise, and timely manner.
• Reports and appropriately intervenes in incidents involving patients, visitors, and employees.
• Delegates, assigns, and supervises the assigned work of others including Licensed Vocational Nurses (LVNs), nursing attendants, technicians, clerical staff, and students.
• Serves as a preceptor.
• Mentors staff; effectively applies principles of adult learning theory and concepts of novice-to-expert to facilitate role development and develops staff for career progression.
• Develops, conducts, and implements performance improvement activities for population served.
• Recognizes when policies, procedures, and practices need to be revised.
• Recommends changes based on knowledge of evidence-based practice.
• Participates and lead in approved clinical investigations or research studies in accordance with departmental policies.
• Participates in product evaluation and product standardization activities.
• Participates in organization-wide committees and projects.
• Serves as a liaison between committees, staff, and management.
• Provides consultation to other members of interdisciplinary team.
• Collaborates with other health care providers to plan, implement, and evaluate patient educational programs.
• Facilitates effective communication with the health care team, staff, patient, and visitors by ensuring that desired outcomes are met in a collaborative and professional manner.
• Monitors and evaluates the provision, quality, and documentation of care provided.
• Provides leadership in identifying ethical issues in the practice setting and initiates actions to facilitate resolution.
• Performs the duties of the lead nurse for a shift or other designated time period.
• Assists in the operation and troubleshooting of information technology systems to facilitate patient care.
• Performs Standardized Procedures competently and in accordance with departmental policies and procedures.
• Designs, modifies, and implements processes compatible with professional standards, the mission, and the goals of the organization to improve performance and outcomes.
• Interviews patient and other individuals to collect information as part of a comprehensive assessment.
• Observes and analyzes overall patient condition, including physically assessing the patient.
• Identifies economic, educational, and cultural barriers; patient values and beliefs; spiritual influences; age specific and biophysical needs according to accepted standards of practice and departmental policies and procedures.
• Reviews all available information including medical records, patient history, and other documentation.
• Documents all findings and observations.
• Initiates reassessment of patients as necessary when a patient is currently or potentially at physiologic, psychological, and psychosocial risk.
• Recognizes deviations from baseline and interprets subtle changes in a patient's condition.
• Prioritizes care based on the appropriate identification of nursing diagnosis and patient needs.
• Synthesizes all available patient information, including observations by other health care team members and patient's significant others, and anticipates variances from expected patient outcomes.
• Creates, validates, and/or improves tools to ensure assessment data is collected and documented.
• Formulates a plan of care and/or nursing care plan based upon assessment and in accordance with provider orders and/or department's standardized procedures.
• Identifies nursing care objectives and makes appropriate referrals.
• Prioritizes patient care needs and activities as a member of an interdisciplinary patient care team.
• Evaluates and modifies plans of care, in collaboration with the interdisciplinary team, and develops measurable long and short-term goals.
• Coordinates patient care in collaboration with other interdisciplinary patient care team members.
• Develops appropriate interventions which may include consultation with interdisciplinary team.
• Establishes patient goals and treatment plans.
• Modifies plan of patient care based on reassessment findings, specific patient care needs, and/or changes in interdisciplinary treatment plan.
• Identifies and coordinates referrals with identified sources for discharge when available.
• Initiates and leads patient care conferences with interdisciplinary team.
• Develops, creates, or modifies appropriate tools and/or teaching methods for patient education.
• Provides individualized and specialized nursing care to patients and administers medications and treatments to patients as prescribed and/or in accordance with approved departmental standardized procedures.
• Observes patient's response to interventions and treatments and monitors for side effects of medication administration.
• Recognizes and responds to changes in patient status timely and appropriately.
• Intervenes when situations call for immediate action.
• Performs efficiently in emergency situations and may lead others in emergency responses.
• Coordinates delivery of patient care with other services and disciplines to achieve optimal patient outcomes.
• Develops, implements, and adjusts patient education based on identified learning needs utilizing available teaching resources and clinical expertise.
• Communicates with patients concerning care and treatment plans.
• Communicates identified needs and patient responses to members of the interdisciplinary team.
• Implements the integrated plan of care and coordinates patient care activities with members of the health care team.
• Provides teaching including aftercare instructions, medication administration, follow-up and contact information as outlined in the department's policies and procedures.
• Completes assigned tasks.
• Takes appropriate action when clinical or environmental circumstances are altered that impact patient care.
• Recognizes safety hazards in the patient care environment and initiates timely and appropriate intervention.
• Uses patient equipment and devices safely; recognizes when equipment and devices are not functioning correctly; removes malfunctioning equipment from patient care area and makes appropriate notifications.
• Observes, evaluates, and communicates the effects of treatments and interventions.
• Communicates changes in the plan of care to other members of the interdisciplinary team.
• Documents patient's response to treatment or nursing care.
• Reassesses and revises plan of care in collaboration with other members of the health care team.
• Communicates changes in patient care and treatment plans to patients.
• Assists others with the evaluation of the plan of care and the resetting of priorities.
• Anticipates potential problems and assists staff to adapt to change by setting and resetting priorities for emergencies, changes in patient status, and unusual occurrences.
• Evaluates effectiveness of tools, standardized procedures, and techniques used in patient care delivery and recommends changes.
• Identifies trends and patterns in patient outcomes to validate effectiveness and appropriateness of the plan of care.
• Maintains legible and complete records of patient care including but not limited to chart documentation, objective data collection, treatment provided, assessment of treatment effectiveness, and patient education provided.
• Monitors and evaluates the provision, quality, and documentation of care provided by other nursing personnel.
• Articulates rationale for action/inaction based on one or more of the following as indicated by the complexity of the situation: scientific principle, evidenced-based practice, research findings, and/or legal implications.

Benefits

• 20% bonus for full-time Registered Nurse III, Sheriff positions hired by Correctional Health Services and working on-site in a designated facility to meet critical healthcare needs for the uniquely underserved jail population.

What This Job Offers

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