RN Emergency Services

CommonSpirit Health•Bakersfield, CA

22h

About The Position

The Registered Nurse in Emergency Services provides compassionate, high-quality, individualized care to patients in a fast-paced emergency setting. The RN conducts assessments, performs skilled procedures, implements and documents care plans, and collaborates with an interdisciplinary team to support patient outcomes and recovery. The role also involves patient and family education, communication about changes in condition, and contributing to a professional, cooperative work environment. For RNs authorized to perform triage in the main Emergency Department, the position requires completion of initial and annual skills validation, including ESI competency. Triage RNs must have more than six months of Emergency Medicine experience, be able to anticipate likely tests, interventions, and consultations, and maintain current ACLS, PALS, and BLS certifications. Monthly quality audits assess competency in ESI categorization.

Requirements

Registered Nurse licensure in California, upon hire.
Basic Life Support (CPR), upon hire.
Advanced Cardiac Life Support, upon hire.
Pediatric Advanced Life Support, upon hire.
For RNs authorized to perform main Emergency Department triage: meet at least the ED Staff Nurse qualifications.
For RNs authorized to perform main Emergency Department triage: complete initial and annual skills validation, including ESI competency.
For RNs authorized to perform main Emergency Department triage: more than six months of Emergency Medicine experience.
For RNs authorized to perform main Emergency Department triage: ability to predict the nature and number of tests, therapeutic interventions, and consultations a patient may need during an ED stay.
For RNs authorized to perform main Emergency Department triage: maintain current ACLS, PALS, and BLS certification and continued clinical competence.

Nice To Haves

Bachelor of Science in Nursing (BSN), preferred.
1–2 years of Emergency Nursing experience, preferred.
Trauma Nurse Core Course, preferred.
Certified Emergency Nurse, preferred.

Responsibilities

Perform patient assessments and reassessments, obtain nursing histories, conduct physical assessments, and establish care priorities.
Give and receive comprehensive change-of-shift and intermittent reports.
Assess patient learning needs, discharge readiness, and the ability of the patient and family or significant other to manage illness after discharge.
Complete computer and handwritten documentation accurately, legibly, and in a timely and complete manner.
Provide direct patient care as required and assist physicians with procedures as necessary.
Report changes in a patient's condition to the physician.
For triage duties, complete initial and annual skills validations, including ESI competency, and maintain competence in ESI categorization.
Update room whiteboards at shift change during bedside report using the S-BAR communication tool.
Perform hourly rounding during the day and night, assess pain, reposition patients, and assist with toileting as needed.
Develop, implement, evaluate, and document individualized interdisciplinary care plans; update plans daily or when a change in condition or additional care needs warrants.
Coordinate interdisciplinary care, keep patients informed of progress toward outcomes, and involve patients and families in care-plan revisions.
Address patients' physical, emotional, spiritual, and psychosocial needs; identify and collaborate on patient and family learning needs and document teaching per policy.
Promote patient rights and maintain privacy and confidentiality; identify ethical issues and refer them to appropriate resources.
Model professional responsibility and Dignity Health standards and behaviors, promote teamwork, communicate effectively, and maintain a positive work environment.
Participate in identifying and correcting unit-based problems and serve as a resource for peers and staff on policies and procedures.
Support cost effectiveness through adherence to staffing patterns and appropriate use of resources; adapt to change and seek clarification when needed.
Lead and monitor objectives for other unit work groups as appropriate and support lean processes and departmental change.