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RN-Rapid Response Nurse- DAYS

Kaweah Delta Health Care Districtβ€’Visalia, CA
β€’Onsite

About The Position

Kaweah Health is a publicly owned community healthcare organization serving the greater Visalia area in central California. The organization has more than 5,000 employees and an eight-campus healthcare district with 613 beds, providing acute, specialized, preventive, and clinic-based services. The Rapid Response Nurse uses the nursing process to coordinate and provide safe therapeutic care for at-risk non-critical-care patients and patients in crisis. When a Rapid Response Team (RRT) is activated, the nurse leads the multidisciplinary response, assesses the patient, makes clinical decisions, notifies the attending physician or intensivist, and acts under the Rapid Response Team Standardized Procedures. The role includes documenting interventions and debriefing bedside nursing staff for education. The nurse also responds to Code Blue, RRT, Sepsis Alert, Trauma Alert, and Stroke Alert pages; supports stabilization, transfer, and handoff; and contributes to staff education and quality improvement. This is a full-time, day-shift position with 12-hour shifts in the Rapid Response Team department. Pay range: $49.25–$73.87.

Requirements

  • Current California RN license.
  • BLS certification.
  • ACLS certification.
  • NIHSS stroke certification from the American Stroke Association within 60 days of hire or transfer.
  • Kaweah Health-approved crisis intervention training within 60 days of hire or transfer.
  • CCRN certification from the American Association of Critical-Care Nurses within one year of hire or transfer.
  • At least two years of RN experience in critical care.
  • Critical-care clinical knowledge and experience managing patients in crisis.
  • Ability to handle emergency and life-threatening situations.
  • Effective communication skills in a multidisciplinary setting.
  • Teamwork orientation and a positive, caring, customer-service-oriented attitude.

Nice To Haves

  • Trauma Nursing Core Course (TNCC) provider card.
  • PALS certification.
  • BSN, MSN, or current enrollment in an RN-BSN program.

Responsibilities

  • Identify at-risk patients and initiate appropriate interventions, including referrals to ancillary departments.
  • Assess patients using the nursing process and advanced critical-care assessment skills; interpret diagnostic and monitoring data and direct care for stabilization under standardized procedures.
  • Respond to Code Blue, RRT, Sepsis Alert, Trauma Alert, and Stroke Alert pages.
  • Lead and coordinate multidisciplinary care during an RRT, communicate critical information to physicians and intensivists using SBAR, and ensure orders are carried out.
  • Direct care until the patient is stabilized or transferred; assist with transport and handoff, and remain involved until an adequate handoff and care resources are in place.
  • Document interventions and conduct RRT debriefings with bedside nursing staff, providing appropriate feedback and education.
  • Collaborate and communicate with patients, families, physicians, and other healthcare providers; advocate for patients and involve them in care decisions.
  • Maintain ethical, respectful, confidential, nonjudgmental, and nondiscriminatory nursing practice that preserves patient autonomy, dignity, and rights.
  • Use quality-of-care and performance-improvement findings to recommend and implement changes to nursing practice and patient outcomes.
  • Participate in quality-improvement studies, committees, task forces, interdisciplinary teams, audits, and policy or guideline development; share findings and recommend solutions.
  • Monitor documentation and appropriate referrals, and formulate plans of care that support continuity of care.
  • Perform daily rounds for at-risk inpatients and serve as an impact nurse assisting critical-care areas, including ICU, CVICU, ED, and ICCU, as requested.
  • Provide bedside care and take assigned patients when census needs require.
  • Attend at least 75% of RRT Quality Focus Team committee meetings and RRT staff meetings; assist with data collection and report data to appropriate committees.
  • Conduct in-services and mock codes to educate inpatient staff about emergency situations; attend quarterly staff meetings for assigned inpatient departments to share feedback and learning.
  • Maintain ongoing RRT education and provide care appropriate to patients’ developmental, cultural, linguistic, spiritual, gender, and age-specific needs.
  • If acting as lead, coordinate RRT deployment and shift coverage, facilitate observation-shift scheduling, drive quality-improvement initiatives, and promote staff education and competency development.
  • Perform other duties as assigned.

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