Registered Nurse Emergency Room Full Time Evenings
Desert Regional Medical Center
Location: Palm Springs, California
Internal Number: 2205022810
Desert Regional Medical Center is a 385 bed acute-care hospital classified as a stroke receiving center and level 2 trauma facility with an innovative , patient centered and evidence-based Rehabilitation Services Department. Our compassionate team provides a wide range of inpatient and outpatient services, including acute care rehabilitation, joint replacement & spinal surgery, neurosurgery, ICU, Telemetry, step-down care, skilled nursing, as well as outpatient therapy, hand and lymphedema clinics.
The Clinical Nurse assumes principal responsibility for the total nursing care, assessment, planning, implementation, evaluation of each assigned patient. The staff nurse initiates teaching and educates the patient and family/or significant other to attain optimal health. Access to all Patient Health Information for treatment purposes only.
DEPARTMENT SPECIFIC DUTIES:
Obtains information and interpret information in terms of the patientâ��s needs.
Demonstrates knowledge of growth and development.
Understands the range of treatment needed as appropriate to the ages of the patients served.
Initiates interdisciplinary communications and incorporates recommendations.
Consistently demonstrates the knowledge and skills necessary to provide care appropriate to the ages of the patients served in the Emergency Department.
Acts as a liaison between patient, physicians, family/significant other and other health disciplines.
Develops implements and updates an individualized teaching and Emergency Department discharge instructions.
Initiates and documents progressive patient and family/significant teaching.
Facilitates the discharge process ensuring all goals are addressed prior to discharge.
Utilizes current theories and knowledge for accurate assessments and evaluations on Emergency Department patients.
Completes acuity evaluation on all assigned patients according to Emergency Department protocol.
Consistently performs proficiently as a novice in the Emergency Department. Including but not limited to: Manages an average caseload specific to unit. Adapts to altered work patterns, sets priorities, and modifies assignments to meet patient needs utilizing available resources and staff ability and availability.
Administers medications prescribed by physicians according to policy, including IVâ��s, blood and blood products. Knows actions, indications, contraindications, precautions, adverse reactions, dosage and route of administration on all drugs before administering to patient Verifies against MAR for accuracy on an ongoing basis.
Consistently recognizes, evaluates and intervenes appropriately in life-threatening situations.
Consistently checks for new patient orders throughout the shift and implements them in an appropriate timeframe. Completes an end of shift review of physician orders.
Consistently recognizes variances of diagnostic tests, vital signs and assessments. Notifies the physician in time appropriate to the variance.
Functions as a charge nurse as assigned.
Supports changes in clinical practice as evidenced by the plan of care for the patient and subsequent documentation.
Functions as a resource to co-workers. Acts as preceptor, and other duties as assigned.
Ensures compliance with Departmental policies and procedures. Assume responsibility for knowledge and implementation of policy, procedure, practice, CPG, changes.
Maintains competence in nursing practice through in services and participation in ongoing continuing education per year. 3 = > 25 CEU or 10 CEU + 3 Units College Credit, 2 = 10 - 24 CEU , 1 = < 10 CEU
Participates in the Quality Improvement Program.
Monitors resource utilization and charge completion
utilization is inconsistent and or incomplete
Follows appropriate chain of command for problem resolution approaching problem solving with a positive attitude and suggestions.
Consistently demonstrates accountability for supervision and communication when assigned with LVNâ��s , unlicensed assistive personnel, and float personnel.
Reports, documents, and takes appropriate action (by the end of shift) for incidents and or quality care issues that may affect the patientâ��s or staff well-being.
Consistently assesses patients for risk of injury and takes appropriate action to reduce risk and promote safety.
Uses restraints according to policy and consistently explores other options less restrictive. Accurate documentation demonstrated in medical record.
Serves as advocate for patient/family by providing information and assists in utilization of available resources and or alternatives for making health care decisions (i.e. advanced directives, ethics consult etc.)
Handles and disposes hazardous waste safely and appropriately
Consistently handles oxygen safely
Consistently practices hand washing and use of protective wear
Establishes or assesses proper identification prior to delivery of care.
Requests clarification of Physician orders as necessary
Current CA Registered Nurse License
BSN Required for job code G70AD
Current American Heart Association BLS certification (maintain current at all times)
Current American Heart Association ACLS certification (maintain current at all times)
Current American Heart Association PALS certification (maintain current at all times)
Effective verbal and written skills to communicate with people on all levels and able to maintain positive working relationships with parents, families, and co-workers
Possess active listening skills
Compassionate and non judgmental care giver and advocate
Able to independently manage multiple priorities
Minimum of one year prior experience in Emergency / Trauma environment
NIHSS within the first 30 days of entry into this position
Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Primary Location: Palm Springs, California
Facility: Desert Regional Medical Center
Job Type: Full-time
Shift Type: Evening
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.
We believe that good health is the cornerstone of progress. We are firm in our resolve to make exemplary health care accessible and affordable to all, dedicated to lowering the high rate of cardiovascular disease, including stroke, in minority populations and committed to advocacy and diversity. We are guided by ethical principles in all transactions and strive for excellence in our training and skills.