Job Summary: The Clinical Nurse B-Emergency Department (ED) functions in a Magnet Recognized large tertiary academic medical center with level one trauma designation, ST-Elevation Myocardial Infarction (STEMI) receiving center designation, Comprehensive Stroke Center and Chest Pain Center accreditation. Performs the nursing process (assessment, care planning, intervention, evaluation) with minimal supervision in a fast-paced environment that treats a culturally diverse patient population presenting with a variety of illnesses and diseases in varying stages and/or minor and major injuries. Rapidly assesses and stabilizes patients with life-threatening situations. Exhibits solid decision-making skills and effectively utilizes discretion and independent judgment to prioritize, coordinate, provide, and document direct and indirect age-specific and developmentally appropriate quality patient-centered care in accordance with LLUMC's established Professional Practice Model (Duffy's Quality Caring Theory). Makes sound decisions, multitasks and balances and prioritizes each patient's needs and treats accordingly. Demonstrates flexibility and manages multiple cases simultaneously and continuously prioritizes needs. Works collaboratively with physicians from multiple service lines and assists with common and complex procedures based on orientation and competency. Displays confidence in dealing with community emergency situations, catastrophic incidents, and mass casualties. Receives patients from first responders brought in by land and air ambulances, patients that are brought in during mass casualties, and walk-in patients seeking care. Demonstrates flexibility and manages multiple cases simultaneously and continuously prioritizes needs. Works at maximum efficiency without compromising patient care. Implements standing orders appropriately. Handles unexpected situations and changes in direction calmly and with confidence. Understands the significance each role of the multidisciplinary team plays to provide optimum care in the emergency/trauma patient, e.g., pre-hospital care providers, law enforcement agency staff, chaplains, social workers, case managers, multiple physician services and consult staff, licensed and unlicensed care providers, triage nurses, Mobile Intensive Care Nurses (MICNs), and the Hospital Emergency Response Team (HERT) that goes out into the community when needed. Demonstrates basic knowledge about agencies governing emergency and trauma services, e.g., Emergency Medical Treatment & Labor Act (EMTALA), local Emergency Medical Services (EMS) agency, Inland Counties Emergency Medical Association (ICEMA), and State Emergency Medical Services Authorities (EMSA), in addition to state and federal hospital regulations. Applies theoretical concepts to clinical practice and continually expands knowledge base and clinical skills with a focus in emergency and trauma medicine. Contributes to nursing excellence and embraces new knowledge, innovations, and improvements in practice to enhance the patient experience and clinical outcomes. Exhibits interpersonal skills to maximize patient satisfaction, safe patient care, and professionalism. Functions in a skills mix environment and directly supervises and delegates tasks to licensed and unlicensed staff. Meets qualifications, licensure, certifications, and competencies as defined in the department-specific Plan for Providing Care. Contributes to a work environment of caring and cooperation among a culturally diverse workforce and patient population. May be requested to serve in Shift Coordinator role upon completion of Shift Coordinator orientation. May be required to participate in on-call rotation based on department business needs. The Clinical Nurse-B is eligible to promote to Clinical Nurse-C classification after two years' experience. Performs other duties as needed.
Education and Experience: Bachelor of Science Degree in Nursing (BSN) required. If hired into a Loma Linda University Health entity prior to April 1, 2020, an Associate Degree or Diploma Degree in Nursing required. One year of nursing experience required. New hires are eligible to be promoted into the CN-C classification when criteria outlined in the Clinical Nurse Ladder handbook and job specifications outlined in CN-C job description are met.
Knowledge and Skills: Demonstrates basic competencies in clinical nursing. Ability to apply theoretical concepts to clinical practice and continually expands knowledge base and clinical skills with a focus in emergency and trauma nursing. Basic knowledge of healthcare regulations and accreditation required. Exhibit professional behavior at all times and works calmly and responds courteously when under pressure. Able to: speak, read and write legibly in English (and Spanish preferred) with professional quality; use computer, printer and software programs necessary to the position, e.g., Word, Excel, Outlook, electronic medical record, electronic event reporting program; troubleshoot and calibrate patient care equipment; perform technical patient care activities; relate and communicate positively, effectively and professionally with others; be assertive and consistent in following and/or enforcing policies; teach, collaborate; accept direction; think critically; work independently with minimal supervision; perform basic math and statistical functions; manage multiple patient assignments effectively; organize and prioritize workload; problem solve; recall information with accuracy; pay close attention to detail; distinguish colors and smells as necessary for patient care; hear sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, medical records, and written documents necessary to position; discern temperature variances through touch.
Licensures and Certifications: Active California Registered Nurse (RN) license required. Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), certifications issued by the American Heart Association required. Trauma Nursing Care Course (TNCC) and Emergency Nurse Pediatric certification through the Emergency Nurse Association required within one year of hire. Certified Emergency Nurse preferred.
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