Registered Nurse ER - Per Diem

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Registered Nurse ER - Per Diem (Oakdale) - Per Diem

Location: Oakdale, CA

Job Description

Reporting to the Emergency Room Manager, this position is responsible for planning, directing, coordinating, and providing high quality individualized patient care using the components of the nursing process.

  1. Initiates a multidisciplinary, goal oriented care plan for each patient in collaboration with members of the health care team and provides care based on that plan.
  1. Adheres to OVHD practices for pain management with specific consideration of patient’s functional/developmental age, gender, cultural and/or personal preferences.
  1. Demonstrates appropriate use of restraints per OVHD policy and procedures.
  1. Adheres to OVHD practices for moderate sedation.  Identifies resources for guidelines to ensure safe care and monitoring of patients.
  1. Ensures patient safety by assessing and proactively implementing safety measures with specific consideration of patient’s functional and developmental age.
  1. Provides appropriate nursing interventions.  Competent in all routine nursing skills, including, but not limited to, 1) medication administration, 2) intravenous therapy, 3) management of indwelling catheters and drains, and 4) safe use of any medical equipment.
  1. Demonstrates the ability to provide care in emergency situations and follows established emergency procedures.
  1. Provides compassionate and caring support to families.
  1. Completes legible, accurate and timely documentation of all nursing care provided to patients, including an evaluation of patients’ response to medications, treatments and procedures.
  1. Delegates patient care tasks to ancillary personnel based on individual competency and scope of practice.  Evaluates effectiveness of care performed.
  1. Accesses facility information systems to retrieve and utilize pertinent information for the provision of patient care or in the performance of other job related responsibilities.  Follows OVHD’s policy and procedure as they pertain to all hospital information systems.
  1. Participates in activities within the organization that support performance improvement.
  1. Protects hospital resources through appropriate and careful use of supplies and equipment.
  1. Maintains required applicable education and in-service requirements and participates in departmental staff meetings (through attendance or reading meeting minutes).
  1. Communicates and follows the organization’s chain of command for notification of patient care and/or service issues.
  1. Expresses and accepts feedback in a professional manner.
  1. Demonstrates the ability to organize workload, set priorities, and uses time efficiently to complete work on time and in an organized manner.
The following are unit-specific accountabilities
  1. Performs physical and psychosocial assessment on all age groups of patients that demonstrates knowledge and consideration of age specific and cultural differences.  Modifies nursing care to meet the age specific requirements of the newborn (0 to 30 days), infant (31 days to 1 year), pediatric (1 to 12 years), adolescent (13 to 17 years), adult (18 to 70 years), and geriatric (71+ years) patients.  Knowledge and understanding of differences in care including, but not limited to:  growth and development, medications, and special physical and psychosocial needs.  Modifies nursing care as appropriate.
  1. Demonstrates strict adherence to COBRA/EMTALA requirements.
  1. Demonstrates, through practice, understanding of job description and functions only within scope of practice.  Limits verbal orders to emergency situations and assures inclusion of all verbal orders on the final medical record.
  1. Adheres to all policies and procedures related to patient care, documentation and patient charges.
  1. Participates in orientating and precepting of new staff, students, etc. as requested.
  1. Maintains appropriate, confidential interfacility and interagency communications.
  1. Demonstrates responsible role in noise reduction efforts in the department and assists in maintaining traffic control.
  1. All other duties as assigned.


Job Requirements

Minimum Education:
Graduate of a RN School of Nursing
Bachelor’s degree in health related field preferred
National Certification in related specialty preferred
Associate Degree in Nursing

Minimum Experience/Skills:
Six months recent acute care experience.  ER experience preferred
Able to perform basic mathematical calculations
Excellent written and verbal communication skills
Current California RN License
Current AHA BLS          
Current AHA ACLS
Current AHA PALS or ENPC
CEN preferred
Current TNCC, MICN certification preferred

Physical Demands:
Prolonged, extensive or considerable standing/walking
Lifts, positions, pushes up to 50 pounds
Considerable reaching, stooping, bending, kneeling, crouching
Manual dexterity and mobility
Ability to move quickly
Frequent reach, twist, push and pull
Heavy lifting (50 lbs. and over) 50% of the time
Moderate lifting (25-49 lbs.) 25% of the time
Light lifting (under 25 lbs.) 25% of the time
Assists as part of the Team the moving of heavy patients up to 350 lbs. at times in bed and transfer from bed to gurney or wheelchair
Heavy carrying (50 lbs. and over) 25% of the time
Moderate carrying (25-49 lbs.) 35% of the time
Light carrying (under 25 lbs.) 45% of the time
Must assist with ambulation orthostatic vital signs
Vision Requirements:
Ability to adjust vision sufficiently to perform duties

Working Conditions:
High exposure to communicable diseases and blood borne pathogens, rare exposure to toxic substances such as
radiation, nuclear isotopes, chemotherapeutic agent
Exposure to a variety of electrical or power equipment
Exposed to odorous chemicals and specimens
Subject to hazards including but not limited to, flammable, explosive gasses
Subject to injury from moving parts of equipment
In contact with patients in a variety of circumstances.
May be subject to rapidly changing, unpredictable situations related to patient needs, interruptions, multiple calls and inquiries
Subject to absentee replacement on short notice
Subjected to irregular hours
Subject to varying and unpredictable situations
Exposure to unpleasant elements (accidents, injuries, illness)
Emergency and crisis situations
Subject to irregular hours
Increased stress due to multiple calls and inquiries
Able to work in spite of frequent interruptions