Clinical Nurse B-ED-Adult ED

Palo Verde Community College District; Loma Linda (CA); On-site; USD 95,000 - 125,000; Full time

Job summary

Loma Linda University Health is seeking a Clinical Nurse B in the Emergency Department. The role involves performing the nursing process, rapid assessment, stabilization of patients, and collaboration with physicians across multiple service lines in a high-acuity setting.

Ideal candidates will hold a BSN, have at least one year of nursing experience, and be prepared for trauma/acute care procedures. BLS, ACLS, PALS and TNCC within one year of hire are required, with Spanish preferred.

Qualifications

• BSN required; prior LLU Health affiliation may allow ADN/diploma in some cases.
• One year of nursing experience required.
• Spanish language ability preferred.

Responsibilities

• Provide nursing care in a fast-paced Emergency Department setting.
• Assess, stabilize and coordinate care for patients with life-threatening conditions.
• Collaborate with physicians and multidisciplinary teams in trauma, STEMI and stroke protocols.
• Respond to mass casualty events and manage multiple patients concurrently.

Skills

English proficiency

Multitasking

Emergency nursing

Clinical knowledge

Education

Bachelor of Science in Nursing (BSN)

Associate/Diploma in Nursing (historical)

Tools

Electronic Medical Record (EMR)

Microsoft Word

Microsoft Excel

Outlook

Electronic event reporting

Job description

JOB DESCRIPTION

"Recruitment Incentive Bonus: may be eligible for $9,000 recruitment incentive bonus based on eligibility requirements."

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 patients' needs and treats accordingly. Demonstrates flexibility and manages multiple cases simultaneously and continuously prioritizes needs. Works collaboratively with physicians from multiple services 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 causalities, 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 work place; 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.