RN- Per Diem Nights Emergency

Astrana Health; Tustin (CA); On-site; USD 114,000 - 126,000; Full time

Job summary

Astrana Health is seeking an Emergency Department Registered Nurse for the Tustin, CA location. You will provide critical nursing care, monitor patients, and collaborate with a multidisciplinary team to implement and adjust care plans.

The role requires a California RN license, AHA certifications (BLS, ACLS, PALS), and ED experience or ED training. Flex scheduling and strong communication are essential to support patients and families in a fast-paced environment.

Qualifications

• California RN license active and unrestricted.
• Graduate of an accredited school of nursing.
• Current American Heart Association certifications: BLS, ACLS, PALS.
• Minimum 1 year emergency nursing experience or ED training program with EMTALA and ESI training.
• Excellent English communication; ability to work varied shifts.
• De-escalation certification required on hire; SAMA certification on recertification.

Responsibilities

• Provide patient care including medications, IV titrations, monitoring and procedures.
• Develop and implement plan of care for ED patients; reassess and adjust as needed.
• Collaborate with physicians and staff to ensure timely throughput and safe, high-quality care.
• Communicate compassionately with patients and families and educate on treatment plans.

Skills

RN License

Emergency Nursing

AHA Certifications

ESI Triage Training

English Proficiency

Flexible Scheduling

De-escalation

Education

Accredited nursing program

Job description

Department & Location & Compensation

Department: 7010-Emergency Room
Location: 14662 Newport Ave, Tustin, CA 92780 ("HOSPITAL")
Compensation: $54.85 / hour

Description

The Emergency Department Registered Nurse is specially trained to provide prompt response and treatment for any patient presenting with any life threatening, emergent, or urgent medical need. Provides monitoring and therapeutic equipment necessary to provide specialized nursing care to acute or complex patients. Collaborates with interdisciplinary teams to develop and implement a plan of care for a specific group of assigned patients, ensuring the coordination of care between other disciplines, physicians, and support staff. Performs professional nursing duties that incorporate the psychosocial, psychomotor and age appropriate cognitive skills of the patient/family/significant other to assess, plan, intervene and advocate for the patient on an ongoing basis throughout the continuum of care. Will reevaluate patient response and outcomes, effectiveness of plan of care, and readiness for discharge and revise plan or make referrals as necessary. Acts as a role model and mentor to a variety of new graduate nurses, orientees and support staff.

Key Responsibilities

• PROFESSIONAL CLINICAL PRACTICE: Provides patient care, reviews and administers patient medications, including intravenous titrations, invasive and arterial lines, cardiac monitoring, ventilator management, treatments and procedures in a safe, effective and age appropriate manner that meets scope of practice and standards of nursing practice. Recognizes change in patient's clinical conditions, taking appropriate action and documenting intervention. Appropriately responds to RRT/Code Blues/Code Whites as assigned. Effectively collaborates with the health care team to intervene, and advocate as necessary. Intervenes appropriately in instances of abuse, assault or neglect, or when adequate financial or social resources are not available. Makes appropriate referrals to resolve patient issues effectively.
• PLAN OF CARE: Develops long and short-term goals consistent with treatment plans, standards of practice, and the plan of care, incorporating patient preference and discussing plan of care with patient. Appropriately utilizes pain management resources and other interventions to provide pain relief. Provides ongoing assessments and documents the patient's physical and psychosocial condition, as well as response to care. Reviews patient test results, identifies critical results, and communicates in a timely manner consistent with the condition of the patient and correlates information into the plan of care. Consistently ensures nursing practice is evidence based, within scope of licensure and compliant with hospital wide standards of nursing care, including core measures. Ensures Infection Control procedures and HIPAA compliance.
• COLLABORATION: Collaborates with staff, physicians and members of the healthcare team, ensuring the coordination of care between other disciplines and support staff, focusing on efficient and effective emergency department throughput. Supervises, monitors and delegates patient care activities to appropriate members of the health care team, provides effective leadership and ensures that care is safe and of high quality. Acts as a source of information and articulately responds to questions, providing resources, guidance, and education about treatment plan, plan of care, and medications. Develops and implements accurate teaching and ongoing discharge plans.
• COMMUNICATION: Empathizes with patient and patient support systems, expresses compassion and understanding for the situation and demonstrates care which is appropriate for the age, and cultural, religious, gender identity, or ethnic background. Engages in caring behaviors, taking conscious ownership for work and takes deliberate/thoughtful actions regarding how to best carry out interactions with the patient, families, physicians, and co-workers.

Skills, Knowledge and Expertise

• Active, current, and unrestricted California Registered Nurse (RN) license
• Graduate of an accredited school of nursing
• Current American Heart Association (AHA) certifications:
  • Basic Life Support (BLS)
  • Advanced Cardiac Life Support (ACLS)
  • Pediatric Advanced Life Support (PALS)
• Minimum of one (1) year of emergency nursing experience, or successful completion of an Emergency Department training program, including:
  • EMTALA training
  • Emergency Severity Index (ESI) Level 5 triage training (to be completed within the first six months of employment in the Emergency Department)
• Ability to read, write, and communicate effectively in English
• Ability to work flexible schedules, including evenings, nights, weekends, and holidays
• Ability to maintain composure, adaptability, and sound judgment in a fast-paced, changing environment
• De-escalation certification required upon hire; SAMA certification required upon recertification