RN Urgent Care EMS

Position Summary

The Urgent Care or EMS Standby 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.

Required Qualifications

• Active, current, and unencumbered Licensure as a Registered Nurse in the State of California
• Graduate of an Accredited School of Nursing
• AHA Basic Life Support
• Ability to read, write and communicate effectively in English
• Ability to work variable shifts including evenings, nights, weekends, and holidays
• Ability to maintain flexibility and composure in a constantly changing environment
• Hospital Fire and Life Safety Card (Los Angeles City Employees only)
• AHA Advanced Cardiac Life Support
• AHA Pediatric Advanced Life Support
• One year of previous urgent care or EMS standby nursing experience or completion of emergency department training course (to include EMTALA and ESI 5 level triage)
• De-escalation certification upon hire; Upon recertification, SAMA Certification required

Preferred Qualifications

• Bachelor of Science in Nursing
• Bilingual skills to communicate effectively with patients and families
• SAMA Certification upon hire

Physical Requirements

These are requirements normally expected to perform regular job duties. Reasonable accommodations may be made in compliance with the Americans with Disabilities Act of 1990, and applicable, state and local law, to enable individuals with disabilities to perform the essential functions. Incumbent must be able to successfully perform all of the essential functions of the job with or without reasonable accommodation.

• Standing - Constantly
• Walking - Constantly
• Sitting - Occasionally
• Reaching with Hands and Arms - Constantly
• Climb or Balance - Frequently
• Stooping, Kneeling, Crouching, or Crawling - Occasionally
• Talking - Frequently
• Hearing - Constantly
• Seeing - Constantly
• Performing repetitive motions with arms or hands - Constantly
• Lifting, carrying, pushing or pulling up to 10 lbs - Constantly
• Lifting, carrying, pushing or pulling up to 25 lbs - Frequently
• Lifting, carrying, pushing or pulling up to 50 lbs - Frequently
• Lifting, carrying, pushing, or pulling greater than 50 lbs - Frequently
• Driving - None

Essential Job Functions / Major Areas of Responsibility

The essential functions below are not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to this position if such duties reasonably relate to the position.

• PROFESSIONAL CLINICAL PRACTICE: Provides patient care, reviews and administers patient medications, including intravenous titrations, invasive 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/urgent care 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.