Staff RN - Neonatal Intensive Care Unit
Company: St. Joseph Health
Location: Apple Valley
Posted on: June 6, 2021
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Job Description:
We are looking for a Staff Registered Nurse with the Neonatal
Intensive Care Unit at St. Mary Medical Center Location: Apple Valley, CA Work Schedule: On Call / Per Diem Shift: 12-hour, Days Job Summary: Within the identified roles of Practitioner, Teacher and Leader,
the staff Registered Nurse provides collaborative and comprehensive
care based on patient and/or family needs. The staff Registered
Nurse implements and evaluates care delivery based on predicted
outcomes while anticipating potential responses provides
assessment, treatment and care throughout the hospital and outlying
clinics. The staff Registered Nurse will practice in accordance
with all regulatory, professional, legal and hospital policies. The
Staff Registered Nurse works independently under limited
supervision directly reporting to the Unit/Department Supervisor,
Director of Assistant Vice President. Essential Functions: Performs a complete patient assessment that encompasses the
patient's physical, physiological, emotional and spiritual
status. Formulates a nursing diagnosis based upon the patient assessment
and develops and implements an individualized patient care plan
that is based upon collaboration with the patient and the
assessment of the patient. Performs procedures/treatments, administers medications and
provides nursing care based upon established clinical practice
(policy and procedures), the patients plan of care and physician
orders. Evaluates the effectiveness of the care plan through observation
of the patient's physical condition and behavior, signs and
symptoms of illness and reactions to the treatment. Through
communication with the patient and the health team members,
including shift to shift report modifies the plan as needed. Develops, coordinates, and implements the individual
patient/family education plan together with the multidisciplinary
team. Provides and documents patient/family education within the
Registered Nurse's scope of practice. Communicates effectively with
members of the health care team with regard to patients condition
and needs. Acts as the patient/family advocate as circumstances require by
initiating action to improve health care or to change decision or
activities which are against the interest or wishes of the patient
or family and by giving the patient/family the opportunity to make
informed decisions about health care before it is provided. Coordinates discharge planning of the simple patient and obtain
necessary orders for discharge. Delegates tasks to Team Members based on scope of practice,
competencies and qualifications. Effectively supervises care being given by Nurses Aides,
Licensed Vocational Nurses and Student Nurses. Participates in orientation of new employees and student
nurses. Demonstrates critical thinking capabilities. Participates in continuing education programs offered by SMMC.
Assists and participates in committee work as requested. Is an
effective member of the healthcare team and participates in 75% of
department and unit staff meetings. Knows staff nurse is a team member in the Utilization Management
process. Participates in multidisciplinary conferences. Documents patient specific data/information concisely and
thoroughly, according to hospital and regulatory agency
requirements. Completed all CEU requirements in accordance with RN license
renewal. Meets performance standards for the Registered Nurse. Attends hospital-required training and in-services. Completes
annual review components prior to annual anniversary date.
Independently maintains annual educational log and presents
completed forms and CEU documents before or during the annual
performance review. Demonstrates positive verbal and non-verbal communication with
peers, co-workers, supervisors, administration, patients, visitors,
and physicians. Willingly participates in quality improvement
root-cause analysis and/or interpersonal communication resolution
sessions, as requested. Demonstrates skill in transport, high risk delivery,
physical/gestational age assessment for the newborn, ventilator and
central line management, and knowledge of current breastfeeding
techniques for the postpartum patient. Acts as resource person for registry and float personnel in the
interpretation, rationale, and the treatment of the childbearing
family. Completes or co-signs necessary documentation. Prepares for and assists the physician or other departments with
tests and procedures. Participates in the orientation of new employees and/or
trainees. Schedules and meets with Unit Supervisor at least quarterly to
discuss individual performance and unit strategic plans. Maintains 5 of 15 CEUs in Critical Newborn Care. Demonstrates critical thinking skills and basic understanding of
the care necessary for the adaptation needs of the neonate in
transition, signs, and reporting requirements for potential child
abuse, and awareness of potential infant abduction situations. Attends at least 50% of staff meetings and medical center and/or
unit sponsored outreach in-services, and Perinatal Mortality and
Morbidity presentations. Provides documentation that minutes for
staff meetings are read and understood for any meetings not
attended. Reads and initials communication books entries and/or
memos, and provides in-service records for any unit sponsored
poster in-services presented. Leads the unit rounds with physicians, administration, and/or
the multidisciplinary team. Coordinates the completion of the
multidisciplinary care plan upon admission and ongoing
thereafter. Initiates discharge planning upon admission and provides
educational information throughout the Hospital stay, including,
including CPR and medication administration. Provides for the
maintenance of the continuum of care following discharge including
plans for at least one family/infant overnight visit prior to
discharge. Provides input into the development of the annual educational
center. Initiates and presents at least two care conferences of staff
in-services. Documentation of the medical record is complete and per
standards including appropriate documentation of restraints.
Participates in the monitoring of compliance and peer education
including completion of the performance improvement audits within
15 days following the month assigned. Maintains equipment/safety and supply checks during scheduled
shifts as assigned by Team Leader. Maintains overall cleanliness to
patient area, workstation, and supply areas per regulation. Initiates at least two policy and procedure reviews including
researching and referencing standards or journal research. Assists
with other policy and procedure reviews. Is an active member of at least one unit based and/or medical
center committee (policy and procedure, quality care, patient
education/clinical pathway, caregiver performance). Provides input
to other unit based committees. Provides immediate information to the Team Leader regarding
changes in the patient condition and provides accurate data about
the patient's acuity level for staffing purposes. Participates in mock codes (pink or blue). Demonstrates the knowledge of the specific BIOPSYCHOSOCIAL needs
to care for or interact with the neonate, adolescent mother, and
childbearing family. Demonstrates accurate dosing and medication
administration. Skills: Excellent oral and written communication skills. Excellent organizational and critical thinking skills. Ability to operate standard office equipment (copier, fax,
personal computer, printer, telephone, nurse call system). Basic knowledge of nursing procedures. Ability to troubleshoot basic nursing and unit specific
equipment. Minimum Position Requirements: Education: Associate's Degree or equivalent educ/experience Coursework/Training - Other training as specific to unit
requirements. Coursework/Training - Environmental Orientation within 30 days
of hire Coursework/Training - General RN competency within 30 days of
hire. Licenses/Certifications: Current California Registered Nurse License by evidence of
Primary Source Verification. Current BLS. NRP certification within 6 months of hire. Preferred Position Qualifications: Experience: 2 years experience in a hospital environment. St. Mary Medical Center (SMMC) is an acute care hospital with
213 beds and over 1,750 employees making it one of the region's
largest employers serving communities of the High Desert. The
facility was constructed in 1956 and joined the St. Joseph Health
System in 1992. This facility has the only Neonatal Care Unit in the High Desert
Accredited by California Children Services and has been granted
approval as a Special Hospital with the California Children's
Services Community Neonatal Intensive Care Unit. St. Mary was
accredited as a primary Stroke Receiving Center in 2018, the only
stroke-receiving center in the High Desert. The Services and Clinical Specialties offered at this Hospital
are Diabetes Education, Emergency Services, Heart and Vascular
Services, Imaging Services, Rehabilitation Services, Respiratory
Services, Robotic Surgery Services, Surgical Services, Women &
Children's Services and Wound Care and Hyperbaric Medicine.
Keywords: St. Joseph Health, Apple Valley , Staff RN - Neonatal Intensive Care Unit, Other , Apple Valley, California
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