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Registered Nurse/Rapid Response Team, ICU Unit

Company: Valley Presbyterian
Location: Van Nuys
Posted on: January 17, 2022

Job Description:

Employment Status:Full Time (72-80 Hours Per Pay Period)Job Category:NursingJOB SUMMARY:The Registered Nurse (RN) for the Rapid Response Team, is an expert professional. The Rapid Response Team(RRT) RN is an experienced Intensive RN whose primary accountabilities are to:

  • Recognize and prevent worsening or sepsis or a patient arrest;
  • Assess and ensure treatment of changes in a patient's condition and/or hemodynamic decline that occurs in patients outside of the intensive care unit.The RN/RRT will maintain oversight of the RRT response and collection of patient data specific to documentation and outcomes of RRTs and Code Blue events.EXPERIENCE/QUALIFICATIONS:
    • Minimum two (2) years clinical experience as a registered nurse in the critical care setting, specificically (ICU)EDUCATION:
      • Bachelor of Science degree in Nursing required
        • Current employees hired prior to May 2016 may be grandfathered if they had previous experienceLICENSURES/CERTIFICATION:
          • Current licensure with the California Board of Registered Nursing
          • Must successfully complete the RRT Education and Skills Validation exam (yearly)
          • Must successfully complete and maintain American Heart Association (AHA) Basic Life Support (BLS) course/card
          • Must successfully complete and maintain American Heart Association (AHA) Advanced Cardiac Life Support (ACLS) course/card
          • Must successfully complete and maintain the NIH Stroke Scale (NIHSS) Certification
          • Must successfully complete and maintain Los Angeles (LA) City Fire Card certification at the time of hire or within the first 30 days of employment
          • Must successfully complete and maintain Nonviolent Crisis Intervention course/card, from a program approved by Human Resources (ex. Crisis Prevention Institute), within 30 days of employment.
          • Certified Critical Care RN (CCRN) preferredDUTIES/RESPONSIBILITIES: Activities related to this position are listed below. Additional duties may be assigned to ensure effective operational activity of the department. Employees hired for this position must be able to perform the essential functions of this job without imposing significant risk of substantial harm to the health or safety of themselves or others:Primary Accoutabilities
            • Functions as an expert clinician who utilizes critical thinking to mentor and guide others;
            • Assessed and stabilizes patients who are clinically deteriorating or unstable;
            • Facilitates care on a 1:1 basis until the patient is stabilized/ transferred to ICU;
            • Helps transport unstable patients to procedures or higher level of care;
            • Rounds on inpatients thoroughout the hospital based on RRT protocols;
            • Supports and assists physicians with emergency and bedside procedures;
            • Collaborates with ICU charge nurse to ensure safe patient care;
            • Serves as a resource nurse to the ICU staff;
            • Communicates with primary care physician, or hospitalist, to relay RRT assessment, facilitiates and carries out orders;
            • Upholds professional communication with colleagues, physicians, and other members of the health care team;
            • Utilizes the Situation Background Assessment and Recommendation (SBAR) communication format. Prior to contacting physicians is prepared with relative patient data and proactively anticipates the information the physician will need to respond to the call/request;
            • Collects and interprets patient data using the nursing process and data from the physician and Electronic Health Record (EHR), e.g. history and physical, progress notes;
            • Uses information technology to document processes and outcomes of care in a timely manner and independently manner, seeking opportunities for improving computer/automation skills. Ensures appropriate reports are completed at end of RRT call;
            • Follows standards and guidelines, implements clinical changes, participates in evidence-based practice.Facilitator of excellent relationship-based patient care and the optimal patient experience
              • Demonstrates advocacy for the patient/customer and appropriately acknowledges patients, customers and visitors;
              • Follows and serves as a resource for policies, procedures and standards of care;
              • Participates in hospital wide committees and councils facilitating two-way sharing of information;
              • Implements/monitors evidence-based practice strategies and ideas for the betterment of patient care;
              • Promotes a positive environment to facilitate the optimal patient experience;
              • Serves as a patient experience champion- rounds on all patients and their families, for environmental safety, monitors care boards to ensure they reflect the patient's plan of care, and follows up with concerns/complaints in a timely and comprehensive manner;
              • Serves as a role model for the Relationship Based Care model;
              • Supports the mission, vision, and strategic plan of the organization and Division of Nursing.Serves as a clinical mentor and role model
                • Acts as a clinical resource by providing routine assistance/support at the bedside and in emergency situations;
                • Facilitates conflict resolution with the people involved in a timely manner;
                • Follows the chain of command in addressing emergency situations;
                • Serves as a mentor, resource, and assists new staff with clinical orientation.The following job accountabilities are not unique to any particular job but are common to all jobs at VPH. The following statements reflect the essential functions considered necessary to describe the principle content of the job. They are not intended to be a complete statement of all work requirements or duties that may be inherent in the job.
                  • Adheres to VPH behavioral standards including:
                    • Demonstrate dignity and respect for all individuals
                    • Deliver compassionate and patient-centric care that addresses diverse cultural needs
                    • Create and maintain a quality environment that allows physicians and employees to succeed
                    • Show pride in providing community-based health care
                    • Promote trust and transparency
                    • Encourage collaboration in the workplace
                    • Complies with VPH policies and procedures on customer satisfaction and service excellence.
                    • Demonstrates professionalism and cultural sensitivity in coordinating activities and communicating with all customers, peers, and the community at large
                    • Conducts self in a professional, respectful and courteous manner during all interactions. Works effectively and collaboratively with others toward common goals.
                    • Communicates accurately, honestly, supportively and in a timely manner with department and interdepartmental team members.
                    • Demonstrates effective business writing and oral communication skills, handwriting is clear and legibleParticipates in operational aspects of the department, and maintains/participates in performance improvement activities within the department.
                      • Participates in all departmental specific education and training, including videotaped simulations, Environment of Care (injury/illness prevention, fire/life safety, hazardous materials, emergency preparedness, utilities management, medical equipment management, safety and security management), infection control (standard precautions, Tuberculosis TB Exposure Control Plan, Bloodborne Pathogen Exposure Control Plan).
                      • Participates in various hospital committees for process improvement and quality outcomes
                      • Demonstrates knowledge of and follows safety practices. Understands the importance of safety, including patient safety in the work place. Maintains a safe environment for self and others.
                      • Actively participates in the Patient Safety Program, including event reporting. Identifies sentinel events/near misses and responds per defined organization processes. Participates in education activities and process implementation. Demonstrates advocacy for the patient/customer and appropriately acknowledges patients, customers and visitors.
                        WORK ENVIRONMENT:
                        • Primarily an inside building/office environment, well lighted and ventilated, which may consist of multiple treatment and/or work sites.
                        • Fast and continuous work pace with variable workload.
                        • Frequent contact with staff and public under a variety of circumstances. Requires ability to communicate clearly and effectively in English, both verbally and in writing, with other staff members, physicians, vendors, community members, patients and patient families, employees and applicants of all socio-economic levels from a diverse cultural and ethnic population.
                        • Subject to many interruptions from multiple calls and inquiries and potentially emotional situations involving accidents, injuries, illness and/or death.
                        • Handles emergency/crisis situations in accordance with VPH policy.
                        • Answers phones or pages; may carry a beeper/pager, and/or use a two-way radio.
                        • Occasional travel may be required.
                        • Potential risk of exposure to hazards from chemicals (toxic and non-toxic), flammable materials, gas or electrical or radiant energy or equipment with/without moving parts.
                          PHYSICAL DEMANDS:
                          Key for Physical Demands
                          66 to 100% of the time
                          33 to 65% of the time
                          0 to 32% of the time
                          Patient Care
                          • Continuous standing/walking and occasional/intermittent sitting.
                          • Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and shoulder level to handle/operate medical equipment/devices.
                          • Frequent reaching above shoulder level and overhead.
                          • Frequent forward bending, twisting, squatting and kneeling; occasional climbing.
                          • Occasional repositioning and transferring patients weighing up to 200 pounds between bed, chair, and gurney.
                          • Occasional lifting and carrying equipment weighing up to 25 pounds.
                          • Occasional/intermittent pushing of gurneys, wheelchairs, bed and other medical equipment over tiled and carpeted surfaces.
                          • Continuous use of near vision to read medical equipment such as monitoring devices and reading documents and computer screens; hearing and verbal communication to interact with patients, co-workers, and other customers.

Keywords: Valley Presbyterian, Los Angeles , Registered Nurse/Rapid Response Team, ICU Unit, Healthcare , Van Nuys, California

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