RN ER Other
Sonoma Valley Hospital

RN - Emergency (Per Diem)

apartment Sonoma Valley Hospital location_onSonoma, CA 95476, US
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Overview

The Emergency Nurse is responsible for high quality individualized patient care in the Emergency Department requiring a broad range of knowledge and expertise in the treatment of patients experiencing medical emergencies ranging from low acuity (earaches) to full blown resuscitative encounters (acute stroke, cardiac arrest).  Practices within the scope of RN licensure as defined by California Board of Registered Nursing, the Nurse Practice Act and Emergency Nurses Association standards of practice.  Advocates for and participates in high quality patient care and patient experience.

Responsibilities

Ability to perform critical care nursing role in emergency resuscitative efforts.  Knows well and implements ACLS and PALS Algorhythms effectively and understands appropriate dosages, routes, expected responses as well as side effects and toxicity indicators.  Primary member of Code Blue, Rapid Response and Code Stroke teams.

 

Performs accurate nursing assessments on all patients to include accurate triage with appropriate level assignment, home medication interrogation, psychiatric history, drug history and domestic safety.  Performs targeted clinical assessment including vital signs and discharge assessment in the Electronic Health Record.  Mandated reporter.

 

Accurately and safely administers medications utilizing medication administration scanning protocols for the Electronic Health Record.  Assesses and documents patient response to medication according to organizational policy.

 

Administers vasoactive intravenous infusions.

 

Models professional behaviors consistent with Service Excellence standards: AIDET, white boards, hourly rounding, patient call backs.  Adheres to organizational dress code policy and Code of Conduct.

 

Performs the following procedures:   Foley catheter insertion; nasogastric tube insertion; peripheral intravenous line insertion; feeding tube insertion; management of central lines, chest tubes, endotracheal tubes and respiratory ventilators.

 

Performs Phlebotomy as needed to include proper asceptic technique, blood tube order of draw and protocol for blood culture sampling.   Recognizes abnormal lab values, reports to MD and implements orders to correct abnormalities.

 

Adheres to and demonstrates personal accountability in implementing and maintaining the most current clinical and service standards.  Maintains mandated professional certifications and annual educational requirements.

 

Consistently meets all attendance and tardiness standards.  Adheres to all established break and meal period protocols.  Plans PTO as indicated and per departmental policy. Is accountable to knowledge of posted schedule and makes changes to schedule per department policy.  

 

Participates in quality protocols: sepsis, stroke, myocardial infarction and assists in data collection and chart review as assigned. Actively participates in performance improvement activities  to mitigate identified issues.   

 

Attends departmental staff meetings and Administrative forums.

Qualifications

Education: Graduate of accredited RN program.  BSN preferredExperience: Minimum of one year emergency room experience in acute care facilityLicenses & Certifications: California Registered Nurse,  BLS, ACLS, PALS,  CEN preferredRequired Skills & Knowledge: Proficiency in advanced resuscitative measures for patients experiencing acute stroke, cardiac arrest, severe sepsis and other emergency presentations.  Knowledge of medications, indications, dosage ranges & side effects/toxicity used in emergency interventions.  Ability to work accurately, quickly and under pressure while remaining highly professional.

Compensation

Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package.

Minimum:

USD $68.93

Maximum:

USD $94.78

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In accordance with the requirements of targeted case management, performs Medi-Cal administrative activities which include assisting Medi-Cal beneficiaries to gain access to needed medical, social, educational and other services. Prepare, input, and maintain organized, detailed and accurate medical records. Collaborate with other members of the health care team on an ongoing basis. Provide rounding and medical handoff to new clinical team each day when performing in-patient care. Willing to mentor and teach medical and midwifery students. May be assigned to participate in hospital committees as needed. Attend in-patient and outpatient CNM meetings. Attend clinic site staff meetings. Other duties as required or requested. Qualifications: Education: Masters prepared graduate of an accredited school of nursing or public health (MSN, MPH) required and a midwifery program approved by the American College of Nurse Midwives (ACNM). License & Certifications: Must have a current California RN and Certified Nurse Midwife license and be certified by the ACNM (or eligible). CA CNM Furnishing License required Current BLS or ACLS certification from American Heart Association required Surgical First Assist training certification for C-Section, or equivalent preferred. First Trimester and Third Trimester Sonography training is highly desired. Experience: At least 3 years of experience as a Certified Nurse Midwife, preferred. Accommodation: Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at 415-925-7040 or TalentAcquisition@mymarinhealth.org . C.A.R.E.S. Standards: MarinHealth seeks candidates ready to model our C.A.R.E.S. standards—Communication, Accountability, Respect, Excellence, Safety—which foster a healing, trust-based environment for patients and colleagues. Health & Immunizations: To protect employees, patients, and our community, MarinHealth requires measles, mumps, varicella, and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law. Compensation: The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills, experience, qualifications, and internal/market equity, consistent with MarinHealth’s compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements. Equal Employment: All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status, and any other classifications protected by federal, state, and local laws.