RN Emergency Services

Job Summary and Responsibilities
As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery.

Every day, you will leverage your expertise to provide individualized, comprehensive care, making critical assessments, performing skilled procedures, and meticulously implementing patient care plans. You'll collaborate seamlessly within an interdisciplinary team, contributing to a dynamic environment focused on optimal patient outcomes.

To thrive in this vital role, you will possess keen assessment skills, acute critical thinking, and a patient-first mindset, driven by a profound enthusiasm to help others. Your sense of urgency and dedication to excellence in a fast-paced environment will not only support patient recovery but also fuel your own career advancement.

• PATIENT ASSESSMENT/REASSESSMENT
  
  
  
  
  
  • Perform patient assessment/reassessment, including giving or receiving comprehensive change of shift and intermittent report, obtaining the nursing history, conducting a physical assessment, establishing priorities for care.
  
  
  
  • Assess patient's learning needs, readiness for discharge and ability of the patient/family/SO to manage illness after discharge.
  
  
  
  • Completes both computer and hand written documentation using correct format in an accurate, precise, timely, legible and complete manner .
  
  
  
  • Provide direct patient care, as required. Assist physician with procedures, as necessary.
  
  
  
  • Report changes in patient's condition to physician.
  
  
  
• The experience, training, and education requirements for the Registered Nurse authorized to perform Triage in the main Emergency Department are:
  
  
  
  
  
  • The RN must meet, at minimum, the qualifications in the job description for ED Staff Nurse.
  
  
  
  • The RN is required to complete an initial and annual skills validation which includes an ESI competency in accordance with hospital regulations.
  
  
  
  • The RN must have more than six months experience in Emergency Medicine and be able to predict the nature and number of tests, therapeutic interventions, and consultations that a patient would need during his/her ED stay.
  
  
  
  • The RN must be currently certified in ACLS, PALS, BLS and maintain continued clinical competence.
  
  
  
  • Quality monitoring audits will be conducted each month, by the department Director/Manager or Nursing Educator, which will indicate competent assessment with ESI categorization.
  
  
  
• NURSING BUNDLE
  
  
  
  
  
  • Update white board in room, at shift change during bedside report, utilizing S-BAR communication tool.
  
  
  
  • Performs hourly rounding during the day and at night.
  
  
  
  • Provide assessment for pain, changing patient position and assisting with toilet as needed.
  
  
  
• DEVELOP/IMPLEMENT/EVALUATE/DOCUMENT INTERDISCIPLINARY INDIVIDUALIZED CARE PLAN
  
  
  
  
  
  • Ensures coordinated interdisciplinary approach for all patients per policy.
  
  
  
  • The Interdisciplinary Care Plan is updated when there is a change in condition or additional patient care needs are identified by nursing and other appropriate disciplines updated daily or condition changes or warrants.
  
  
  
  • Completes both computer and hand written documentation using correct format in an accurate, precise, timely, legible and complete manner.
  
  
  
  • Nursing coordinates interdisciplinary collaboration and keeps the patient informed of progress toward expected outcomes and involves the patient/family in revisions toward the plan.
  
  
  
• INTERACT AND EDUCATE PATIENT/FAMILY/SO
  
  
  
  
  
  • Address and meet patient's physical, emotional, spiritual, and psycho/social needs.
  
  
  
  • Identify and collaborates to address patient/family/SO learning needs and documents per policy on the interdisciplinay teaching record.
  
  
  
  • Promote patient's rights; maintain privacy and confidentiality.
  
  
  
  • Identify ethical issues and refer to appropriate resources.
  
  
  
• LEADERSHIP
  
  
  
  
  
  • Demonstrates awareness of professional responsibility by being a role model for peers and subordinates while maintaining practice within The Patient's Bill of Rights and Dignity Health Core Values.
  
  
  
  • Adheres to Dignity Health standards and Behaviors by promoting teamwork and a positive work environment, model cooperative behavior with other staff members behavior and act in a professional manner and uses effective lines of communication.
  
  
  
  • Participates in problem-solving processes in which unit-based problems are identified and a plan is made and implemented for correction.
  
  
  
  • Functions as an effective resource for peers and other staff with regard to policy and procedure.
  
  
  
  • Contributes to cost effectiveness by adhering to staffing patterns and appropriate utilization of other resources.
  
  
  
  • Adapts well to changes, seeking clarification when necessary.
  
  
  
  • Team leads and monitors objectives set for other work groups within your unit as appropriate.
  
  
  
  • Adheres to role of the lean process and works as a change agent for the department.
  
  
  

Job Requirements
Required

• Other Education level necessary to obtain required licensure and certifications, upon hire and
• Registered Nurse: CA, upon hire and
• Basic Life Support - CPR, upon hire and
• Advanced Cardiac Life Support, upon hire and
• Pediatric Advanced Life Support, upon hire and

Preferred

• Bachelors Of Nursing BSN, upon hire and
• 1-2 years of Emergency Nursing
• Trauma Nurse Core Course, upon hire and
• Certified Emergency Nurse, upon hire

Where You'll Work

Bakersfield Memorial Hospital includes 385 general acute beds, 48 licensed critical care beds, 13 state-of-the-art surgical suites, and a full-service Emergency Department with an Accredited Chest Pain Center and Nationally Certified Stroke Center. In addition, we offer a beautiful Family Care and Birthing Center, the Lauren Small Children's Center including the area's only Pediatric Intensive Care Unit, Family Care Center, a Level II NICU, the Sarvanand Heart, and Brain Center with Kern County's first Bi-Plane Interventional Suite, the Center for Wound Care and Hyperbarics, and many more services. Memorial Hospital is a Children’s Miracle Network Hospital and is home to the Bakersfield Ronald McDonald House. Memorial Hospital is a member of Dignity Health and is a trusted community partner, serving residents of Bakersfield and Kern County with quality, compassionate care since 1956. Click here to learn more about Bakersfield Memorial Hospital.

One Community. One Mission. One California