STAFF NURSE II

JOB TITLE: Staff Nurse IICC/Department: 7010/Emergency ServicesReports to: Administrative Director of Emergency ServicesJOB SUMMARY:The Staff Nurse is a professional caregiver who assumes responsibility and accountability for the assessment, nursing diagnosis, planning, implementation and evaluation of care for patients and their families in compliance with the standards for care at Seton Medical Center, AHMC and Nurse Practice Act.Clinical Practice: Nursing1Assesses, collects and documents health assessment data focusing on the physical, emotional, spiritual, psychosocial and educational needs of the patient.a) Interviews the patient/family/significant other to complete Triage information.b) Identifies actual and potential needs and determines priority.c) Identifies barriers to learning.After initial triage evaluation, completes and documents an assessment, focusing on abnormal systems and actual and potential problems. Performs ongoing assessment as indicated.2Plans nursing care, based on priority of physical and psychosocial-emotional needs.a) Develops realistic short-term goals for each problem, involving the patient, family or significant others.b) Plan demonstrates understanding of age-related needs of the patient.c) Negotiates with patient, family, significant other and health care team members in planning for education and discharge needs.3Implements the plan of care including prescribed procedures and treatments.Organizes and prioritizes care based on individual needs and unit activity.Assesses for changes in patient’s condition and appropriateness of the plan.Initiates interventions using appropriate clinical expertise and knowledge.As Primary Nurse, coordinates the activities of health care team members in completing diagnostic and therapeutic interventions.4Evaluates the effectiveness of nursing care delivered to reach the expected outcome.a) Evaluates the plan of care according to the current condition and changing needs of the patient.b) Accurately and concisely documents the patient’s status and response to the care delivered.Clinical Practice: Emergency Nursing6Utilizing professional nursing knowledge and skills. Appropriately assesses for:Physical and psychosocial-emotional needs.Barriers to learning.Educational/learning needs.Discharge needs.Age-related needs.Issues related to assault or abuse.7Analyzes patient related data, such as vital signs, past medical history, physical exam findings, laboratory values and other information, including age-specific criteria, to determine appropriate care.8Utilizes advanced, specialized knowledge and skills to implement interventions for all Emergency Services patients, by prioritizing needs, and using a patient centered approach.9Provides health education and teaching to patient’s, family members and/or significant others, that is age specific, providing for any barriers to learning. Clearly communicates health, treatment and discharge information, ensuring the patient, family member or significant other understands all discharge and follow-up instructions.10Effectively performs procedures, such as initiation of IV catheters and fluids, medication administration, dressings, patient teaching, etc., within their scope of practice, and unit, department and Medical Center policies and procedures.11Effectively performs other nursing procedures/skills, such as cardiac monitoring, rhythm interpretation, defibrillation, monitoring of conscious sedation, ABGs etc., based completed specialty training and their scope of practice, and unit, department and Medical Center policies and procedures.12Appropriately recognizes and quickly responds to emergency medical situations.a) Accurately assesses “A-B-Cs.”b) Initiates appropriate emergency treatment, i.e., CPR, O2, etc.c) Communicates critical information to other team members.13Maintains all required credentials and training (CA RN license, BLS, ACLS, PALS, NIHSS, AB508).14Remains current on emergency treatments/practices/procedures through attendance at staff meetings, continuing education events, in-services and the review of professional literature.15Integrates/applies new knowledge from education and research into clinical practice.16Demonstrates knowledge of and competence in age-related patient care.17Consistently demonstrates knowledge of state and federal regulations, such as Title XXII and COBRA/EMTALA. Follow all TJC, CDPH, CMS guidelines.18Advocates for public health and safety through patient and family education.19Consistently completes required documentation of the Emergency Services visit.20Consistently demonstrates caring and compassion through behaviors and interactions in performance of all duties, recognizing the inherent worth and dignity of patients, families, other staff and physicians.21Will perform duties of Relief Charge RN if called upon to do so.22Adheres to departmental and medical center policies on scheduling, overtime, sick time and time off.23Arrives punctually, takes appropriate time for breaks, use sick time appropriately.POSITION SPECIFIC DUTIES (other duties as assigned)QUALIFICATIONS/JOB REQUIREMENTS:EDUCATION:Graduation from an accredited school of professional nursing.Baccalaureate degree in Nursing preferred.EXPERIENCE:Staff Nurse II - Minimum of six months Registered Nurse experience.Six months current ER & triage experience or completion of Seton ER Nurse Training Program.CERTIFICATIONS/LICENSURE:Active California Registered Nurse licensureBasic Life Support certification (BLS) requiredACLS certification requiredPALS certification requiredNIHSS certification requiredWorkplace Violence Prevention De-escalation 8-hr (AB508) certification or CPI certification requiredPreferred: NRP certification.OTHER SKILLS, ABILITIES & KNOWLEDGE:Diffusing Assaultive Behavior TrainingKnowledgeable of the California Nursing Practice Act.Able to understand and follow all policies, procedures, guidelines, rules and regulations of Nursing Service, Seton Medical Center, AHMC, Title XXII.Excellent communication and customer service skills.Proficient in Evident computerized documentation system preferred.

Created: 2025-10-04