Providence St. Joseph Health

Job Information

St. Joseph Health / Covenant Health Staff RN II - ICU in Napa, California

We are looking for a Staff RN II - CNA (California Nurses Association) with the ICU Department at Queen of the Valley Medical Center.

Location: Napa, CA

Schedule: Full Time - 72 biweekly hours

Shift: 12-hour, Nights

Job Summary:

The Staff Nurse independently uses the nursing process to safely, therapeutically and efficiently care for a group of patients. Uses information from a variety of sources to assess, plan, implement, identify outcomes and evaluate patient's plan of care.

Ages of Patients Served:

ICU, 601000: Adolescent (13-20), Adult (21-64), Geriatric (65+).

Essential Functions:

  • CLINICAL PRACTICE: The practitioner is accountable to recognize the health and quality of life needs of the patients, family, and community, and to collaborate with them to achieve mutually agreed upon goals. The practitioner utilizes his/her specialized skills and scientific knowledge to design collaborative and integrated care that binds together all resources in a goal oriented movement toward health. Components of clinical practice are competence, evidenced based practice/continuous quality improvement, advanced practice nursing, and practice standards.

• Provides a safe environment specific to age and development of the patient.

◦ Standard of practice for all levels:

▪ Provides safe environment specific to age and development of patient population served.

▪ Adheres to all safety policies and procedures.

▪ Identifies safety issues or hazards in the work environment and communicates deficiencies appropriately.

▪ Has access to and administers and/or handles medications according to this position's license or certification standards and Medical Center policy.

• Develops on-going plan for self-development.

◦ (Demonstrates knowledge of standards of care for patients in daily practice including knowledge of procedures for high-risk patients. In addition can verbalize knowledge that standards of care/procedures are research based).

◦ Develops and completes annual plan with nurse manager/designee including time frame for obtaining necessary skills/education.

◦ Verbalizes current knowledge of the standard of practice in their nursing specialty. Seeks opportunities to be taught, coached and mentored.

◦ Seeks information regarding specialty certification. (Verbalize knowledge that the opportunity exists in specialty).

◦ Note: Information in parenthesis "( )" is further clarification of what individual performance criteria means and examples of how performance criteria can be met. Information is to be used as a guide for the nurse doing the evaluation and not as part of the formal document.

• Assists in creating an environment that promotes educational growth opportunities for peers.

◦ Assesses team members, students, and orientee’s use of newly learned skills in the work setting per established standards of care and standards of practice (Looking at competencies, skills in accordance with standards of practice).

◦ Designs learning opportunities for team members, students, and orientees in acquisition of skills (Seeks information from staff on educational needs, participate with educator, advanced practice, RN III or RN IV in filling the needs).

◦ Participates in self appraisal performance review and peer review, including annual goal setting for assurance of competence and professional development.

◦ Note: Information in parenthesis "( )" is further clarification of what individual performance criteria means and examples of how performance criteria can be met. Information is to be used as a guide for the nurse doing the evaluation and not as part of the formal document.

• Assures quality through application of policy, procedure, standards of care, clinical pathways and protocol changes.

◦ Demonstrates awareness of literature in the area of evidence-based practice (Ability to verbalize names of relevant journals and is able to access them).

◦ Acts as a resource to other team members when clarification is needed (Brings in articles that are of interest to share with peers – especially important for unusual or high risk patients).

◦ Questions orders that deviate from usual standard of practice.

◦ Incorporates performance improvement recommendations into clinical practice (Ability and willingness to carry out recommendations – for example from implementation of new product or technology, new practice from literature review recommendations).

◦ Participates in data collection, data tracking and analysis for research/studies as directed (Collects patient data for research, chart review).

◦ Note: Information in parenthesis "( )" is further clarification of what individual performance criteria means and examples of how performance criteria can be met. Information is to be used as a guide for the nurse doing the evaluation and not as part of the formal document.

• Maintains clinical competence

◦ Maintains knowledge of nurse practice act (Knowledge of RN, LVN and CNA scope).

◦ Demonstrates and maintains competence in required hospital wide and service specific competency programs (Participation in skills day, specialty competencies i.e. fetal monitoring, oncology certification, TBI competency).

◦ Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served including knowledge of the principles of growth and development, psychosocial characteristics, and interventions for age-specific requirements of the assigned unit (Evaluation of staff members nursing care plans).

◦ Note: Information in parenthesis "( )" is further clarification of what individual performance criteria means and examples of how performance criteria can be met. Information is to be used as a guide for the nurse doing the evaluation and not as part of the formal document.

• Utilizes nursing process to perform a comprehensive, age-specific assessment of patient and family needs.

◦ (Evaluation of: Plan of care, nurses notes, assessment, referrals made)Performs a comprehensive patient/family physical assessment on assigned patients demonstrating the ability to integrate cultural, psychosocial and spiritual needs of the specific population served.

◦ Identifies trends in patients’ clinical course, assesses proactively, when necessary.

◦ Utilizes an interdisciplinary approach to assessment.

◦ Serves as a clinical resource in the development of basic assessment skills interventions.

◦ Note: Information in parenthesis "( )" is further clarification of what individual performance criteria means and examples of how performance criteria can be met. Information is to be used as a guide for the nurse doing the evaluation and not as part of the formal document.

• Identifies formal teaching needs for specific patients/ families and communities.

◦ Includes ability to go beyond items on the pre-printed teaching record when needed by patient.

◦ Identifies teaching goals with patient/family and utilizes resources to develop complex, interdisciplinary teaching plans.

◦ Identifies ongoing needs and makes referrals utilizing community resources.

◦ Assures that patients/families have acquired all necessary skills and referrals for post-hospitalization.

◦ Note: Information in parenthesis "( )" is further clarification of what individual performance criteria means and examples of how performance criteria can be met. Information is to be used as a guide for the nurse doing the evaluation and not as part of the formal document.

• Utilizes nursing process to develop and revise plan of care.

◦ Obtains resources and collaborates with other departments regarding teaching needs (Audit of teaching record).

◦ Identifies and selects appropriate patients for patient care conferences (Number of patients ID for pt conference).

◦ Initiates discharge planning upon admission and facilitates the discharge plan based upon the patient’s continuing care needs.

◦ Plans for interventions that minimize complications and life-threatening situations.

◦ Participates in interdisciplinary conferences. (Number of conferences attended).

◦ Note: Information in parenthesis "( )" is further clarification of what individual performance criteria means and examples of how performance criteria can be met. Information is to be used as a guide for the nurse doing the evaluation and not as part of the formal document.

• Implements safe and therapeutic care for patients.

◦ Implements plan of care for patients of moderate complexity.

◦ Re-prioritizes as necessary to adapt to changing patient condition, work environment and patient assignments.

◦ Responds to individual/cultural differences in patient/family care.

• Evaluates patient assessment, planning and implementation in relation to intended goals and progress toward expected outcomes.

◦ Involves the interdisciplinary team in evaluating the patient’s/family’s progress toward attaining expected outcomes.

◦ Utilizes ongoing assessment data to revise the diagnoses, outcomes, and plan of care as needed.

◦ Evaluates the effectiveness of interventions and the patient’s response in relation to outcomes.

Skills:

  • Ability to utilize resources appropriately:

  • Maintain a safe work environment by adhering to all Joint Commission, Title 22, Medical Center and departmental policies and procedures and other regulatory requirements.

  • Identify, report, and seek to correct unsafe conditions or practices.

  • Demonstrate efficient use of time and resources working within established budget parameters.

  • Basic math and computer data entry skills.

  • Current clinical skills of unit specific type patients.

  • Ability to concentrate and pay close attention to detail when performing professional nursing care dealing with patients and families often under tense situations.

  • Must be proficient in required competencies upon completion of orientation, as listed on the unit specific orientation and competency assessment form, and may also be listed on performance criteria documents.

Position Requirements:

Experience: Must have more than 1 year of experience and meet the department specific competencies.

License/Certification:

  • Current California RN license.

  • Current Healthcare Provider BLS certification.

  • ACLS certification must be obtained within 6 months of obtaining position.

Preferred Position Qualifications:

Education: Bachelor's Degree in Nursing

License/Certification: CCRN

For 50 years, Queen of the Valley Medical Center has been the premiere medical facility in the Napa Valley. Our long history of providing high quality and caring service is founded on four core values: Compassion, Dignity, Justice, Excellence and Integrity. These central principles inspire us to reach out to those in need and to help heal the whole person-mind, body and spirit.

Queen of the Valley Medical Center combines the region's most qualified physicians and staff with the most advanced technology available. Because we have such high standards of care, our programs have been recognized regionally and nationally for their demonstrated success of outcome and care which is par with university hospitals.

Queen of the Valley Medical Center provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Queen of the Valley Medical Center complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Positions specified as "on call/per diem" refers to employment consisting of shifts scheduled on as "as needed basis" to fill in for staff vacancies.

Company: Queen of the Valley Medical Center

Category: Critical Care Nursing

Req ID: R331222

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