County of Los Angeles
REGISTERED NURSE II
County of Los Angeles, Los Angeles, California, United States,
EXAM NUMBER:
PH5134B
TYPE OF RECRUITMENT:
OPEN COMPETITIVE JOB OPPORTUNITY
FILING DATE:
Monday, May 20, 2024 at 8:30 a.m., Pacific Time (PT)This examination will remain open until the needs of the service are met and is subject to closure without prior notice.DEFINITION:
This experienced level class provides professional nursing care and services to patients in a variety of settings.
CLASSIFICATION STANDARDS:
Positions allocable to this experienced-level expert class report to higher-level nurses or providers. Incumbents apply recognized nursing principles and practices in providing professional nursing care and/or services under supervision in a variety of settings. Duties are performed in accordance with specific instructions, departmental policies and procedures, and established general written standards of nursing care. Positions are responsible for assessing, planning, implementing, and evaluating care as part of an interdisciplinary team. This experienced RN integrates theoretical knowledge with clinical experience utilizing a systems approach in the delivery of patient care and/or services. Positions at this level serve as a professional role model, may provide direction, and act as an effective resource person for others. This includes coaching, precepting, and leading other nursing and non-nursing staff. Nursing practice at this level demonstrates the application of expert assessment skills; independent judgment and action; and adherence to patient privacy, confidentiality, and security guidelines.Follows established policies and procedures within their scope of practice.Complies with licensing and accreditation standards and other regulatory requirements. Interprets and supports standards and requirements to others.Conducts self-assessment of performance and identifies own learning needs.Seeks assistance and feedback regarding patient and clinical practice issues.Accepts personal accountability and demonstrates initiative in continuing to develop nursing knowledge and skills.Communicates and collaborates effectively as a member of an interdisciplinary health care team as needed.Participates in patient care conferences, committee meetings, staff development, and educational programs to increase or maintain professional competency.Seeks experiences that reflect current clinical practice to maintain and enhance professional and clinical skills and competencies.Remains up-to-date on current professional skills, trends, and issues.Maintains courteous and respectful relationships with patients, families, and co-workers.Provides care in a non-judgmental, non-discriminatory manner.Respects patient rights; adheres to and protects patient privacy, confidentiality, and security guidelines.Completes and maintains accurate and legible documentation and records in a clear, concise, and timely manner.Reports and may intervene in incidents involving patients, visitors, and employees.Delegates, assigns, and supervises the assigned work of others including Licensed Vocational Nurses (LVNs), nursing attendants, technicians, clerical staff, and students as needed.Serves as a preceptor as needed.Participates in performance improvement activities. Recommends and facilitates implementation of changes in nursing practice.Participates in approved clinical investigations or research studies in accordance with departmental policies as needed.Participates in product evaluation and product standardization activities as needed.Participates in organization-wide committees and projects as needed.Serves as a liaison between committees, staff, and management as needed.Participates in identifying and resolving ethical issues in the practice setting.Assessment/Reassessment:
Interviews patient and other individuals to collect information.Observes and analyzes physical condition, including physically examining the patient.Identifies economic, educational, and cultural barriers; patient values and beliefs; spiritual influences; age specific and biophysical needs according to accepted standards of practice.Reviews all available information, including medical records, patient history, and other documentation.Documents all findings and observations.Initiates reassessment of patients as necessary when a patient is currently or potentially at physiologic, psychological, and psychosocial risk.Recognizes deviations from baseline and interprets subtle changes in a patient's condition.Planning:
Formulates nursing care plan based upon assessment and in accordance with provider orders, procedures, and/or protocols.Identifies nursing care objectives.Prioritizes patient care needs and activities as a member of an interdisciplinary team.Evaluates and modifies plans of care, in collaboration with the interdisciplinary team, and develops measurable long and short-term goals.Coordinates patient care in collaboration with other interdisciplinary patient care team members.Develops appropriate interventions which may include consultation with interdisciplinary team.Establishes patient goals and treatment plans.Modifies plan of patient care based on reassessment findings and specific patient care needs, and/or changes in interdisciplinary treatment plan.Identifies and incorporates discharge planning needs into the patient's plan of care.Identifies appropriate tools and/or teaching methods for patient/family education.Implementation:
Provides individualized and specialized nursing care and administers medications and treatments to patients as prescribed.Observes patient's response to interventions and treatments and monitors for side effects of medication administration.Recognizes and responds to changes in patient status timely and appropriately. Intervenes when situations call for immediate action.Performs efficiently in emergency situations.Coordinates delivery of patient care with other services and disciplines to achieve optimal patient outcomes.Provides patient/family education based on identified learning needs utilizing available teaching resources.Counsels patients and care givers concerning patient care and treatment plans.Communicates identified needs and patient responses to members of the interdisciplinary team.Implements the integrated plan of care and coordinates patient care activities with members of the interdisciplinary team.Provides discharge teaching including aftercare instructions, medication administration, follow-up appointments, and appropriate contact information.Recognizes safety hazards in the patient care environment and initiates timely and appropriate intervention.Uses patient equipment and devices safely; recognizes when equipment and devices are not functioning correctly and takes timely and appropriate action (e.g. removes malfunctioning equipment from patient care area).Evaluation/Monitoring:
Observes, evaluates, and communicates the effects of treatments and intervention.Communicates changes in the plan of care to other members of the interdisciplinary team.Documents patient's response to treatment or nursing care.Reassesses and revises plan of care in collaboration with other members of the health care team.Coordinates delivery of patient care with other services and disciplines to achieve optimal patient outcomes.Communicates with patients and care givers regarding changes in patient care and treatment plans.MINIMUM REQUIREMENTS:
Three (3) years of full-time experience at the level of the County classification Registered Nurse I, providing professional nursing care and services to patients in a variety of settings.
LICENSES:
A license to practice as a Registered Nurse issued by the California Board of Registered Nursing.Current certification in Basic Life Support (BLS)A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.
PHYSICAL CLASS:
3 - Moderate: Includes standing or walking most of the time, with bending, stooping, squatting, twisting, and reaching; includes working on irregular surfaces, occasionally lifting objects weighting over 25 pounds, and frequent lifting of 10-25 pounds.
SPECIAL REQUIREMENT INFORMATION:
A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.Applicants must ensure the License and Certification Section of the application is completed. Provide the title(s) of your required license(s), the number(s), date(s) of issue, date(s) of expiration and the name(s) of the issuing agency for the required license as specified in the Minimum Requirements.Applicants claiming experience in a state other than California must provide their Registered Nurse License Number from that state on the application at the time of filing. Out-of-State experience provided on the application without the required license number will not be considered.Out-of-Country experience will not be considered to meet the requirements.A current certification issued by the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program.Applicants MUST attach a legible photocopy of the required BLS certification to their application at the time of filing or within 15 calendar days of filing your application online sent to HRExams@ph.lacounty.gov. Applications submitted without the required evidence of BLS certification will be rejected.
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PH5134B
TYPE OF RECRUITMENT:
OPEN COMPETITIVE JOB OPPORTUNITY
FILING DATE:
Monday, May 20, 2024 at 8:30 a.m., Pacific Time (PT)This examination will remain open until the needs of the service are met and is subject to closure without prior notice.DEFINITION:
This experienced level class provides professional nursing care and services to patients in a variety of settings.
CLASSIFICATION STANDARDS:
Positions allocable to this experienced-level expert class report to higher-level nurses or providers. Incumbents apply recognized nursing principles and practices in providing professional nursing care and/or services under supervision in a variety of settings. Duties are performed in accordance with specific instructions, departmental policies and procedures, and established general written standards of nursing care. Positions are responsible for assessing, planning, implementing, and evaluating care as part of an interdisciplinary team. This experienced RN integrates theoretical knowledge with clinical experience utilizing a systems approach in the delivery of patient care and/or services. Positions at this level serve as a professional role model, may provide direction, and act as an effective resource person for others. This includes coaching, precepting, and leading other nursing and non-nursing staff. Nursing practice at this level demonstrates the application of expert assessment skills; independent judgment and action; and adherence to patient privacy, confidentiality, and security guidelines.Follows established policies and procedures within their scope of practice.Complies with licensing and accreditation standards and other regulatory requirements. Interprets and supports standards and requirements to others.Conducts self-assessment of performance and identifies own learning needs.Seeks assistance and feedback regarding patient and clinical practice issues.Accepts personal accountability and demonstrates initiative in continuing to develop nursing knowledge and skills.Communicates and collaborates effectively as a member of an interdisciplinary health care team as needed.Participates in patient care conferences, committee meetings, staff development, and educational programs to increase or maintain professional competency.Seeks experiences that reflect current clinical practice to maintain and enhance professional and clinical skills and competencies.Remains up-to-date on current professional skills, trends, and issues.Maintains courteous and respectful relationships with patients, families, and co-workers.Provides care in a non-judgmental, non-discriminatory manner.Respects patient rights; adheres to and protects patient privacy, confidentiality, and security guidelines.Completes and maintains accurate and legible documentation and records in a clear, concise, and timely manner.Reports and may intervene in incidents involving patients, visitors, and employees.Delegates, assigns, and supervises the assigned work of others including Licensed Vocational Nurses (LVNs), nursing attendants, technicians, clerical staff, and students as needed.Serves as a preceptor as needed.Participates in performance improvement activities. Recommends and facilitates implementation of changes in nursing practice.Participates in approved clinical investigations or research studies in accordance with departmental policies as needed.Participates in product evaluation and product standardization activities as needed.Participates in organization-wide committees and projects as needed.Serves as a liaison between committees, staff, and management as needed.Participates in identifying and resolving ethical issues in the practice setting.Assessment/Reassessment:
Interviews patient and other individuals to collect information.Observes and analyzes physical condition, including physically examining the patient.Identifies economic, educational, and cultural barriers; patient values and beliefs; spiritual influences; age specific and biophysical needs according to accepted standards of practice.Reviews all available information, including medical records, patient history, and other documentation.Documents all findings and observations.Initiates reassessment of patients as necessary when a patient is currently or potentially at physiologic, psychological, and psychosocial risk.Recognizes deviations from baseline and interprets subtle changes in a patient's condition.Planning:
Formulates nursing care plan based upon assessment and in accordance with provider orders, procedures, and/or protocols.Identifies nursing care objectives.Prioritizes patient care needs and activities as a member of an interdisciplinary team.Evaluates and modifies plans of care, in collaboration with the interdisciplinary team, and develops measurable long and short-term goals.Coordinates patient care in collaboration with other interdisciplinary patient care team members.Develops appropriate interventions which may include consultation with interdisciplinary team.Establishes patient goals and treatment plans.Modifies plan of patient care based on reassessment findings and specific patient care needs, and/or changes in interdisciplinary treatment plan.Identifies and incorporates discharge planning needs into the patient's plan of care.Identifies appropriate tools and/or teaching methods for patient/family education.Implementation:
Provides individualized and specialized nursing care and administers medications and treatments to patients as prescribed.Observes patient's response to interventions and treatments and monitors for side effects of medication administration.Recognizes and responds to changes in patient status timely and appropriately. Intervenes when situations call for immediate action.Performs efficiently in emergency situations.Coordinates delivery of patient care with other services and disciplines to achieve optimal patient outcomes.Provides patient/family education based on identified learning needs utilizing available teaching resources.Counsels patients and care givers concerning patient care and treatment plans.Communicates identified needs and patient responses to members of the interdisciplinary team.Implements the integrated plan of care and coordinates patient care activities with members of the interdisciplinary team.Provides discharge teaching including aftercare instructions, medication administration, follow-up appointments, and appropriate contact information.Recognizes safety hazards in the patient care environment and initiates timely and appropriate intervention.Uses patient equipment and devices safely; recognizes when equipment and devices are not functioning correctly and takes timely and appropriate action (e.g. removes malfunctioning equipment from patient care area).Evaluation/Monitoring:
Observes, evaluates, and communicates the effects of treatments and intervention.Communicates changes in the plan of care to other members of the interdisciplinary team.Documents patient's response to treatment or nursing care.Reassesses and revises plan of care in collaboration with other members of the health care team.Coordinates delivery of patient care with other services and disciplines to achieve optimal patient outcomes.Communicates with patients and care givers regarding changes in patient care and treatment plans.MINIMUM REQUIREMENTS:
Three (3) years of full-time experience at the level of the County classification Registered Nurse I, providing professional nursing care and services to patients in a variety of settings.
LICENSES:
A license to practice as a Registered Nurse issued by the California Board of Registered Nursing.Current certification in Basic Life Support (BLS)A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.
PHYSICAL CLASS:
3 - Moderate: Includes standing or walking most of the time, with bending, stooping, squatting, twisting, and reaching; includes working on irregular surfaces, occasionally lifting objects weighting over 25 pounds, and frequent lifting of 10-25 pounds.
SPECIAL REQUIREMENT INFORMATION:
A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.Applicants must ensure the License and Certification Section of the application is completed. Provide the title(s) of your required license(s), the number(s), date(s) of issue, date(s) of expiration and the name(s) of the issuing agency for the required license as specified in the Minimum Requirements.Applicants claiming experience in a state other than California must provide their Registered Nurse License Number from that state on the application at the time of filing. Out-of-State experience provided on the application without the required license number will not be considered.Out-of-Country experience will not be considered to meet the requirements.A current certification issued by the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program.Applicants MUST attach a legible photocopy of the required BLS certification to their application at the time of filing or within 15 calendar days of filing your application online sent to HRExams@ph.lacounty.gov. Applications submitted without the required evidence of BLS certification will be rejected.
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