Emergency department registered nurse jobs in San Marcos, CA

Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others. Our Impact Today Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions. Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions. Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day. DEPARTMENT SPECIFIC DUTIES: Obtains information and interpret information in terms of the patient's needs. Demonstrates knowledge of growth and development. Understands the range of treatment needed as appropriate to the ages of the patients served. Independently cares for two critically ill patients. Assesses and recognizes change in condition and notifies the physician appropriately; report to physician is accurate and concise; documents completely including reassessments. Provides head to toe critical assessment and reports utilizing critical thinking skills; includes change in condition; treatment rendered and vasoactive medication dosages. Manages multiple drips and sedation . Assesses and cares for patients on ventilators and understands alarms and parameters of the patient. Understands hemodynamic status of the patient; correlates swan reading BP; UO to assess appropriately. Assists with bedside procedures- arterial line, Initiates interdisciplinary communications and incorporates recommendations. Consistently demonstrates the knowledge and skills necessary to provide care appropriate to the ages of the patients served on the assigned unit. Acts as a liaison between patient, physicians, family/significant other and other health disciplines. Develops, implements and updates an individualized teaching and discharge plan. Initiates and documents progressive patient and family/significant teaching. Facilitates the discharge process ensuring all goals are addressed prior to discharge. Utilizes current theories and knowledge for accurate assessments and evaluations. Completes acuity evaluation on all assigned patients according to unit protocol. Consistently performs proficiently on nursing unit. Including but not limited to: Manages an average caseload specific to unit. Adapts to altered work patterns, sets priorities, and modifies assignments to meet patient needs utilizing available resources and staff ability and availability. Administers medications prescribed by physicians according to policy, including IV's, blood and blood products. Knows actions, indications, contraindications, precautions, adverse reactions, dosage and route of administration on all drugs before administering to patient Verifies against MAR for accuracy on an ongoing basis. Consistently recognizes, evaluates and intervenes appropriately in life-threatening situations. Consistently checks for new patient orders throughout the shift and implements them in an appropriate timeframe. Completes an end of shift review of physician orders. Consistently recognizes variances of diagnostic tests, vital signs and assessments. Notifies the physician in time appropriate to the variance. Functions as a charge nurse as assigned. Supports changes in clinical practice as evidenced by the plan of care for the patient and subsequent documentation. Functions as a resource to co-workers. Acts as preceptor, and other duties as assigned. Ensures compliance with Departmental policies and procedures. Assume responsibility for knowledge and implementation of policy, procedure, practice, CPG, changes. Maintains competence in nursing practice through in-services and participation in ongoing continuing education per year. Participates in the Quality Improvement Program. Follows appropriate chain of command for problem resolution approaching problem solving with a positive attitude and suggestions. Consistently demonstrates accountability for supervision and communication when assigned with students/orientates, and float personnel. Reports, documents, and takes appropriate action (by the end of shift) for incidents and or quality care issues that may affect the patient's or staff well-being. Consistently assesses patients for risk of injury and takes appropriate action to reduce risk and promote safety. Uses restraints according to policy and consistently explores other options less restrictive. Accurate documentation demonstrated in medical record. Serves as advocate for patient/family by providing information and assists in utilization of available resources and or alternatives for making health care decisions (i.e. advanced directives, ethics consult etc.) Handles and disposes hazardous waste safely and appropriately Consistently handles oxygen safely Consistently practices hand washing and use of protective wear Establishes or assesses proper identification prior to delivery of care. Requests clarification of Physician orders as necessary Up to $25,000 Sign-On bonus based on experience Desert Regional Medical Center is a 385-bed acute-care hospital classified as a stroke receiving center and level I trauma facility with an innovative, patient centered and evidence-based Rehabilitation Services Department. Our compassionate team provides a wide range of inpatient and outpatient services, including acute care rehabilitation, joint replacement & spinal surgery, neurosurgery, ICU, Telemetry, step-down care, skilled nursing, as well as outpatient therapy, hand and lymphedema clinics. GENERAL DUTIES: The Clinical Nurse assumes principal responsibility for the total nursing care, assessment, planning, implementation, evaluation of each assigned patient. The staff nurse initiates teaching and educates the patient and family/or significant other to attain optimal health. Access to all Patient Health Information for treatment purposes only. Shift: Nights Hours: Required Current CA Registered Nurse License Associate Degree in Nursing from an accredited school of nursing (ADN for Job Code G70AK only) Bachelor's Degree in Nursing from an accredited school of nursing (BSN for Job Code G70AD only) Current American Heart Association BLS certification (maintain current at all times) Current American Heart Association ACLS certification (maintain current at all times) Effective verbal and written skills to communicate with people on all levels and able to maintain positive working relationships with parents, families, and co-workers Possess active listening skills Compassionate and non judgmental care giver and advocate Able to independently manage multiple priorities Must comply with Respiratory Fit Testing Protection Policy Must successfully complete EKG test within the first 30 days of entry into this position NIHSS within the first 30 days of entry into this position #LI-JS4 Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. ********** Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.