Registered Nurse II/III-MC/CHC - RUHS - ED (Emergency Department) at County of Riverside in Moreno Valley, California

Job Description:

ABOUT THE POSITION
The County of Riverside - Riverside University Health System (RUHS) - Medical Center, located in Moreno Valley, is currently recruiting Registered Nurses for the Emergency Department (ED).

The ideal candidate will have at least one year of Emergency Department experience working in an acute care setting.

Certificates required:

• Basic Life Support (BLS) certification from the American Heart Association


• Advanced Cardiac Life Support (ACLS) certification from the American Heart Association


• Pediatric Advances Life Support (PALS) certification from the American Heart Association


• NIHSS (Stroke) Certification


• Trauma Nursing Core Course Certification and Advanced Trauma Care for Nurses certification is highly preferred .

The Emergency Department is a large unit comprised of 40 treatment areas. There are six (6) acute trauma beds, three (3) acute cardiac beds and six (6) other specially monitored beds for acute patients. The 25 general exam rooms include a decontamination room, security rooms, an ENT, cast room, and forensic exam room. The ED is staffed with attending physicians and resident physicians 24 hours a day.

Work Schedule:

• 3/12s, night shift, 1900 - 0730

Additional Differentials:

• Evening Shift (3:00pm to 11:00pm): $2.00 per hour


• Night Shift (11:00pm to 7:30am): $5.00 per hour


• ED Critical Care: 0-3 years experience $4.00 per hour, 4-6 years experience $5.50 per hour, 7 + years experience $7.00 per hour

To learn more about the department please visit the RUHS website: RuHealth.org

Meet the Team!
Riverside University Health System - Medical Center (RUHS-MC) is a Level I Trauma Center that provides high quality adult and pediatric acute care, emergency and trauma medical care, and specialized health services that include the Stroke Center and chronic disease management. RUHS-MC is dedicated to providing contemporary, patient-focused care linked by a robust electronic health record and seamless services in medical, behavioral health and population health management. Located in Moreno Valley, the 439-bed Medical Center and its 60+ hospital-based primary and specialty care clinics have been recognized for the delivery of high quality care.

Riverside University Health System (RUHS) - Medical Center is a teaching facility that provides a supportive environment and encourages professional growth, development, and advancement. Our team's commitment to excellence is evident by the numbers of our RN's who are Critical Care Registered Nurse certified and hold Bachelor of Science in Nursing degrees. Nursing professionalism, experience, and education are rewarded by the nursing career ladder that allows Registered Nurses to advance in salary. Additional benefits include holidays, paid vacation and sick leave, savings investment plans and retirement benefits, professional development opportunities, tuition discounts, employee assistance, rehabilitation services and institutional commitment to work-life balance.

The Emergency Department at Riverside University Health System (RUHS) - Medical Center is a large unit comprised of 44 treatment areas. There are multiple acute trauma and cardiac beds with 25 general exam rooms include a decontamination room and security rooms. The ED is open 24 hours a day, seven (7) days a week. The ED uses a Rapid Medical Evaluation process called RME, which means that the patients are seen quickly by an Emergency Medicine provider. The census during peak flow times can surge to 80 to 130 patients in the department.

The ED has attending physician coverage around the clock, provided by board certified emergency physicians. Since we are a teaching facility, the attending physicians regularly supervise resident physicians. RUHS is dedicated to educating the community and the ED regularly hosts students of all types, from ROP medical assistants, EMTs & EMT-Ps, LVNs, RNs, NPs and PAs.

This ED sees about approx. 90,000 patients annually. This translates to about 246 patients in 24 hours. The busiest days are always Mondays (Tuesdays and sometimes Wednesdays) when the census can reach 270. We operate as a Base Station hospital and offer all our RN staff to become MICNs (Mobile Intensive Care Nurses). These nurses can answer the paramedic radios and direct ambulance traffic and supervise patient care in the field. We are a Level I, American College of Surgeons Certified, and Trauma Center with a helipad. We admit an average of 1600 critical trauma patients annually. Most of our trauma patients are victims of blunt trauma (80%). Most of that trauma is motor vehicle related (45%).

The ED assures that the licensed staff has specific training in Trauma, such as TNCC and ATCN, (Trauma Nursing Core Course and Advanced Trauma Care Nurse). All RN staff are expected to have PALS (or ENPC) and ACLS and have taken Basic Coronary Care Class.

EXAMPLES OF ESSENTIAL DUTIES

Assess, plan, organize, and provide nursing care to assigned patients in accordance with physician instructions; make preliminary observations of patients and prepare patients for medical treatment.

Assist physicians in administering treatments and in performing medical examinations, diagnostic tests and surgical operations.

Administer prescribed treatment and medications, including dispensing, as ordered to patients; chart treatment of patients; record and report significant changes in condition and general progress of patients.

Counsel and advise patients, families and significant others regarding special medical problems and/or proper healthcare methods.

Prepare and maintain concise and complete records and reports; instruct patients in carrying out physician's orders; transcribe physician's orders to working records.

Provide orientation and training to new staff, residents, medical students, Regional Occupational Program (ROP) participants and nursing students.

Participate in quality assurance reviews; act as a team leader or relief charge nurse.

Assign and monitor, the work of subordinate nursing personnel; participate in committee activities; identify staff training needs.

Triage patients by reviewing admission charts and merging patients into the appropriate patient assignment or clinic flow when appropriate.

Testify in court as to client's mental and physical condition.

Coordinate and monitor patients through the hospitalization process utilizing physicians, primary care nurses and third-party payors to maintain quality care and fiscal responsibility.

Review the post hospital care plan with the patient,/family establishing a contact regarding timeframes and responsibilities; follow care plan through patient discharge.

MINIMUM QUALIFICATIONS
Registered Nurse II - MC/CHC:

Education:Successful completion of the education required to obtain a valid license to practice as a Registered Nurse in the State of California. (A bachelor's degree from an accredited college or university in nursing or a health-related field may be required for some positions.)

Experience: One (1) year of experience working as a Registered Nurse in an acute care hospital setting.

Registered Nurse III - MC/CHC:

Education: Successful completion of the education required to obtain a valid license to practice as a Registered Nurse in the State of California.

Experience: Three (3) years of experience working as a Registered Nurse in an acute care hospital setting. (A bachelor's degree from an accredited college or university in nursing or national certification in a nursing specialty may be considered as a substitution for one year of the required experience. A master's degree from an accredited college or university in nursing may be considered as a substitution for two years of the required experience.)

License: Must possess and maintain a current valid license to practice as a Registered Nurse in the State of California or valid out of state license with authorization to work in California.

Certificates required:

• Basic Life Support (BLS) certification from the American Heart Association


• Advanced Cardiac Life Support (ACLS) certification from the American Heart Association


• Pediatric Advances Life Support (PALS) certification from the American Heart Association


• NIHSS (Stroke) Certification


• Trauma Nursing Core Course Certification and Advanced Trauma Care for Nurses certification is highly preferred .

Knowledge of: Current principles, techniques and procedures used in professional nursing; medical terminology and patient care routine appropriate to clinical setting; medical instruments and equipment; the uses and effects of medicines and narcotics; community resources available to provide patient care and follow-up; federal, state and local laws and regulations governing professional aspects of nursing; identification of potential discharge needs; payor source documentation requirements and governmental regulations affecting reimbursement.

Ability to:Perform the full range of nursing duties and responsibilities in a patient care setting; plan and organize nursing plans for patients; prepare and maintain concise and complete records and reports; establish and maintain effective working relationships with physicians, patients and co-workers; secure the cooperation of employees to work effectively together; assist in the instruction of entry-level nurses and ancillary personnel; keep abreast of developments in area of nursing specialization; evaluate the medical records of hospital admissions; provide recommendations regarding continued stay necessity; identify discharge needs.

SUPPLEMENTAL INFORMATION

Condition of Employment

In accordance with the California Department of Public Health Order dated August 5, 2021, and amended December 22, 2021, health care facility workers who work in indoor settings where care is provided to patients or where patients have access for any purpose must be vaccinated against COVID-19 as follows: first dose of a one-dose regimen or second dose of a two-dose regimen, by September 30, 2021. Effective March 1, 2022, all healthcare facility workers must have their booster, obtain the booster within 15 days of becoming eligible for one, or a declination form on file for the booster. Consideration may be given to candidates who are in the process of completing their vaccination regimen.

The Order allows for workers to be exempt from the vaccination requirements by providing the facility with a declination form signed by the individual stating either of the following: (1) the worker is declining vaccination based on Religious Beliefs; or (2) the worker is excused from receiving any COVID-19 vaccine due to Qualifying Medical Reasons. Workers who are exempted from the vaccination requirements must observe all other infection control requirements, including face coverings and regular COVID testing at the frequency required by their work site.

A requirement of employment is to provide proof of COVID-19 vaccination, or a completed COVID-19 Vaccination Declination form (filled out by the candidate and their medical provider as appropriate), during the pre-employment process. Failure to submit the required documentation may render a candidate ineligible to move forward in the process.

Reasonable Accommodations

The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). If you are a qualified individual and need a reasonable accommodation to take this exam, contact the recruiter before taking the exam. For additional information and the accommodation form, visit the Disability Access Office web page at: http://dao.rc-hr.com

Veterans' Preference
The County has a Veterans Preference Policy. Upload a copy of your (or your spouse's) Member-4 Form DD-214 (or NGB-22) indicating dates of service, and a copy of your spouse's letter of disability (if applicable) with your application. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference. See the policy here ( Download PDF reader ).

Pre-Employment
All employment offers are contingent upon successful completion of both a pre-employment physical exam, including a drug/alcohol test, and a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment).

Probationary Period

As an Approved Local Merit System, all County of Riverside employees, except those serving "At Will," are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.

What's Next?
Open to All Applicants
This recruitment is open to all applicants.Applicants who are current County of Riverside employees and/or current employees of The Riverside University Health System may be considered before other applicants depending on the volume of applications received. The candidate pool generated from this posting may be used to fill other NP positions not specifically listed on this posting, all qualified applicants are encouraged to apply.

Application Period
BASED ON THE NUMBER OF APPLICATIONS RECEIVED, THIS POSTING MAY CLOSE WITHOUT NOTICE.

Applications received prior to the closing date will be considered based on the information submitted. Changes or alterations cannot be accepted. All applicants must submit a complete application by the closing date of this recruitment. No late applications will be permitted. Include relevant work experience details on resume and/or application. Applicants who fail to provide information demonstrating they possess the position requirements may not be considered further in the application process. A description of job duties directly copied from the job classification or job posting will not be considered.

Upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment

documents to your NeoGov account. If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services ( NACES ) or Association of International Credential Evaluators, Inc. ( AICE ).

MEDICAL/DENTAL/VISION INSURANCE: A choice of different medical, dental and visions plan are available to elect. The County provides a Flexible Benefit Credit contribution as governed by the applicable SEIU Memorandum of Understanding to contribute towards the cost of these plans.

Note: Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits. See the list here .
MISCELLANEOUS RETIREMENT: County of Riverside has three retirement Tiers through the California Public Employees' Retirement System (CalPERS).

• 
  Tier I (Classic Member - Formula 3% @ 60): Applicable to current and former County of Riverside local miscellaneous employees hired prior to 08/24/2012 and did not withdraw CalPERS contributions. The employee contribution is eight (8%) percent.


• 
  Tier II (Classic Member - Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another CalPERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside. The employee contribution is seven (7%) percent.


• 
  Tier III (PEPRA New Member - Formula 2% @ 62): Applicable to CalPERS local miscellaneous new members hired on or after the implementation of the Public Employees' Pension Reform Act of 2013 (PEPRA) which took effect January 1, 2013. As of July 1, 2020, the employee contribution is 7.25% and subject to change annually.

A new member is defined as any of the following:

A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who has no prior membership in any California Public Retirement System.

A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who was a member with another California Public Retirement System prior to that date, but who is not subject to reciprocity upon joining CalPERS.

A member who first established CalPERS membership prior to January 1, 2013, and who is rehired by a different CalPERS agency after a break in service of greater than six (6) months.

CalPERS refers to all members that do not fit within the definition of a new member as "classic members".

Contribution rates are subject to change based on the County of Riverside annual actuarial valuation.

Note:

This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to retirement@rivco.org or by calling the Benefits Information Line at (951) 955-4981,
Option 2.

If you have prior service credit with another CalPERS agency or within agencies, please contact CalPERS at (888) 225-7377 to determine which retirement tier would be applicable to you. CalPERS is governed by the Public Employees' Retirement Law. The Retirement Law is complex and subject to change. If there's any conflict between this summary and the law, the law will prevail over this summary.
DEFERRED COMPENSATION: Voluntary employee contribution with a choice between two 457 deferred compensation plan options.

VACATION ACCRUAL (Bi-Weekly Accrual):

0< 3 year = 80 Hours (10 Days)

4< 9 years = 120 Hours (15 Days)

10 or more years = 160 Hours (20 Days)

Maximum Vacation leave accumulation is 480 hours.

SICK LEAVE: Four (4) hours Sick Leave accrual per pay period with unlimited accrual.

HOLIDAYS: Normally 12 paid holidays per year.

BEREAVEMENT LEAVE: Allowed 5 days (3 days are County paid; 2 additional days can be taken from accrued Sick Leave balance).

BASIC LIFE INSURANCE: Equal to one times annual base salary not to exceed $50,000 of term life coverage. Premiums are paid by the County. Additional Supplemental Life plan is available for employee purchase.

DISABILITY: Short-term Disability benefit pays up to a maximum of $461.54 weekly, payable up to a maximum of 52 weeks.

POST RETIREMENT MEDICAL CONTRIBUTION: A monthly contribution is made by the County towards retiree health insurance offered through the County as governed by the applicable SEIU Memorandum of Understanding.

OTHER: There may be other benefit provisions as specified in the applicable Memorandum of Understanding. Please contact the recruiter listed on the job posting directly for more information.

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