Clinical Nurse B - Adult ED

Job Summary

The Clinical Nurse B‑Emergency Department (ED) functions in a Magnet‑recognized large tertiary academic medical center with level one trauma designation, ST‑Elevation Myocardial Infarction (STEMI) receiving center designation, Comprehensive Stroke Center and Chest Pain Center accreditation. Performs the nursing process (assessment, care planning, intervention, evaluation) with minimal supervision in a fast‑paced environment that treats a culturally diverse patient population presenting with a variety of illnesses and diseases in varying stages and/or minor and major injuries.

Rapidly assesses and stabilizes patients with life‑threatening situations. Exhibits solid decision‑making skills and effectively utilizes discretion and independent judgment to prioritize, coordinate, provide and document direct and indirect age‑specific and developmentally appropriate quality patient‑centered care in accordance with LLUMC's established Professional Practice Model (Duffy's Quality Caring Theory). Makes sound decisions, multitasks and balances and prioritizes each patient’s needs and treats accordingly.

Demonstrates flexibility and manages multiple cases simultaneously and continuously prioritizes needs. Works collaboratively with physicians from multiple service lines and assists with common and complex procedures based on orientation and competency.

Displays confidence in dealing with community emergency situations, catastrophic incidents and mass casualties. Receives patients from first responders brought in by land and air ambulances, patients that are brought in during mass casualties, and walk‑in patients seeking care. Implements standing orders appropriately and handles unexpected situations and changes in direction calmly and with confidence.

Works at maximum efficiency without compromising patient care. Demonstrates basic knowledge about agencies governing emergency and trauma services. Applies theoretical concepts to clinical practice and continually expands knowledge base and clinical skills with a focus in emergency and trauma medicine. Contributes to nursing excellence and embraces new knowledge, innovations and improvements in practice to enhance the patient experience and clinical outcomes.

• Provides direct patient care in the ED and supervises and delegates tasks to licensed and unlicensed staff.
• Participates in on‑call rotation based on department business needs and may serve in Shift Coordinator role upon completion of orientation.
• Begins as Clinical Nurse‑B with eligibility to promote to Clinical Nurse‑C after two years of experience.
• Performs other duties as needed.

• Bachelor of Science Degree in Nursing (BSN) required. If hired into a Loma Linda University Health entity prior to April 1, 2020, an Associate Degree or Diploma in Nursing required.
• One year of nursing experience required.
• New hires are eligible to be promoted into the CN‑C classification when criteria outlined in the Clinical Nurse Ladder handbook and job specifications are met.

• Demonstrates basic competencies in clinical nursing and ability to apply theoretical concepts to clinical practice.
• Knowledge of healthcare regulations, accreditation, and basic clinical skills with a focus in emergency and trauma nursing.
• Proficient in English (Spanish preferred), computer use, electronic medical record, and emergency reporting programs.
• Skills in troubleshooting, equipment calibration, patient care activities, communication, critical thinking, independent work, math, and workload organization.

• Active California Registered Nurse (RN) license required.
• Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS) certifications required.
• Trauma Nursing Care Course (TNCC) and Emergency Nurse Pediatric certification within one year of hire required.
• Certified Emergency Nurse preferred.

Eligibility for a $9,000 recruitment incentive bonus based on eligibility requirements.

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