Position Overview
The Facility Registered Nurse (RN) is a full-time employee working 36+ hours per week (average) in our Pediatric Day Health Centers. The Facility RN is responsible and accountable for maintaining quality in the planning, assessing, implementation and evaluation of nursing care. Provides education and training to the parents and family, as needed. Assists in supervising the activities of LPN and ancillary staff.

Essential Job Functions
Performs an initial assessment of the patient on admission and assists in developing an individualized nursing care plan to address the specific needs of the patient.
Monitors and documents patient's status through on-going observation and assessment.
Identifies patient care priorities which result in quality nursing care.
Implements physician's orders and communicates any changes in patient status to the primary physician.
Documents in nursing progress notes the nursing care rendered, including but not limited to, patient's condition, changes in patient status, communication with the physician, changes in treatment plan and patient/family teaching.
Coordinates all aspects of care required by the patient from other health care disciplines to provide quality care.
Fosters and maintains a collaborative relationship with the interdisciplinary health team.
Assesses the family dynamics, strengths and weaknesses, particularly in regard to the patient's medical condition and developmental status.
Provides teaching, counseling and support to families in an effort to facilitate adjustment to their child's medical problems and/or developmental status.
Evaluates and updates nursing care plan/treatment plan, establishing new goals according to patient progress.
Maintains awareness of and complies with company policies and procedures.
Acts in accordance with the Nurse Practice Act while complying with company policy and procedure.
Maintains professional, supportive and responsive interpersonal communication skills.
Supervises and maintains responsibility for all nursing care provided by LPN staff and unlicensed personnel.
Coordinates and supervises care given by other health providers.
Participates in case management conferences, staff meetings and in-services.
Demonstrates initiative, ability to problem solve and makes appropriate nursing judgments.
Reflects current knowledge of trends, research and recent advances in the care of the medically complex child.
Assists in orientation of new employees, acting as a resource person.
Maintain awareness of available resources and the process by which to access them.
Performs other duties as assigned by Supervisory staff.
Maintains patients/family confidentiality.
Coordinates activities appropriate to age group and handicaps based on growth and development.
Able to administer oxygen and/or aerosol treatments; able to administer and monitor intermittent/continuous feedings; able to administer medications as ordered; able to start a peripheral IV and administer medications via the IV site or port; able to supervise the preparation of meals and snacks.
Aware of pediatric emergencies and the interventions necessary.
Capable of opening and closing the center as needed based on assigned shift.
Completes Annual Skills Lab, Mandatory in-services and required state specific CEUs.

Requirements
Current license as a registered nurse in the state.
No disciplinary board action related to nursing license.
Demonstrates knowledge of home ventilators, apnea monitors, oxygen, trachs and trach care, suctioning, special feedings, G-tubes, N/G tubes, J-tubes and IVs.
Current Basic Life Support Certification.
Evidence of negative TB skin test of X-ray.
Satisfactory criminal records check.
Knowledge of quality care for medically complex children.

Other Skills/Abilities
Must be able to adhere to confidentiality standards and professional boundaries at all times
Ability to remain calm and professional in stressful situations
Strong commitment to clinical excellence
Ability to train and supervise staff
Ability to interact comfortably with culturally and linguistically diverse families

Attention to detail
Time Management
Effective problem-solving and conflict resolution
Excellent organization and communication skills
Leadership skills
Quick-thinking and astute decision making skills

Physical Requirements
Must be able to speak, write, read and understand English
Must be able to walk into the center and be able to ride in a vehicle when transporting patients to and from their residence approximately 50% of the work week.
Physical activities including standing, lifting or assist in lifting the patient for feeding, changing and emergency response:
Patients weighing up to 25 pounds - frequently, 80 - 90% of the work day
Patients weighing 26 to 49 pounds - occasionally, 20 - 30% of the work day
Patients weighing in excess of 50 pounds - with assistance only, 5 - 10% of the work day
Must be able to bend, stoop, kneel, squat and generally demonstrate flexibility to play, render treatment, rock, hold or transfer children from beds/cribs to floor, bathe and assist in the restroom approximately 90% of the work day.
Must be able to see with visual and listen with hearing acuity to sufficiently monitor lights, sounds and alarms on applicable equipment as well as patient pulse and respirations.
Must have sufficient strength and manual dexterity to safely operate equipment, including grasping and manipulating small objects, approximately 80 - 90% of the workday.
Must be able to discern changes in temperature or texture by touching.
Must be able to respond to unanticipated emergency situations in the center by providing physical support to the suddenly weak or disabled patient, as needed approximately 25% of the work week. Due to spontaneous nature of children, sudden movements and physical agility may be necessary to protect the patient.
Must be able to function in a wide variety of environments which may involve exposure to latex or other sources of allergic response and that cannot always be controlled by the employer.

Environment
Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
Possible exposure to blood, bodily fluids and infectious diseases

Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

Notice for Job Applicants Residing in California