SUMMARY: Under general supervision, the AHD Staff Nurse II provides nursing care to patients, including medications and treatment. Plans, implements, and evaluates patient care and performs related duties as required. The Registered Nurse II level is the journey level class where incumbents have had the required professional nursing experience and are capable of independently performing the full range of clinical nursing services involving patient care. Staff Nurse II's may supervise the work of professional and paraprofessional staff of the unit to which assigned.



DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level.  Not all duties listed are necessarily performed by each individual in the classification.

1. Accompanies, assists, and represents the needs of patients to other providers.

2. Accurately provide care with respect to medication administration, skin and wound care, ADL's and other essential patient care related activities.

3. Develops, implements, evaluates and makes modifications in the nursing care plan; prepares required records and reports.

4. Gathers and assess information about patients to meet nursing needs; assists and consults with physician in the performance of procedures and diagnostic tests; contracts physicians and/or other departments to obtain or provide patient information.

5. May provide oversight to staff who monitor telemetry systems; s primary nurse of changes in underlying rhythms and of any life threatening arrhythmias that may develop; interprets and posts telemetry strips at the hours specified; admits and discharges patients with telemetry units as appropriate.

6. Organizes, supervises, makes adjustments and accepts responsibility for the quality of care provided patients by co-workers for a given work period; at the level II assumes responsibility as a charge nurse when assigned.

7. Participates in promoting a healthful, safe, and therapeutic environment for patient and families; set up and controls the environment essential for infection control.

8. Participates in the implementation of patient care standards, infection control standards and quality assurance criteria; assist with conducting studies; participates in unit and other meetings.

9. Provides and evaluates patient care established standards and criteria in conformity with the nursing care plan. Will adhere to the No Pass Zone.

10. Monitors patients for significant and critical changes and initiates procedures as required; documents care given according to set standards and at required intervals.

11. Interprets and explains procedures, regimens, and services to patients and families; teaches patients and family members health care and disease prevention techniques.

12. Prepares patients and/or area for procedures and operations; assists physicians; uses instruments and equipment related to the area of assignment.

13. Utilizes evidenced based best practice by hourly rounding on all assigned patients.  Between the hours of 2200 and 0700 rounding will be every two hours.

14. Shift report will be done at the bedside with the patient involved to the best of their ability.

15. AIDET (acknowledge, Introduce, Duration, Explanation, and Thank you) will be used in patient and family interactions when appropriate.

MINIMUM QUALIFICATIONS:

Education: Graduate of an accredited nursing program required; Bachelor's degree in Nursing preferred.

Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. 

Minimum Experience: Six months experience as a Registered Nurse I with AHS or the equivalent of one year full time recent experience at a comparable level in a minimum 100-bed hospital.  

Required Experience:  ED or CCU - 6 months full time experience.

Required Experience: OR or PACU - 1 year full time experience.

Required BLS - Basic Life Support Certification issued by the American Heart Association. 

Required ACLS - Advanced Cardiac Life Support Certification - issued by the American Heart Association for nurses in the Emergency Department, OR, PACU, SSU, CCU or Telemetry. 

Required CPI -Crisis Prevention Intervention training for Emergency Department. 

Required  PALS - Pediatric Advanced Life Support Certification- issued by the AHA American Heart Association for nurses in the Emergency Department. 

Preferred Licenses/Certification: CCRN – For Critical Care Registered. 

Preferred Certification: CEN- Certified Emergency Nurse –For Emergency Department Nurse