REGISTERED NURSE I (College of Nursing and Allied Health Graduate)

Full Job Description

This examination will remain open until the needs of the service are met and is subject to closure without prior notice.

COVID-19 Vaccination
All Department of Health Services workforce members must be fully vaccinated against COVID-19 as a condition of employment. Successful candidates for this position will be required to submit proof of vaccination against COVID-19 or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not present proof of vaccination until instructed to do so by the hiring department.

DEPARTMENT OF HEALTH SERVICES
The Los Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. DHS operates as an integrated health system, operating 25 health centers and four acute care hospitals, in addition to providing health care to youth in the juvenile justice system and inmates in the LA County jails. Across the network of DHS' directly operated clinical sites and through partnerships with community-based clinics, DHS cares for about 600,000 unique patients each year, employs over 23,000 staff, and has an annual operating budget of 6.9 billion.

Through academic affiliations with the University of California, Los Angeles (UCLA), the University of Southern California (USC), and the Charles R. Drew University of Medicine and Sciences (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings, to supportive housing.

For additional information regarding DHS please visit www.dhs.lacounty.gov.

MISSION
To advance the health of our patients and our communities by providing extraordinary care.

DEFINITION:
This class provides professional nursing care and services to patients in a variety of settings.

Requirements

Follows established policies and procedures within their scope of practice.

Complies with licensing and accreditation standards and other regulatory requirements.

Conducts self-assessment of performance and identifies own learning needs.

Consistently seeks assistance and feedback regarding patient and clinical practice issues.

Accepts personal accountability and demonstrates initiative in continuing to develop nursing knowledge and skills.

Communicates and collaborates effectively as a member of an interdisciplinary healthcare team as needed.

Participates in patient care conferences, committee meetings, staff development, and education programs to increase or maintain professional competency.

Seeks experiences that reflect current clinical practice to achieve and enhance professional and clinical skills and competencies.

Remains up-to-date on current professional skills, trends, and issues.

Participates in performance improvement activities.

Maintains courteous and respectful relationships with patients, families, and co-workers.

Provides care in a non-judgmental, non-discriminatory manner.

Respects patient rights; adheres to and protects patient privacy, confidentiality, and security guidelines.

Completes and maintains accurate and legible documentation and records in a clear, concise, and timely manner.

Reports and may intervene in incidents involving patients, visitors, or employees.

Delegates, assigns, and/or supervises as needed the assigned work of others including Licensed Vocational Nurses (LVNs), nursing attendants, technicians, clerical staff, and students.

Perform phlebotomy (blood-draw) as may be needed.

Perform intravenous (IV) insertion as may be needed.

Participates in approved clinical investigations or research studies in accordance with departmental policies as may be needed.

Participates in product evaluation and product standardization activities as may be needed.

Participates in organization-wide committees and projects as may be needed.

Assessment/Reassessment: An ongoing process which is continuous for the duration of the patient's stay.

Interviews patient and other individuals to collect information.

Observes physical condition including physically examining the patient.

Identifies economic, educational, and cultural barriers; patient values and beliefs; spiritual influences; and age specific and biophysical needs according to accepted standards of practice.

Reviews all available information, including medical records, patient history, and other documentation.

Documents all findings and observations.

Initiates reassessment of patients as necessary when a patient is currently or potentially at physiologic, psychological, and psychosocial risk.

Recognizes deviations from baseline and interprets subtle changes in a patient's condition.

Planning:

Formulates nursing care plans based upon assessment and in accordance with provider orders, procedures and/or protocols.

Identifies nursing care objectives.

Prioritizes patient care needs and activities as a member of an interdisciplinary patient care team.

Coordinates patient care in collaboration with other interdisciplinary patient care team members.

Establishes patient goals and treatment plans.

Modifies plans of patient care based on reassessment findings, specific patient care needs, and/or changes in interdisciplinary treatment plan.

Assists in discharge planning needs.

Identifies appropriate tools and/or teaching methods for patient/family education.

Implementation:

Provides individualized and specialized nursing care and administers medications and treatments to patients as prescribed.

Observes patient's response to interventions and treatments and monitors for side effects of medication administration.

Recognizes and responds to changes in patient status timely and appropriately. Intervenes when situations call for immediate action.

Communicates identified needs and patient responses to members of the interdisciplinary team.

Evaluation/Monitoring:

Observes, evaluates, and communicates the effects of treatments and interventions.

Reassesses and revises plan of care in collaboration with other members of the health care team.

Communicates with patients and care givers regarding changes in patient care and treatment plans.

Qualifications

SELECTION REQUIREMENTS:
1. A license to practice as a Registered Nurse issued by the California Board of Registered Nursing.

-AND-

2. Current Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program certification issued by the American Heart Association*

-AND-

3. Graduation from the Nursing program of the Los Angeles County College of Nursing and Allied Health (CONAH).**

LICENSE AND CERTIFICATION REQUIREMENTS:
A current active license to practice as a Registered Nurse issued by the California Board of Registered Nursing.

Please ensure the License and Certification Section of the required license(s), the number(s), date(s) of issue, date(s) of expiration and the name(s) of the issuing agency for the required license as specified in the Selection Requirements. Required license(s) and/or certification(s) must be active and unrestricted, or your application will not be accepted. Additionally, in order to receive credit for license(s) and/or certification(s) in relation to any desirable qualifications, the license(s) and/or certification(s) must be active and unrestricted.

The required license to practice as a Registered Nurse issued by the Department of Consumer Affairs, California Board of Registered Nursing will be verified at the following website: https://search.dca.ca.gov.

A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.

DESIRABLE QUALIFICATIONS

Additional credit will be awarded to candidates that possess the following:
• Experience in documenting in an electronic health/medical record (EHR/EMR) system
• Experience in intravenous (IV) insertion
• Experience with blood-draw (phlebotomy)

SPECIAL REQUIREMENT INFORMATION:

*Applicants must attach a legible photocopy of their BLS certification to their application at the time of filing or within 15 calendar days from the application filing date. Applications submitted without the required evidence of BLS certification will be rejected.

**Applicants MUST attach a legible photocopy of completion from the College of Nursing, such as a diploma, certificate, or official transcripts to their application at the time of filing or within 15 calendar days from the application filing date. Applications submitted without the required evidence of the required documentation will be rejected.

PHYSICAL CLASS:
III - Moderate: Includes standing or walking most of the time, with bending, stooping, squatting, twisting and reaching; includes working on irregular surfaces, occasionally lifting objects weighing over 25 pounds, and frequent lifting of 10-25 pounds.

Additional Information

EXAMINATION CONTENT:

This exam will consist of an evaluation of training and experience based upon application information, desirable qualifications, and responses in the supplemental questionnaire, weighted 100%.

Candidates must achieve a passing score of 70% or higher on this examination in order to be added to the eligible register (certified).

ELIGIBILITY INFORMATION:
Applications will be processed on an "as-received" basis and those receiving a passing score will be added to the eligible register in the order of their score group for a period of twelve (12) months following the date certified.

No person may compete in this examination more than once every twelve (12) months from the date certified. If you have applied and did not meet the Requirements at the time of filing, you may reapply 30 days from the submission date of the rejected application.

AVAILABLE SHIFT:
Appointees may be required to work any shift, including evenings, nights, weekends and holidays.

VACANCY INFORMATION:
The resulting eligible register from this examination will be used to fill vacancies throughout the Department of Health Services as they occur.

APPLICATION AND FILING INFORMATION:
Applications must be filed online only. Applications submitted by U.S. Mail, fax, or in person will not be accepted. Applications electronically received after 5:00 p.m., PT, on the last day of filing will not be accepted.

Apply online by clicking the "APPLY" green button at the top right of this posting. You can also track the status of your application using this website.

Applicants may be required/prompted to verify their email address when logging on to file an application. It is suggested you plan to submit your online application well in advance of the last day of filing to allow for this verification process. This only needs to be done once per email address, and if you already have a job seeker account on www.governmentjobs.com.careers/lacounty, you can verify at any time by logging in and following the prompts. This feature is to enhance the security of your online application and to ensure you do not enter an incorrect email address.

The acceptance of your application depends on whether you have clearly shown that you meet the SELECTION REQUIREMENTS. Fill out your application and supplemental questionnaire completely to receive full credit for related education and/or experience in the spaces provided so we can evaluate your qualifications for the job. Please do not group your experience. For each position held, give the name and address of your employer, your position title, beginning and ending dates, number of hours worked per week, and description of work performed. If your application is incomplete, it will be rejected.

IMPORTANT NOTES:

Please note that All information supplied by applicants and included in the application materials is subject to VERIFICATION.

We may reject your application at any point during the examination and hiring process, including after an appointment is made.FALSIFICATION of any information may result in DISQUALIFICATION.Utilizing VERBIAGE from Class Specification and/or Selection Requirements serving as your description of duties WILL NOT be sufficient to demonstrate that you meet the Requirements.

Comments such as "SEE RESUME" or "SEE APPLICATION" will not be considered as a response; in doing so, your application will be REJECTED.It is recommended that you provide your work experience using statements that provide the following three elements: ACTION you took, the CONTEXT in which you took that action, and the BENEFIT that was realized from your action.

Include specific reference to the impact you made in the positions you have held.NOTE: If you are unable to attach documents to your application, you must email the documents to the Exam Analyst, Alvonte Harraway at AHarraway@dhs.lacounty.gov within fifteen (15) calendar days of filing online.

Please include your full name (as it appears on your application), examination number, and examination title in the Subject section/field of your email.SOCIAL SECURITY NUMBER:Please include your Social Security Number for record control purposes.

Federal law requires that all employed persons have a Social Security Number.COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES:For candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County.L.

A. County Public Library have reopened libraries with limited hours of access throughout L. A. County.

Refer to their website at http://lacountylibrary.org/reopening/ for more information.FAIR CHANCE INITIATIVEThe County of Los Angeles is a Fair Chance employer.

Except for a very limited number of positions, you will not be asked to provide information about a conviction history unless you receive a contingent offer of employment.

The County will make an individual assessment of whether your conviction history has a direct or adverse relationship with the specific duties of the job, and consider potential mitigating factors, including, but not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s).

If asked to provide information about a conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed.NO SHARING USER ID AND PASSWORD:All applicants must file their applications online using their own user ID and password.

Using a family member or friend's user ID and password may erase a candidate's original application record.ADA COORDINATOR:(323) 914-6365CALIFORNIA RELAY SERVICES PHONE:(800) 735-2922DEPARTMENT CONTACT:Alvonte Harraway, Exam AnalystAHarraway@dhs.lacounty.gov(213) 288-7000