REGISTERED NURSE III (NON-COMPETITIVE)

Full Job Description

The Los Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation.

Through its unified system of 23 health centers and four hospitals - and expanded network of community partner clinics – DHS annually provides direct care for over 500,000 outstanding patients, employs over 23,000 staff, and has an annual budget of over $8.4 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.govThis experienced level class provides professional nursing care and services to patients in a variety of settings.

Requirements

Assessment:

Evaluation of the nature and extent of nursing issues presented by a patient for the purpose of patient care planning.

Assessment includes identifying less obvious or common relationships in collected data and taking appropriate steps to mitigate their impact on the provision and quality of nursing services.

In addition, at this level, assessment involves predicting diverse patient need for care, potential need for care, and the validation of data collected by others.

At this level assessment involves recognizing subtle trends before explicit diagnostic signs are evident. Collects and analyzes data from multiple sources.

Assesses, evaluates and documents the patients' physical, medical and psychosocial circumstances; identifies economic or cultural barriers and determines their influence on the provision of care; refers patients based on patients' needs and risk factors involved.

Synthesizes all available patient information including observations by other health care team members and the patient's significant others and predicts variances from the expected trajectory.

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

Identifies and utilizes resources to facilitate the appropriate assessment of diverse populations, patients, and families.

Develops collaborative partnerships with patient and family to obtain complete health history, including present illness, current health status, and past medical, psychosocial, spiritual and family histories; integrates patients' values and beliefs when providing care.

Creates, validates, and/or improves tools to ensure assessment data is collected and documented.

Utilizes collected data and experience to assess risk for instability and rapidly identify deviations from baseline.

Planning:

Developing a plan of care based on the assessment process.

The purpose is to collaborate with all involved in the care of the patient (interdisciplinary team, patient, and their significant others).

At this level, incumbents develop a comprehensive plan of care and prescribe nursing interventions that move the patient closest to desired outcomes.

Interventions are individualized and address both short- and long-term needs.

Uses complex problem solving skills and experience to identify a broad range of options in the development of a plan of care with realistic outcomes which are congruent with interdisciplinary goals.

As patient responds to interventions, expeditiously modifies and communicates the plan of care in collaboration with the interdisciplinary team including clinical pathways as appropriate; for patients on clinical pathways, identifies when a change in patient condition requires discontinuation of the pathway and communicates to the provider the need to change the plan of care.

Evaluates and integrates the presence of high-risk factors, at-risk behaviors, and other concerns into the plan of care.

Initiates and leads patient care conferences with interdisciplinary team.

Integrates and anticipates interdisciplinary discharge planning needs into plan of care.

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

Implementation:

Interventions that a nurse performs for a patient, including treatments, procedures, medication administration, education, referrals, and discharge planning.

At this level, incumbents lead others during situations which require immediate, independent interventions and for those which call for planned interventions.

Also at this level, incumbents demonstrate adaptability and respond quickly and decisively to very complex situations.

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

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. Six years of full-time registered nursing experience*. Three years of experience must be at the level of the Los Angeles County classification Registered Nurse II**.

LICENSE AND CERTIFICATION INFORMATION:
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.

Applicants claiming experience in a state other than California must provide their Registered Nurse License Number from that state on the application without the required license number will not be considered.

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

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 date. Applications submitted without the required evidence of BLS certification 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 weighting over 25 pounds, and frequent lifting of 10-25 pounds.


**For this examination, Registered Nurse II in the County of Los Angeles is defined as:

Providing professional nursing care and services to patients in a variety of settings.Serving as an expert or specialist who gives practical experience and training to a new graduate, a new hire, a re-entry, or a nurse that is transitioning into a new area.

Additional Information EXAMINATION CONTENT:An evaluation of training and experience based on application and supplemental questionnaire information weighted 100%.This is a noncompetitive examination.

This examination is intended to merely qualify applicants. Applicants will be placed on an eligible register without indication of relative standing in the examination.

ELIGIBILITY INFORMATION:Applications will be processed on an "as received" basis and those receiving a passing score will be promulgated to the eligible register accordingly.

The names of candidates who qualify will be added to the eligible register for a period of twelve (12) months from the date of promulgation.

No person may compete in this examination more than once every twelve (12) months.

SELECTIVE CERTIFICATION: In accordance with TITLE 5 - PERSONNEL, APPENDIX 1 (Civil Service Rule 11.03) of the Los Angeles County Code, selective certification may be used for some positions that require special skills and/or training.

The following areas may require Selective Certification. 1. Adult Critical Care and Burn Unit 2. Emergency Room 3.

Operating Room Specific knowledge of the specialized functional areas may be the subject of the departmental hiring interview.

No person may compete in this examination more than once every twelve (12) months.AVAILABLE SHIFT:Appointees may be required to work any shift, including evenings, nights, weekends and holidays.VACANCY INFORMATION:The eligible register resulting 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 green "APPLY" button at the top right of this posting.

You can also track the status of your application using this website. 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.Please note that the Department of Health Services requires applicants to show that they perform the specified duties listed in the posted Requirements as their principal work activity.

It is recommended that you provide your work experience using statements that provide the following three components: ACTION/S you took, the CONTEXT in which you took that/those action/s, and the BENEFIT that was realized from that/those actions.

Include specific reference to the impact you made in the positions you have held.IMPORTANT NOTES:All information and documents provided by applicants is subject to verification.We may reject your application at any time during the examination and hiring process, including after appointment has been made.Falsification of any information may result in disqualification or rescission of appointment.Utilizing verbiage from the Classification Specification and/or Minimum/Selection Requirements serving as your description of duties will not be sufficient to demonstrate that you meet the Requirements.

Comments such as "See Résumé" or referencing other unsolicited materials/documents will not be considered as response; in doing so, your application will be rejected.SOCIAL SECURITY NUMBER:Please include your social security number for record control purposes only.

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 using computers at public libraries throughout Los Angeles County.L.

A. County Public Library has announced they are reopening some libraries with limited hours access throughout L. A. County.

Refer to their website at https://lacountylibrary.org/reopening/ for more information.NO SHARING OF USER ID AND PASSWORD: All applicants must file their applications online using their own user ID and password.

Using a family member's or friend's user ID and password may erase a candidate's original application record.FAIR CHANCE INITIATIVE:"The 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 individualized 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."ADA COORDINATOR:(323) 914-6365CALIFORNIA RELAY SERVICES PHONE:(800) 735-2922DEPARTMENT CONTACTBalik Sarkissian, Exam AnalystHR ESC phone number is (213) 288-7000bsarkissian@dhs.lacounty.gov