REGISTERED NURSE I/RELIEF NURSE

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.gov.

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

CLASSIFICATION STANDARDS:
Positions allocable to this class typically report to higher-level nurses or providers. Incumbents apply recognized nursing principles and practices in providing professional nursing care and/or services under close supervision in a variety of settings. Duties are performed in accordance with specific instructions, departmental policies and procedures and established general written standards of nursing care. Positions are responsible for assessing, planning, implementing, and evaluating care as part of an interdisciplinary team. Incumbents serve as professional role models and may provide direction to others. Nursing practice at this level demonstrates the application of basic assessment skills; independent judgment and action; and adherence to patient privacy, confidentiality, and security guidelines.

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.

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.

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

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

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.

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.

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.

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

SPECIAL REQUIREMENT INFORMATION:

License and Certification Information
*To compete in this examination process, applicants must have a license to practice as a Registered Nurse issued by the California Board of Registered Nursing -OR- have a license to practice as a Registered Nurse issued by a State Government Board of Registered Nursing, within the United States of America.

Applicants who have a license to practice as a Registered Nurse issued by a State Government Board of Registered Nursing, within the United States of America, may compete in this examination; however, the names of such candidates will be withheld from the certification list pending receipt of the required license authorized by the California Board of Registered Nursing.

Please ensure the Certification and License Section of the application is completed. Provide the title(s) of your required license(s) and/or certification(s), the number(s), date(s) of issue, date(s) of expiration and the name(s) of the issuing agency for the required license(s) and certificate(s) as specified in the Selection Requirements.

The original license to practice as a Registered Nurse issued by the California Board of Registered Nursing and BLS certification must be presented during the selection process and/or prior to appointment.

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.

Successful candidates are required to provide proof of their Registered Nurse (RN) License and Basic Life Support (BLS) Certificate from the American Heart Association during the selection interview process. Candidates who do not provide proof of the required RN License and BLS, will be removed from the eligible register.

Additional Information

Additional Information

EXAMINATION CONTENT:
This examination will consist of a multiple-choice and/or simulation assessment weighted 100% covering:

ResponsibilityFostering Team CohesionWorking RelationshipsAnalyzing InformationLearning QuicklyGenerating New IdeasGraduate PotentialUsing Time EfficientlyWorking to High Quality StandardsAdapting to ChangeCoping with Setbacks and CriticismStriving to AchieveAfter filing an application online, candidates will receive a link via email to take an unproctored online multiple-choice work-style assessment (WSA).Applications received by 2:00 PM, PT, will receive the link for the WSA the same day.

Applications received after 2:00 PM, PT, or on Saturday or Sunday, will receive the link the next business day.

It is suggested that you plan to submit your online application well in advance of the 2:00 PM, PT, deadline to receive the WSA link the same day.

Applicants who pass the WSA will be added to the eligible register.

Applicants who fail the WSA will be allowed to retake it 30 days from their failed attempt.Applicants must meet the Selection Requirements and pass the WSA with a score of 70% or higher to be added to the eligible register.

MULTIPLE CHOICE AND/OR SIMULATION ASSESSMENTS ARE NOT REVIEWABLE BY CANDIDATES PER CIVIL SERVICE RULE 7.19.

TRANSFER OF ASSESSMENT AND/OR SIMULATION COMPONENTS:Applicants who have taken identical components recently for other exams may have their scores automatically transferred to this examination.This examination contains assessment and/or simulation components that may be used in the future for new examinations and your assessment and/or simulation scores may be transferred.EXAM PREPARATION:Study guides and other assessment and/or simulation preparation resources are available to help candidates prepare for employment exams.

While the guides will help you prepare for the exam, we advise you to review all related materials that you deem necessary.An interactive, Online Test Preparation System for taking practice exams may be accessed on the Department of Human Resources website at http://hr.lacounty.gov/.

Please click on "Find A Job" and then "Job Search Toolkit." Exam preparation information is located under the "Employment Test Assistance" section.Additional online practice exams are available at https://www.shldirect.com/en-us/practice-tests/.You may also access test preparation materials for the computerized portion of the test by going to the website: https://www.shldirect.com/en/practice-tests.

While these study guides will help in preparing for the test, we advise you to review ALL related materials that you deem necessary.ELIGIBILITY INFORMATION:Applications will be processed on an "as-received" basis and those receiving a passing score will be promulgated to the eligible register for a period of twelve (12) months following the date of eligibility.

Persons who pass the multiple-choice test may not compete in this examination more than once every twelve (12) months from the date they are added to the eligible register.

If you have applied and did not meet the Requirements at the time of filing, or if you are not successful in passing the multiple-choice test, you may reapply 30 days from the date of your failed attempt.

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 Unit2. Emergency Room3.

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

SPECIAL INFORMATION:Appointees may be required to work any shift, including evenings, nights, weekends, and holidays.AVAILABLE SHIFT:VariousVACANCY 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.Applicants may be required/prompted to verify their email address when logging on to file an application.

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. This examination will remain open until the needs of the service are met.

Application filing may be suspended at any time with or without advanced notice. Fill out your application completely.

The acceptance of your application depends on whether you have clearly shown that you meet the REQUIREMENTS.

Provide any relevant education, training, and experience in the spaces provided so we can evaluate your qualifications for the job. DO NOT GROUP YOUR EXPERIENCE.

For each job held, give the name and address of your employer, your job 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:All information 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 Class Specification and Selection Requirements serving as your description of duties WILL NOT be enough to demonstrate that you meet the requirements.

Doing so may result in an INCOMPLETE APPLICATION and you may be DISQUALIFIED. 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. 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.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 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.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 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.ADA COORDINATOR:(323) 914-6365CALIFORNIA RELAY SERVICES PHONE:(800) 735-2922DEPARTMENT CONTACT:Darlene Beamon-Thomas, Exam Analyst(213) 288-7000Dbeamon-thomas@dhs.lacounty.gov