Clinic Nurse (RN) - Bakersfield
For over 35 years, CNS has provided post-acute medical treatment, rehabilitation and disease management, and offers residential, inpatient, outpatient and assisted living programs. Locations include Bakersfield, Los Angeles, San Francisco and Dallas.
Our facilities have been honored many times by the prestigious Commission on Accreditation of Rehabilitation Facilities (CARF International) for excellence in therapeutic programs, staff education, patient treatment, and leadership. We also conduct research on brain injury and recovery, with a dedicated, in-house team of Ph.D. researchers who collaborate with major U.S. universities. Please see our moving corporate video, "The Story of Centre for Neuro Skills" at http://www.neuroskills.com/about-us/tour-cns.php.
Centre for Neuro Skills (CNS) helps people with brain injury find hope, independence and a meaningful life - and you can play a key role in that journey as a Clinic Staff Registered Nurse/RN.
As a Clinic Staff RN, be an integral part in providing nursing services for the comfort and well-being of our patients as you work in our multi-disciplinary rehabilitation clinic. Administer or supervise the administration of prescribed medications and treatments. Take vital signs, including temperature, pulse, respiratory rate, and blood pressure regularly to detect deviations from normal and monitors the medical progress of patients, following physicians' orders and individual nursing care plans. Use and practice basic assessment, emphasizing a primary nursing format of care. Perform reporting procedures.
A high degree of accuracy in documentation and observation, adaptability to a variety of situations, strong organizational and communication skills, decision making and an ability to evaluate situations as they occur is needed for this position.
Full time day shift available, Monday – Friday, 7:30am – 4:30pm. Work is normally performed at the CNS clinic, residential sites and in the community.
The company offers a competitive salary and benefits, paid time off, extended sick leave, medical insurance, paid holidays, and 401(k).
Performs nursing techniques for the comfort and well-being of the patient including:
- Administers or supervises the administration of prescribed medications and treatments. Observes patients' reactions to medications and treatments. Visual and verbal ability required to detect adverse reactions.
- Takes vital signs, including temperature, pulse, respiratory rate, and blood pressure regularly to detect deviations from normal and monitors the medical progress of patients, following physicians' orders and individual nursing care plans.
- A primary nursing format of care is emphasized, with the RN assuming responsibility for assigned patients requiring involved nursing intervention.
- Requires basic computer skills to complete conferences, make charting entries, communicate openly and clearly with associated therapies at the clinic and residential site, formulate specific programs to outline particular patient needs in a format comprehended and utilized by the residential and clinic staff. Requires fine motor manipulation, visual ability, hearing, numerical ability to administer medications, treatment and tests. Reaches, lifts, carries and fingers through files weighing up to 15 pounds.
- Transports patients to medical appointments.
Visits residential site if needed to assess patients' medical status, administer or supervise medication and perform treatment procedures.
The RN is expected to analyze the data from the assessment and determine the appropriate course of action. Requires standing, walking, bending, stooping, and repeated stair climbing. Completes assessments at the residential or clinic site utilizing the nursing process, including:
- Assessment: Vital signs, head to toe assessment, listening to the patient’s comments and questions about health status, observing reactions and interactions with others. Be cognizant of assessing the 5th vital sign, pain. This involves asking pertinent questions about the signs and symptoms and listening carefully to the answers in conjunction with information presented by staff. Objectively observing patient facial expression, body language, in conjunction with utilization of a pain scale in properly assessing any patient for appropriate pain management is paramount.
- Nursing Diagnosis: After identifying problems related to health status, formulating a plan to address this problem or potential problem in promoting an expected outcome.
- Planning: Setting goals to improve the outcomes for the patient are a primary focus of the nursing process. This directly equates with improving the quality of life for the patient and what the patient needs to do to improve his/her health status or better cope with concerns identified.
- Implementation: Setting nursing plans in motion and delegating responsibilities for each step. Communication is essential to the nursing process. All members of the health care team should be informed of the patient’s status, health concerns and goals of care. In return, nursing should receive feedback from the healthcare team including observations and interventions as well as patient’s outcomes and responses.
- Evaluation: The nursing process is ongoing. Evaluation not only analyzes the success of goals and interventions but examines the need for adjustments and changes as well. The evaluation incorporates all input from the entire rehabilitation team, including the patient.
Assists with weekly and/or bi-monthly medical staffing meetings.
Performs reporting procedures.
- Observes, records, and reports medical progress, reaction to drugs and treatments, and significant incidents to Nursing Department Coordinator, Clinical Case Managers, other staff members, insurance carriers, and patients' families.
- Maintains medical records for each patient with nursing observations, interventions, patient reactions, tests, intake and emission of liquids and solids, temperature, pulse, and respiration rate documented. Requires visual and fine motor coordination, ability to read and write, and cognitive ability to observe and record data.
- Submits monthly conference reports for own patients.
- Reports verbally and/or in writing (according to patient/carrier/company needs) in conferences, staffings and other meetings to inform necessary personnel, insurance carriers, patients' families and patients (as appropriate) of patient testing, treatment and progress. Requires visual ability and fine motor manipulation to dictate and review/edit reports.
Works on-call shifts as required. Demonstrate flexibility with regards to patient census, staffing needs and scheduling.
Provides for the safety of patients, visitors, staff and self when interacting with patients who may have behavioral outbursts.
- Must be able to recognize patient escalation, via verbal, physical and visual cues.
- Must be able to attempt to verbally and physically de-escalate patient using Behavior Modification techniques according to each patient's program, which may include Professional Crisis Assault Training (Pro-ACT) such as evasive self-defense (ability to get out of the way) and controlling self-defense (restraints).
- Physical intervention and restraints can include calling for help, lifting, standing, walking, running, stooping, bending, kneeling, squatting, carrying, pulling, pushing and assisting with the restraint of patients weighing up to 150 pounds or more.
Performs toilet and chair transfers with assistance for patients up to 150 pounds utilizing approved transfer techniques. Transfer techniques include standing, walking, stooping, bending, kneeling, squatting, lifting, carrying, pushing and pulling. Patients requiring moderate to maximum assistance and weighing over 150 pounds are lifted and/or transferred by two or more persons.
Uses special equipment as required by each patient including, but not limited to wheelchairs, tracheostomy tubes, gastric feeding tubes, and external catheters, at any given time according to the outline of each patient's program. May require find motor manipulation, lifting, reaching, carrying, pushing and pulling when working with equipment.
Maintains professional and ethical relationships with staff, patients, patient families, and other visitors.
Attends staff meetings, in-services, and all scheduled shifts.
Comprehends and follows instructions:
- Maintain attention and concentration for necessary periods.
- Apply common sense understanding and carry out instructions (written, oral or diagrammatic).
- Adapt to situations requiring the precise attainment of set limits, tolerances or standards.
Performs simple and repetitive tasks:
- Ask simple questions or request assistance when needed.
- Perform routine, concrete, organized activities.
- Remember locations and work procedures.
- Make decisions based on simple sensory data.
Maintains work pace appropriate to given work load:
- Perform activities on schedule, maintain regular attendance, and be punctual within specified tolerance.
- Complete normal workday and/or week, perform at a consistent pace without excessive rest periods.
Performs complex or varied tasks:
- Synthesize, coordinate and analyze data.
- Perform job requiring precise attainment of set limits, tolerances or standards.
Relates to other people beyond giving and receiving instructions:
- Can get along with co-workers or peers without exhibiting behavioral extremes.
- Maintain open door policy to encourage active, empathetic listening
- Perform work activities requiring negotiating, instructing, supervising, persuading or speaking with others
- Respond appropriately to criticism from a supervisor and/or other staff member(s)
Effectively influences people on a consistent basis:
- Convince or redirect others.
- Understand the meaning of words and use them effectively.
- Interact appropriately with people which includes the provision of appropriate internal and external customer service.
Makes generalizations, evaluations or decisions without immediate supervision:
- Recognize potential hazards and observe appropriate precautions.
- Understand and remember detailed instructions.
- Make independent decisions or judgments based on sensory data or known guidelines.
Accepts and carries out responsibility for direction, control and planning:
- Set realistic goals or make plans independently of others.
- Negotiate, instruct or supervise people.
- Respond appropriately to changes in the work setting.
Performs other duties as assigned.
PREFERRED DUTIES AND REQUIREMENTS
Coordinates and attends medical appointments requiring transporting patients in company or personal vehicle. Requires ability to drive vehicle and transfer patient using approved methods.
Assists with employee in-services.
Performs other duties as assigned.
SPECIAL SKILLS UTILIZED, EDUCATION LEVEL, TRAINING
Current RN licensure in state employed is required.
Experience in skilled nursing and rehabilitation concepts preferred.
CRRN certification is desirable following 2 years of rehabilitation nursing experience.
Maintain CPR certification.