The Staff Nurse is a professional caregiver who assumes
responsibility and accountability for the assessment, nursing
diagnosis, planning, implementation and evaluation of care for
patients and their families in compliance with the standards for
care at AHMC - Seton Medical Center, AHMC, and Nurse Practice
Clinical Practice: Nursing
1) Assesses, collects and documents health assessment data
focusing on the physical, emotional, spiritual, psychosocial and
educational needs of the patient.
a) Interviews the patient/family/significant other to complete
Triage information. b) Identifies actual and potential needs and
determines priority. c) Identifies barriers to learning.
After initial triage evaluation, completes and documents an
assessment, focusing on abnormal systems and actual and potential
problems. Performs ongoing assessment as indicated.
2) Plans nursing care, based on priority of physical and
a) Develops realistic short-term goals for each problem,
involving the patient, family or significant others. b) Plan
demonstrates understanding of age-related needs of the patient. c)
Negotiates with patient, family, significant other and health care
team members in planning for education and discharge needs.
3) Implements the plan of care including prescribed procedures
a) Organizes and prioritizes care based on individual needs and
unit activity. b) Assesses Provides continuous assessment for
changes in patient's condition and appropriateness of the plan. c)
Initiates interventions using appropriate clinical expertise and
knowledge based upon evidence based practice. d) As Primary Nurse,
proactively coordinates the activities of health care team members
in completing diagnostic and therapeutic interventions.
4) Evaluates the effectiveness of nursing care delivered to
reach the expected outcome.
a) Evaluates the plan of care and adjust based on according to
the current condition and changing needs of the patient. b)
Accurately and concisely documents the patient's status and
response to the care
5) Utilizing professional nursing knowledge and skills based
upon evidence based practice
. Appropriately assesses for:
a) Physical and psychosocial-emotional needs. b) Barriers to
learning (language, cultural awareness, sensory, etc.
Educational/learning needs. c) Discharge needs. d) Age-related
needs. e) Issues related to assault or abuse.
6) Analyzes patient related data, such as vital signs, past
medical history, physical exam findings, laboratory values and
other information, including age-specific criteria, to determine
and adjust as needed to provide the appropriate care.
7) Utilizes advanced, specialized knowledge and skills to
implement interventions for all Emergency Services patients, by
prioritizing needs, and using a patient centered approach.
8) Provides health education and teaching to patient's, family
members and/or significant others, that is age specific, providing
for any barriers to learning. Clearly communicates health,
treatment and discharge information, ensuring the patient, family
member or significant other understands all discharge and follow-up
9) Effectively performs procedures, such as initiation of IV
catheters and fluids, medication administration, dressings, patient
teaching, etc., within their scope of practice, and unit,
department and Medical Center policies and procedures.
10) Effectively performs other nursing procedures/skills, based
on completed specialty training and their scope of practice, and
unit, department and Medical Center policies and procedures.
11) Appropriately recognizes and quickly responds to emergency
a) Accurately assesses "CAB's." b) Initiates appropriate
emergency treatment, i.e., CPR, O2, etc. c) Communicates critical
information to other team members.
12) Remains current on treatments/practices/procedures through
attendance at continuing education events, in-services and the
review of professional literature.
13) Integrates/applies new knowledge from education and research
into clinical practice and utilizes effective critical thinking and
judgement for optimal patient care
14) Demonstrates knowledge of and competence in age-related
14) Understand and practice according to the Nurse Practice Act,
RN as Supervisor over appropriate clinical staff.
15) Must demonstrate competence with BLS and ACLS via the RQI
16) Consistently demonstrates knowledge of state and federal
regulations, such as Title XXII. Follows all TJC guidelines and
National Patient Safety Goals.
17) Advocates for public health and safety through patient and
18) Consistently and accurately completes required
19) Understand and practice according to the Nurse Practice Act,
RN as Supervisor over appropriate clinical staff.
20) Consistently demonstrates caring and compassion through
behaviors and interactions in performance of all duties,
recognizing the inherent worth and dignity of patients, families,
other staff and physicians.
- Graduation from an accredited school of professional
- Baccalaureate degree in Nursing preferred.
- Staff Nurse II - Minimum of six months Registered Nurse
- Six months current ER & triage experience or completion of
Seton ER Nurse Training Program.
- Current California licensure as a Registered Nurse.
- Current Basic Life Support certification.
- Current ACLS certification.
- Current PALS certification.
- Current NRP certification preferred.
OTHER SKILLS, ABILITIES & KNOWLEDGE:
- Diffusing Assaultive Behavior Training
- Knowledgeable of the California Nursing Practice Act.
- Able to understand and follow all policies, procedures,
guidelines, rules and regulations of Nursing Service, AHMC Seton
Medical Center, Title XXII.
- Excellent communication and customer service skills.
AHMC- Seton Medical Center has a long tradition of providing
patient-centered, quality care and a commitment to clinical
excellence and our community. Founded in 1893, the 357-bed medical
center now serves 1.5 million residents of San Francisco and
northern San Mateo County with comprehensive inpatient and
outpatient medical specialties, as well as emergency and urgent
care services. Its sister facility, Seton Coastside, is a 116-bed
skilled nursing complex offering inpatient care and the only
24-hour standby Emergency Department on the Pacific Coast between
Daly City and Santa Cruz. We pride ourselves on improving the
health and well-being of our patients, community, and populations,
we serve with high quality community partnerships, and continuous
innovation to our health care delivery system and this is why we
need caring, committed people on our team - like you. Join us on
our mission to deliver the safest and highest quality