EXAM NUMBER: Y5135G
OPEN COMPETITIVE JOB OPPORTUNITYORIGINAL POSTING DATE: 04/16/2015BULLETIN INFORMATION: THIS ANNOUNCEMENT IS A REBULLETIN TO UPDATE THE SALARY INFORMATION AND APPLICATION AND FILING INFORMATION. PERSONS WHO HAVE ALREADY APPLIED NEED NOT REAPPLY, BUT MAY CONTACT THE EXAM ANALYST IF THEY WOULD LIKE TO SUBMIT ADDITIONAL INFORMATION.SPECIAL SALARY INFORMATION:$6,773.06 - $9,867.07 Monthly, Effective 04/01/18DEFINITION:
Positions allocable to this proficient level class typically report to a supervisory or management level nurse or provider. Positions apply experienced judgment and nursing principles and practices in providing professional nursing care to patients under minimal supervision. Nurses at this level understand patients' needs as they progress across the continuum and develop effective relationships with the health care team to formulate integrated approaches to care. Incumbents recognize a wide range of subtle cues, extract information from cues, and demonstrate clinical forethought to anticipate likely clinical events and intervene decisively. Positions have responsibility for the coordination of multidisciplinary approaches to patient care. Positions also have responsibility for incorporating evidence-based practice, including current research and literature, best practice, consensus statements, community standards, and recommendations from professional organizations into care delivery. Assignments may include any inpatient or outpatient setting with a varying and highly complex patient population. Positions are responsible for assessing, planning, implementing, and evaluating care as part of an interdisciplinary team. Positions also precept, coach, and mentor other nursing and non-nursing staff. As a mentor, positions foster a nurturing relationship between professionals that is not confined to place or limited by time. The position demonstrates effective collaboration, skilled communication, an assertive leadership style, and independent judgment. Incumbents anticipate and prevent barriers to care through facilitation of and active participation in system changes. Practices in accordance with departmental policies and procedures, established standards of nursing care, and standards of professional performance.
Essential Job Functions 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.
Requirements SELECTION REQUIREMENTS
1. A license to practice as a Registered Nurse issued by the California Board of Registered Nursing.-AND-
2. Current certification issued by the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program.-AND-
3. Six years of paid full-timeregistered nursing experience*. Three years of experience must be at the level of the Los AngelesCounty classification Registered Nurse II**.Please see Special Requirement InformationLICENSE:
A license to practice as a Registered Nurse issued by the California Board of Registered Nursing.
Current certification issued by the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program.
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.PHYSICAL CLASS: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.DESIRABLE QUALIFICATIONS:
Credit will be given to applicants who possess the following desirable qualifications:
- ***Bachelor of Science in Nursing (BSN) or ***Master of Science in Nursing (MSN).
Additional Information SPECIAL REQUIREMENT INFORMATION:Training and Experience Requirements
* Paid full-time experiencemust be post-license experience only.
** Experience at the level of 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.
Applicants claiming experience in a state other than California must attach a copy of their registered nurse license from that state to the application at the time of filing or within 15 calendar days from the application filing date. Applications submitted without the required evidence will be rejected.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 license and certification section of the application is completed. Provide the title(s) of your 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.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.
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.The required license and certification MUST be current and unrestricted; a conditional, provisional, probationary or restricted license or certification will NOT be accepted.SPECIAL INFORMATION:
Appointees may be required to work any shift, including evenings, nights, weekends and holidays.AVAILABLE SHIFT:
Any shiftEXAMINATION CONTENT:
An evaluation of training and experience based upon application information and desirable qualifications weighted 100%.VACANCY INFORMATION:
The eligible register resulting from this examination will be used to fill vacancies throughout the Department of Health Services as they occur.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 will be placed on the eligible register in the order of their score group for a period oftwelve (12) months following the date of promulgation.No person may compete in this examination more than once every twelve (12) months. APPLICATION AND FILING INFORMATION :
***In order to receive credit for a college degree on this examination, you must include a legible photocopy of your "official" diploma(s), "official" transcripts, or "official" letter(s) from an accredited institution which shows the area of specialization, at the time of filing or within 15 calendar days of filing your application online. APPLICATIONS MUST BE FILED ONLINE ONLY. APPLICATIONS SUBMITTED BY U.S. MAIL, FAX OR IN PERSON WILL NOT BE ACCEPTED.
Apply online by clicking the "APPLY" tab for this posting. You can also track the status of your application using this website.
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 orrescissionof appointment.
This examination will remain open until the needs of the service are met. Application filing may be suspended at any time with or without advance notice.
Fill out your application completely. The acceptance of you 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. 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, description of work performed, and salary earned,If your application is incomplete, it will be rejected.Applications electronically received after 5:00 p.m., PST on the last day of filing will not be accepted.NOTE:
If you are unable to attachdocuments to your application, you may email the documents to Yolanda Ramosat yramos @dhs.lacounty.gov ,within 15 calendar days of filing online
. Please include the exam number and the exam title.SOCIAL SECURITY NUMBER LANGUAGE
All applicants must enter a valid social security number at the time of filing. Entering anything other than a valid social security number(i.e. 000-00-0000, 111-11-1111, etc.) will result in an automatic rejection of your application.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.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) 914-7111CALIFORNIA RELAY SERVICES PHONE:
(800) 735-2922DEPARTMENT CONTACT:
Yolanda Ramos, Exam Analyst