REGISTERED NURSE II

Position/Program Information

EXAM NUMBER:

PH5134B

TYPE OF RECRUITMENT:
OPEN COMPETITIVE JOB OPPORTUNITY

FILING DATE:
Monday, May 20, 2024 at 8:30 a.m. , Pacific Time (PT)

This examination will remain open until the needs of the service are met and is subject to closure without prior notice.
DEFINITION:
This experienced level class provides professional nursing care and services to patients in a variety of settings.

CLASSIFICATION STANDARDS:
Positions allocable to this experienced-level expert class report to higher-level nurses or providers. Incumbents apply recognized nursing principles and practices in providing professional nursing care and/or services under 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. This experienced RN integrates theoretical knowledge with clinical experience utilizing a systems approach in the delivery of patient care and/or services. Positions at this level serve as a professional role model, may provide direction, and act as an effective resource person for others. This includes coaching, precepting, and leading other nursing and non-nursing staff. Nursing practice at this level demonstrates the application of expert assessment skills; independent judgment and action; and adherence to patient privacy, confidentiality, and security guidelines.

Essential Job Functions

• Follows established policies and procedures within their scope of practice.
  
• Complies with licensing and accreditation standards and other regulatory requirements. Interprets and supports standards and requirements to others.
  
• Conducts self-assessment of performance and identifies own learning needs.
  
• 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 health care team as needed.
  
• Participates in patient care conferences, committee meetings, staff development, and educational programs to increase or maintain professional competency.
  
• Seeks experiences that reflect current clinical practice to maintain and enhance professional and clinical skills and competencies.
  
• Remains up-to-date on current professional skills, trends, and issues.
  
• 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, and employees.
  
• Delegates, assigns, and supervises the assigned work of others including Licensed Vocational Nurses (LVNs), nursing attendants, technicians, clerical staff, and students as needed.
  
• Serves as a preceptor as needed.
  
• Participates in performance improvement activities. Recommends and facilitates implementation of changes in nursing practice.
  
• Participates in approved clinical investigations or research studies in accordance with departmental policies as needed.
  
• Participates in product evaluation and product standardization activities as needed.
  
• Participates in organization-wide committees and projects as needed.
  
• Serves as a liaison between committees, staff, and management as needed.
  
• Participates in identifying and resolving ethical issues in the practice setting.
  

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 and analyzes physical condition, including physically examining the patient.
  
• Identifies economic, educational, and cultural barriers; patient values and beliefs; spiritual influences; 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.
  
• Recognizes deviations from baseline and interprets subtle changes in a patient's condition.
  

Planning:

• Formulates nursing care plan based upon assessment and in accordance with provider orders, procedures, and/or protocols.
  
• Identifies nursing care objectives.
  
• Prioritizes patient care needs and activities as a member of an interdisciplinary team.
  
• Evaluates and modifies plans of care, in collaboration with the interdisciplinary team, and develops measurable long and short-term goals.
  
• Coordinates patient care in collaboration with other interdisciplinary patient care team members.
  
• Develops appropriate interventions which may include consultation with interdisciplinary team.
  
• Establishes patient goals and treatment plans.
  
• Modifies plan of patient care based on reassessment findings and specific patient care needs, and/or changes in interdisciplinary treatment plan.
  
• Identifies and incorporates discharge planning needs into the patient's plan of care.
  
• Identifies appropriate tools and/or teaching methods for patient/family education.
  

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.
  
• Performs efficiently in emergency situations.
  
• Coordinates delivery of patient care with other services and disciplines to achieve optimal patient outcomes.
  
• Provides patient/family education based on identified learning needs utilizing available teaching resources.
  
• Counsels patients and care givers concerning patient care and treatment plans.
  
• Communicates identified needs and patient responses to members of the interdisciplinary team.
  
• Implements the integrated plan of care and coordinates patient care activities with members of the interdisciplinary team.
  
• Provides discharge teaching including aftercare instructions, medication administration, follow-up appointments, and appropriate contact information.
  
• Recognizes safety hazards in the patient care environment and initiates timely and appropriate intervention.
  
• Uses patient equipment and devices safely; recognizes when equipment and devices are not functioning correctly and takes timely and appropriate action (e.g. removes malfunctioning equipment from patient care area).
  

Evaluation/Monitoring:

• Observes, evaluates, and communicates the effects of treatments and intervention.
  
• Communicates changes in the plan of care to other members of the interdisciplinary team.
  
• Documents patient's response to treatment or nursing care.
  
• Reassesses and revises plan of care in collaboration with other members of the health care team.
• Coordinates delivery of patient care with other services and disciplines to achieve optimal patient outcomes.
  
• Communicates with patients and care givers regarding changes in patient care and treatment plans.
  

Requirements

MINIMUM REQUIREMENTS:
Three (3) years of full-time experience at the level of the County classification Registered Nurse I, providing professional nursing care and services to patients in a variety of settings.

LICENSES:
A license to practice as a Registered Nurse issued by the California Board of Registered Nursing*.
Current certification in Basic Life Support (BLS)**
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:
3 - 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.

SPECIAL REQUIREMENT INFORMATION:
*A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.

• Applicants must 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 Minimum Requirements.
• Applicants claiming experience in a state other than California must provide their Registered Nurse License Number from that state on the application at the time of filing. Out-of-State experience provided on the application without the required license number will not be considered.
• Out-of-Country experience will not be considered to meet the requirements.

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

• Applicants MUST attach a legible photocopy of the required BLS certification to their application at the time of filing or within 15 calendar days of filing your application online sent to HRExams@ph.lacounty.gov. Applications submitted without the required evidence of BLS certification will be rejected.

DESIRABLE QUALIFICATIONS:
Credit will be given to applicants who possess the following desirable qualifications:

• Additional experience beyond the Minimum Requirements.

Additional Information

EXAMINATION CONTENT:
Once we have determined that you meet our license and experience requirements described above, our examination process will consist of an evaluation of training and experience based on application information, desirable qualifications, and supplemental questionnaire information at the time of filing weighted 100% .

Applicants must meet the Requirements and achieve a passing score of 70% or higher on each part of the examination in order to be added on the Eligible Register (hiring list).

Passing this examination and being added to the Eligible Register does not guarantee an offer of employment.

ELIGIBILITY INFORMATION:
The names of candidates will be added to the Eligible Register in the order of their score group for a period of twelve (12) months following the date of eligibility.

NO PERSON MAY COMPETE IN THIS EXAMINATION MORE THAN ONCE EVERY TWELVE (12) MONTHS .

Complete applications will be processed on an as-received basis and promulgated to the Eligible Register accordingly.

VACANCY INFORMATION:
The Eligible Register resulting from this examination will be used to fill vacancies in the Department of Public Health as they occur.

AVAILABLE SHIFT: Any, including evenings, nights, weekends and holidays.

SPECIAL INFORMATION

APPLICATION AND FILING INFORMATION:

Applications must be filed ONLINE ONLY . Applications submitted by U.S. mail, fax, or in person will NOT be accepted.

Apply online by clicking on the green "Apply" button located on this posting. You can also track the status of your application using this website.

Plan to submit your online application before the 5:00 p.m. (PT) deadline on the last day of filing as you may be required to verify your email address. This only needs to be done once per email address, and if you already have a job seeker account on the County of Los Angeles Job Opportunities Website, you can verify at any time by logging in and following the prompts. This is to enhance the security of your online application and to ensure you do not enter an incorrect email address.
Any required documents and/or additional information, if any, must be received with your application at the time of filing online or within fifteen (15) calendar days from application submission to HRExams@ph.lacounty.gov. In the "Subject" of the e-mail please type the Exam Number and Exam Title. Failure to provide complete, accurate information will impact the assessment of your qualifications and the acceptance of your application into the examination process.

The acceptance of your application depends on whether you have clearly shown that you meet the REQUIREMENTS . Fill out the application and Supplemental Questionnaire accurately and completely to receive full credit for any relevant education and/or job experience you include. In the space provided on the application for education, include names and addresses of schools attended, dates attended, degree(s) received, and degree major. For each job held, give the name and address of your employer, your job/position title, start and end dates, the number of hours worked per week, and detailed description of work and duties performed. If the application and/or Supplemental Questionnaire is/are incomplete, the application will be REJECTED .

IMPORTANT NOTES:

• Please note that ALL information supplied by applicants and included in the application materials is subject to VERIFICATION at any point during the examination and hiring process, including after an appointment has been made.
• Applications may be rejected at any stage of the examination and selection process.
• FALSIFICATION of any information may result in DISQUALIFICATION or RESCISSION OF APPOINTMENT .
• Utilizing VERBIAGE from Class Specification(s) and/or Minimum Requirements serving as your description of duties WILL NOT be sufficient to demonstrate that you meet the requirements. In doing so your application will be dispositioned as INCOMPLETE and will not be accepted.
• Comments such as "SEE RESUME" or "SEE APPLICATION" will not be considered a valid response; therefore, using such statements will also result in your application being rejected as INCOMPLETE .

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. Check the website for updated information at https://lacountylibrary.org .

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.

DO NOT SHARE USER ID AND PASSWORD:

All applicants must file their application 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.

ANTI-RACISM, DIVERSITY, AND INCLUSION (ARDI):
The County of Los Angeles recognizes and affirms that all people are created equal and are entitled to all rights afforded by the Constitution of the United States. The Department of Human Resources is committed to promoting Anti-racism, Diversity, and Inclusion efforts to address the in equalities and disparities amongst race. We support the ARDI Strategic Plan and its goals by improving equality, diversity, and inclusion in recruitment, selection, and employment practices.

FAIR CHANCE EMPLOYER:

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.

EQUAL EMPLOYMENT OPPORTUNITY:

It is the policy of the County of Los Angeles to provide equal employment opportunity for all qualified persons, regardless of race, religion, sex, national origin, age, sexual orientation, or disability or any other characteristic protected by State or Federal law. All positions are open to qualified men and women pursuant to the Americans with Disabilities Act of 1990 and the California Fair Employment and Housing Act. The County will follow all of its obligations under State and Federal laws regarding the provision of reasonable accommodations to applicants.



Department Contact Name: Exam Analyst

Department Contact Phone: (323) 659-6546

Department Contact E-mail: HRExams@ph.lacounty.gov

Exam Number: PH5134B



California Relay Services Phone: (800) 735-2922

ADA Coordinator Phone: (323) 659-6546

Teletype Phone: (800) 899-4099

Alternate Teletype Phone: (800) 897-0077

For detailed information, please click here

• 

• Los Angeles County

• (800) 970-5478

Show more