Clinical Nurse C-CCST

Job Summary

The Clinical Nurse C-CCST (Critical Care Specialty Team) practices in a large tertiary academic medical center comprised of multiple hospitals and ambulatory sites with a Level I Trauma Center designation, ST Elevation Myocardial Infarction (STEMI) Receiving Center designation and Comprehensive Stroke Center and Chest Pain Center accreditation. Works under the collaborative direction and leadership of a medical director (board certified anesthesiologist) and a patient care manager and director. Meets qualifications, licensure, certifications and competencies as defined in the department-specific Plan for Providing Care.

Utilizes skilled discretion and independent judgment to prioritize, coordinate, provide and document direct and indirect age-specific and developmentally appropriate quality patient-centered care. Serves as a critical responder to trauma activations, rapid responses, hyper-acute stroke activations, STEMI, sepsis alerts, Code Blues and Code Whites and must be able to keep focused in a fast-paced environment and deliver critical level nursing care and management of adult and pediatric populations with complex medical conditions. Demonstrates of high level nursing expertise in procedure related sedation for unstable and fragile patients.

In addition, the CCST nurse facilitates patient flow through various methods of transport, maintains patient level of care and expedites diagnostic exams and interventional procedures to obtain patient diagnosis and treatment throughout the organization. Functions in a patient-centered care model of practice and performs the nursing process (assessment, care planning, intervention, evaluation) independently and in accordance with LLUMC's established Professional Practice Model (Duffy's Quality Caring Theory) to achieve proficient individualized physical, psychosocial and spiritual wellness and provide compassionate bereavement support as appropriate. Functions within the expectations of an accomplished professional nurse and meets nursing excellence standards to maintain Magnet Recognition as outlined by the American Nurses Credentialing Center.

Engages in opportunities to directly and/or indirectly influence decision-making for bedside clinical practice by supporting and/or participating in professional governance councils, committees, task forces and staff meetings. Applies theoretical concepts to clinical practice and exhibits self-motivation to continually expand knowledge base and clinical skills with a focus in adult and pediatric critical care and emergency nursing, patient transport and procedure related sedation. Inspires and adopts the transformation of evidence into bed-side practice to optimize patient outcomes.

Represents nursing as an empowered profession and readily embraces new knowledge, innovations and improvements. Provides a positive influence to facilitate change and optimize patient satisfaction and outcomes. Exhibits refined interpersonal skills that portray professionalism and maximize excellence in customer service and safe patient care.

Contributes to a work environment of caring and cooperation among a culturally diverse workforce and patient population. May be requested to serve in Shift Coordinator role upon completion of Shift Coordinator orientation. Performs other duties as needed.

Education and Experience

Bachelor of Science Degree in Nursing (BSN) required. If hired into a Loma Linda University Health position prior to April 1, 2020, an Associate Degree or Diploma Degree in Nursing required. Minimum three years of experience in critical care or emergency nursing required, with at least one year in critical care required.

If experience is in emergency nursing, level 1 trauma center experience preferred. Experience in a Loma Linda University Health System hospital preferred. External hires into the CN-C position are granted one year to meet CN-C criteria outlined in the Clinical Nurse Ladder handbook.

The CN-C CCST is eligible to be promoted into the CN-D classification when criteria outlined in the Clinical Nurse Ladder handbook and job specifications outlined in CN-D job description are met.

Knowledge and Skills

Able to work in confined spaces. Demonstrates advanced competencies in critical care, sedation and patient transport. Skillfully adapts a variety of clinical settings.

Ability to apply theoretical concepts to clinical practice and continually expands knowledge base and clinical skills with a focus in area of specialty and population served. Basic knowledge of healthcare regulations and accreditation required. Exhibits professional behavior at all times and works calmly and responds courteously when under pressure.

Able to: speak, read and write legibly in English (and Spanish preferred) with professional quality; use computer, printer and software programs necessary to the position, e.g., Word, Excel, Outlook, PowerPoint, electronic medical record, electronic event reporting program; troubleshoot and calibrate patient care equipment; perform technical patient care activities; relate and communicate positively, effectively and professionally with others; be assertive and consistent in following and/or enforcing policies; lead, supervise, teach and collaborate; accept direction; think critically; work independently with minimal supervision; perform basic math functions; manage multiple assignments effectively; organize and prioritize workload; problem solve; recall information with accuracy; pay close attention to detail; distinguish colors and smells as necessary for patient care; discern temperature variances through touch; hear sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with the work place; see adequately to read computer screens, medical records and written documents necessary to position.

Licensures and Certifications

Active California Registered Nurse (RN) license required. Basic Life Support (BLS), Advanced Cardiac Life Support, and Pediatric Advanced Life Support certification issued by the American Heart Association required (one of these three may be completed during introductory period). Trauma Nursing Care Course (TNCC) required within 90 days of hire but may be extended based on class availability. Moderate Sedation certification required and may be obtained during introductory period. Critical Care Registered Nurse certification preferred. Driver's License required.