RN Navigator - Emergency Department - Full Time/Days - Req#2047108936

Job Objective:

The RN Navigator - Emergency Department (ED) is a Registered Nurse, responsible for overseeing the ED Waiting Room to enhance ED throughput, patient escalation as needed, while improving patient experience. The RN Navigator is the “face of our ED” and is the person that will be able to impact the movement of our patients through strong collaboration with the entire health care team.

Duties and Responsibilities:

• Nursing Process

• Applies nursing process in direct patient care:
  • Provides accurate assessment and documentation of physiological, psychosocial, cultural, developmental, socioeconomic, and spiritual needs of patient as evidenced by assessment within the time frame appropriate for level of care.
  • Provided information to patient/family relating to emergency room care/treatment and keeps them informed on next steps along the continuum of care in the ED.

• Adheres to all current policies and procedures in providing patient care and seek clarification if needed.

• Coordinates with the multidisciplinary team to promote awareness of barriers to care and to identify mechanisms to overcome those barriers.
• Remains a point of contact for the patient along the continuum of care in the ED.
• Incorporates time management skills in accomplishing care and giving direction to follow up on delays in care or treatment.

• Greets patients/families entering the ED Waiting room and helps to direct them to the Registration Windows or escalate for immediate care as driven by their presentation.
• Remains engaged with the patient/family in the ED Waiting Room and is the source to help them navigate timely through the steps of care/treatment in the Waiting Room
• Ensures Vitals Signs are completed every 2 hours while sitting in the Waiting Room
• Engage with the patient/family to ensure their care and reported treatment results are moved timely to the providers to make a decision on final disposition.
• Ensure discharges are done timely; assist with having the provider and nursing staff complete the discharge paperwork and discharge the patient timely.
• Prevent Left Without Being Seen to communicate with the Triage RN and Provider in the ED Waiting Room long delays.
• As needed assists as a 2nd Triage RN to move the patients along sooner to the Provider
• Documents patient care and follow-up as required in the Electronic Medical Record.
• Assists with locating the patient when they are called for triage/treatment/follow-up in the ED so the patient is not overlooked.

• Nursing Care Delivery Process:

• Knowledgeable regarding current nursing practices and procedures
  • Demonstrates knowledge and use of resources and forms
  • Demonstrates knowledge of hospital structure and administrative resources

• Demonstrates ability to interpret rules and regulations

• Knowledge of legal aspects of nursing care and EMTALA laws for the ED.
• Demonstrates knowledge of Patient Rights
• Acts as a liaison between the patient and the healthcare team.

• Leadership/Professionalism

• Maintains professional attitude and effective working relationships with the healthcare team.
• Functions appropriately and effectively under pressure. Provides care as part of team effort in crisis or emergency situation.
• Adheres to all privacy laws when dealing with confidential and protected health information (PHI)
• Maintains the confidentiality of patient, hospital and department information
• Adheres to the Code of Conduct
• Demonstrates ethical decision making, integrity, and a willingness to promote a culture of safety.

• Communication

• Communicate effectively with patients, families, visitors and providers
• Responsible for problem solving and crisis intervention related to physicians, patients, families, and staff.
• Follow the Chain of Command and Conflict Management process established by AVMC.
• Displays a willingness to follow directions and to accept and utilize constructive criticism.

• Age Specific & Cultural Requirement

• Demonstrate knowledge regarding special needs and behaviors of age specific and cultural groups
• Participates in age specific and cultural educational and training programs
• Demonstrates proficiency in required age specific and cultural competencies

Non-Essential Duties:

• Copying, Faxing and Filing

Knowledge, Skills and Abilities:

Knowledge

• Strong ED operations knowledge and critical thinking ability.
• Knowledge of common Codes required for quick action in the ED (Code Stroke, STEMI, Trauma Tier qualification, Code Delivery, Code Tan, etc.)
• Understands EMTALA regulations along with terminology LWBS (Left without Being Seen), LWOT (Left without Triage), Elopement and AMA and appropriate documentation for a discharge disposition.
• Conforms to required accreditation standards
• Conforms with and supports hospital quality management and performance improvement guidelines

Skills

• Meets all skills and abilities of a Registered Nurse at AV Hospital
• Meets all skills and abilities of an Emergency Department RN
• Up to date knowledge of current drugs, trends and techniques in the care of ED patients.
• Good interpersonal and customer service skills
• Strong verbal and written communication skills
• Strong computer skills with ED documentation requirements
• Displays a willingness to work as a team player
• Understand patient and staff safety techniques and when to call for back up assistance
• Must be detail-oriented and possess excellent follow-through skills
• Strong analytical and problem-solving skills
• Strong facilitation and conflict management skills
• Excellent time management, follow through and organizational skills

Abilities

• To prioritize and reprioritize quickly. Timely Decision Making
• To develop collaborative multidisciplinary relationships.
• To help the patient/family navigate the ED experience with a positive patient experience
• Able to take initiative and help anticipate and identify customer needs and make recommendations for improved processes related to ED Throughput & patient care
• To escalate critical patient conditions quickly
• Ability to maintain the highest level of professional standards regarding confidentiality, ethical conduct and customer service
• Ability to coach and mentor others
• Ability to manage multiple priorities at once in a fast-paced environment

AVMC Values: All AVMC employees will effectively demonstrate these values:

• Patients Come First – We listen actively and communicate with our patients and families, placing safety as a top priority.
• Accountability & Ownership – We fully complete tasks, are transparent, effectively communicate, and recognize that what we do reflects on us.
• Teamwork – We build trusting relationships, promote a sense of community, and are respectful of everyone. Success is about the whole team.
• Integrity & Honesty – We tell the truth at all times, speak up when something is wrong, and do the right thing when no one is looking.
• Excellence – We take pride in our work, are goal-oriented, and on a never-ending quest for top tier quality.
• Initiative & Innovation – Our can-do attitudes, creativity, and resourcefulness empower us to improve the patient’s experience, solve our own problems, make timely decisions, and look for opportunities to add value.
• Tenderness & Compassion – We have genuine empathy, show kindness, and encourage and advocate for each other.

Education and Experience:

Education

• Registered Nurse (RN); graduate of an accredited RN school of nursing
• BSN preferred
• Successfully completes written and practical competencies annually or otherwise as assigned
• Demonstrates knowledge and competency on hospital information technologies used in the designated patient care area.

Experience

• Minimum of Two (2) years Emergency Room RN experience in an acute care setting
• Triage Certification required
• MICN certification preferred

Required Licensure and/or Certifications:

• Current California Registered Nursing License
• BLS, ACLS, PALS
• MICN preferred
• Maintains current licensure, certifications, education, and physical health standards

AVMC Conduct/Compliance Expectations:

• Ability to adhere with AVMC Attendance and Punctuality Policy.
• Ability to adhere with AVMC Leaves of Absence Policy.
• Ability to adhere with AVMC Paid Time Off (PTO) Policy.
• Ability to adhere to the department dress code.
• Ability to organize work and establish priorities.
• Ability to expand on own initiative in performance of duties.
• Skill and ability to follow the telephone etiquette/standards.
• Ability to function effectively under pressure and meet time parameters.
• Ability to communicate effectively while maintaining good working relationships with co-workers, managers and other hospital staff.
• Ability to adhere to the normal standards of courtesy and conduct as defined under the rules of hospitality at AVMC.
• Ability to maintain the confidentiality of patients, hospital and department information.
• Ability to adhere to safety rules and regulations.
• Safely and effectively, it uses all the equipment necessary to carry out duties.
• Ability to interpret and function under hospital and department policies and procedures.
• Conforms with required and appropriate accreditation and regulatory requirements.
• Conforms with and supports hospital quality assurance and improvement guidelines.
• Ability to participate effectively in department and hospital staff education.
• Display a willingness to work as a team player.
• Ability to always give and support the highest level of patient/customer satisfaction.
• Supports and adheres to the values and mission statement established by the AVMC Board of Directors.
• Ability to demonstrate knowledge and understanding of the Compliance & Integrity Program and its established policies.
• Ability to follow the Code of Conduct.

Physical Requirements and Working Conditions:

• Work is often performed under stressful, emotional, and physical conditions
• Accepts additional workload during times of unexpected circumstances, e.g., high activity, high census, and sudden emergencies.

A detailed description of the physical requirements of this job is maintained in the Employee Health Department.

NOTE: THE ABOVE STATEMENTS ARE INTENDED TO DESCRIBE THE GENERAL NATURE AND LEVEL OF WORK PERFORMED BY PEOPLE ASSIGNED TO THIS JOB. THIS DOCUMENT IS NOT INTENDED TO BE AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, SKILLS, AND WORKING CONDITIONS FOR THE PERSONNEL SO CLASSIFIED.

Education and Experience:

Education

• Maintains current licensure, certifications, education, and physical health standards

Participates in mandatory and/or optional educational activities/offerings. Attends staff meetings regularly and as required by assigned unit

• Demonstrates knowledge and competency on hospital information technologies used in the designated patient care area.
• Successfully completes written and practical competencies annually or otherwise as assigned.

Experience

• Two years’ acute care nursing preferred, new grad training provided as appropriate

Required Licensure and/or Certifications:

• Current California Registered Nursing license
• BCLS Certification
• ACLS, PALS, and/or other additional Certifications required for some specialty areas