**Job Description** **Make a difference every single day** When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion and dedication pulses through Cedars-Sinai, and it’s just one of the many reasons we’ve achieved our sixth consecutive Magnet designation for nursing excellence. From working with a team of world-class healthcare professionals to using state-of-the-art facilities, you’ll have everything you need to do something incredible—for yourself, and for others! Join us, and discover why U.S. News & World Report has named us one of America’s Best Hospitals! 4South is our 63-bed, Oncology/Cellular Therapy/Hospice unit providing quality care to patients with medical diagnoses such as pneumonia, rule out tuberculosis, sepsis, sickle cell anemia, cancer and palliative care. Patient care needs are identified through interdisciplinary assessments, team care planning, and a patient classification system. A multi-disciplinary approach is used throughout the continuum of service with a special focus on pain management, medications, self-care, nutrition, and education. The team also provides special procedures including chemotherapy administration and monitoring, pain management, metabolic support, patient and caregiver education and support and, palliative care. We also provide quality care to patients undergoing chemotherapy, surgery, and radiation and for patients with leukemia, lymphoma, and multiple myeloma stem cell/bone marrow transplantation (BMT). We also have medical and telemetry patients and nurses are trained for various research protocols as they administer the medication for the research study. As a Registered Nurse on 4South, you are responsible and accountable for the application of the nursing process and the delivery of patient care for the specialty patient population. You will also + provide and accurately document direct and indirect patient care services that ensures the safety, comfort, personal hygiene, and protection of patients in a timely manner + provide patient education on disease prevention and restorative measures. + provide administration of medications and therapeutic agents necessary to implement treatment, disease prevention, or rehabilitative plan of care. + perform skin tests, immunizations, phlebotomy and the initiation of peripheral venous access. + observe and assess signs and symptoms of illness, reactions to medications/treatments, general behavior, and/or general physical condition to determine normal versus abnormal characteristics and initiate emergency procedures when indicated. + plan and implement individualized patient care based on observations. Implements appropriate reporting, referrals and care in accordance with standardized procedures while providing care to special patient populations and patients with diverse cultural backgrounds. + identify patients' readiness for learning and their ability to follow directions/instructions and give consent while identifying and assessing patient safety concerns with respect to age and developmental considerations. + demonstrate the knowledge and the ability to identify and make special adjustments as required to the specific populations' needs, including cultural, spiritual, age, psychosocial, communication, gender, sexual orientation, economic, education, family and condition needs. **This position is eligible for an Employee Referral Program bonus. See website for details:** https://jobs.cedars-sinai.edu/employee-referrals **Qualifications** Job Summary: Key Job Responsibilities A Clinical Nurse II (CN II) is a competent clinician who provides nursing care in a skilled and effective manner. A CNII Independently prioritizes & delivers dependable and effective patient care in a variety of patient situations using nursing process utilizing appropriate decision-making skills. A CNII exhibits competence in the technical, interpersonal and cognitive skills required to independently and safely manage routine patient assignment. The Clinical Nurse II begins to develop their mentorship skillsets under the leadership of experienced and expert clinicians on their unit. Drives the mentee-mentor relationship to identify gaps in skills, practice and knowledge to achieve desired goals. A CNII establishes a plan of care, sets goals, determines priorities, and provides care within established standards of practice. The scope of responsibility, duties and accountability at the facility department and position levels including knowledge and practice of the clinical/technical skills necessary to the position consistent with the Nurse Practice Act. Nursing job duties are to meet the Nurse Practice Act, Title 22, The Joint Commission and the Plan for Provision of Nursing Care and the Plan for Provision of Care to Patients, and other regulatory requirements. Primary Duties & Responsibilities Primary Duties and Responsibilities •Provides and accurately documents direct and indirect patient care services that ensures the safety, comfort, personal hygiene, and protection of patients in a timely manner. •Provides care and patient education on disease prevention and restorative measures. •Provides direct and indirect care services, including, but not limited to, the administration of medications and therapeutic agents necessary to implement treatment, disease prevention, or rehabilitative plan of care. •Performs skin tests, immunizations, phlebotomy and the initiation of peripheral venous access. •Observes signs and symptoms of illness, reactions to medications/treatments, general behavior, and/or general physical condition. •Demonstrates refined assessment skills, integrating appropriate data sources to assess the signs, symptoms, reactions, behaviors, or general appearance to determine normal versus abnormal characteristics. •Plans and implements individualized patient care based on observations. Implements appropriate reporting, referrals and care in accordance with standardized procedures. Initiates emergency procedures when indicated. •Provides care to special patient populations and patients with diverse cultural backgrounds. Identifies patient’s readiness for learning and ability to follow directions/instructions and give consent. •Demonstrates knowledge and is able to identify and make special adjustments as required to the specific populations needs, including cultural, spiritual, age, psychosocial, communication, gender, sexual orientation, economic, education, family and condition needs. •Participates in evidence-based improvement initiatives and/or councils/committees that improve nursing outcomes and the work environment in their unit/department. •Identifies and assesses patient safety concerns with respect to age and developmental considerations. Intervenes to provide a safe environment and evaluates effectiveness of intervention for patient. Department-Specific Responsibilities Additional primary duties and responsibilities that are only performed in the specific department(s) below: Department Duties and Responsibilities Pediatrics (4NE) Postpartum and Newborn Nsy -Infant Safety and Security: Identify infant safety risk and implement standard practice to prevent harm and abduction Pediatrics (4NE) Postpartum and Newborn Nsy -Perform State Required Newborn Screens: Completes thorough assessment and newborn screens such as Critical Congenital Heart Defect, Jaundice, Newborn Hearing Screens, CA Newborn Screening Test Pediatrics (4NE) Postpartum and Newborn Nsy - Lactation Support and Education: performs a comprehensive breastfeeding assessment of the mother/baby/family, to facilitate intervention and the development of a breastfeeding plan Pediatrics (4NE) Postpartum and Newborn Nsy -Postpartum Depression Screen: Properly screens all postpartum moms for postpartum depression, providing education of risk, and collaboration with MD and SW for referral and resource Pediatrics (4NE) Postpartum and Newborn Nsy - Postpartum Hemorrhage Management: able to identify and intervene in postpartum emergency management of a hemorrhage Pain Center Provides direct and indirect care services for each clinical area of the department including perioperative, clinic, and triage. Pain Center Adheres to radiographic protective equipment while working intraoperatively. Pain Center Performs administration of moderate sedation and medicinal infusions while adhering to medication safety protocols. Research Institute Clinical & Translational Research Center (CTRC) - Oversees multiple research studies as protocol liaison, works with the nurse manager to ensure staff involved in patient care meet all training requirements. Collaborates with the study team to ensure clear, accurate execution of study protocols, treatment procedures, and research orders. Research Institute Clinical & Translational Research Center (CTRC) - Travels to offsite locations, including Cedars-Sinai Medical Center inpatient units and other affiliated locations, to provide nursing care for clinical trial participants. Research Institute Clinical & Translational Research Center (CTRC) - Collects, handles, and processes research specimens following protocol requirements. Records vital signs, medications, research compounds administered, and patient responses in medical records and data sheets. Research Institute Clinical & Translational Research Center (CTRC) - Provide educational and support to inpatient nurses regarding research specific aspects of care for patients involved in clinical trials. Research Institute Clinical & Translational Research Center (CTRC) - Provides direct nursing care to adult and pediatric research participants. Administers medications, therapeutic agents, and other treatments according to research protocols and physician orders. Supports high-risk procedures, including infusion of investigational drugs including but not limited to gene therapy, immunotherapy, Chemotherapy and sedation. Responds to emergencies by initiating appropriate procedures. Teamwork/Customer Relation Responsibilities Collaborates to problem solve and make decisions to achieve desired outcomes Establishes effective working relationships with cross-functional team(s) Responds timely, effectively and appropriately to deliverables Shares knowledge, time and expertise to assist other members of the team Team Lead/Supervisory/Management Responsibilities Responsible for hiring, onboarding, managing schedules, personnel actions, performance reviews, and performance improvement plans. These statements describe the primary duties and responsibilities of the job and are not intended to be an exhaustive list of all tasks. Other work duties may be assigned at any time with or without notice. JOB QUALIFICATIONS Education Education Level Education Details Minimu m Preferred Assoc. Degree/College Diploma X Bachelor's Degree Bachelor's of Science in Nursing (state accredited program) X Work Experience Years of Experience Experience Details Minimu m Preferred 1 year For external hires, acute care experience in their specialty for new hires. Promotion to Clinical Nurse II is automatic after completion of one (1) year of clinical experience and a satisfactory performance appraisal at a Clinical Nurse I level. X Skills, Knowledge and Abilities Skill/Knowledge/Ability Description Proficiency Regulatory - Ability to interpret and apply knowledge of State, Federal and Agency standards to comply with regulations Working knowledge of Nursing Practice Act, The Joint Commission and other state and local regulatory requirements including perioperative standards when applicable. Intermediate Communication - Ability to communicate expectations and priorities, and clarify roles and responsibilities Strong interpersonal and communication skills. And has full command (verbal and written) of the English language. Intermediate Technical - Ability to operate mechanical/medical devices and/or equipment Knowledgeable and proficient in the use of health care technology within specialty area. Intermediate Other Demonstrates commitment to customer service and an ability to meet the needs and expectations of patients and health care colleagues. Intermediate Time Management - Ability to demonstrate time management and priority setting skills Demonstrated success working independently, forging relationships, and managing multiple tasks with minimal directions. Intermediate Analytical\Ability to demonstrates problem solving skills and recommends solutions Ability to analyze qualitative and quantitative information for decision support. Intermediate Technical - Ability to use software applications and operate technological devices (e.g., computer, laptop, tablet, smartphone, etc.) High level of proficiency using Microsoft Windows and other Microsoft Office software: MS Excel, Outlook, Powerpoint Word, etc. Intermediate Other Must be able to manage competing priorities, while being extremely adaptable and flexible and maintaining a positive work environment. Intermediate Licenses and Certifications Licenses/Certifications Lic/Certification Details Time Frame Minimu m Preferred RN State License California State RN License Upon Hire X Basic Life Support (BLS) BCLS Certification Upon Hire X Other Other Competencies, as required by your specialty unit (ex. ACLS, PALS, fetal heart monitoring) 1 Year X ANCC Specialty Certification Any ANCC Specialty Certification strongly recommended after 2 years in specialty X Department Specific Licenses and Certifications Additional licenses or certifications that are required/preferred in the specific department(s) below: Department Licenses/Certifications Lic/Certification Details Time Frame Minimu m Preferred Cancer Center ANCC Specialty Certification Current oncologyspecific nursing certification by an nationally accredited certification program and ANCC recognized; or 1 Year X Cancer Center Obtain ongoing education by earning 12- cancer related continuing nursing education hours [Commission on Cancer] during years not oncology certified 1 Year X Research Institute Advanced Cardiac Life Support Clinical & Translational Research Center (CTRC) 1 Year X Research Institute Pediatric Advanced Cardiac Life Support (PALS) Clinical & Translational Research Center (CTRC) 1 Year X Research Institute ONC Chemotherapy & Immunotherapy Certification Clinical & Translational Research Center (CTRC) 1 Year X Research Institute ANCC Specialty Certification Clinical & Translational Research Center (CTRC) - Nursing certification by an nationally accredited certification program and ANCC recognized X Breast Center ANCC Specialty Certification Current oncologyspecific nursing certification by an nationally accredited certification program and ANCC recognized; or 1 Year X Breast Center Obtain ongoing education by earning 12- cancer related continuing nursing education hours [Commission on Cancer] during years not oncology certified 1 Year X Radiation Oncology ANCC Specialty Certification Current oncologyspecific nursing certification by an nationally accredited certification program and ANCC recognized; or 1 Year X Radiation Oncology Obtain ongoing education by earning 12- cancer related continuing nursing 1 Year X Department Specific Licenses and Certifications Additional licenses or certifications that are required/preferred in the specific department(s) below: Department Licenses/Certifications Lic/Certification Details Time Frame Minimu m Preferred education hours [Commission on Cancer] during years not oncology certified PHYSICAL DEMANDS/WORKING CONDITIONS Working Environment Catagory Nursing Patient Facing Physical and Other Demands A thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act and California Fair Employment and Housing Act. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job, with or without reasonable accommodation. Physical Demand N/A Rarely Occasionally Frequently Constantly Weight Standing X Walking X Sitting X Lifting X 50 lbs. Carrying X 50 lbs. Pushing X 75 lbs. Pulling X 75 lbs. Climbing X Balancing X Stooping X Eye/Hand/Foot Coordination X Crouching X Crawling X Reaching X Handling X Grasping X Feeling X Talking X Hearing X Repetitive Motions Kneeling X The physical demands described here are representative of those that must be met by an employee to successfully perform the primary duties and responsibilities of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions Working Environment While performing the duties of this job, the associate is required to meet the following physical demands: Working Condition N/A Yes No Extreme cold X Extreme heat X Humid X Wet X Noise X Hazards X Temperature Change X Atmospheric Conditions X Vibration X Other X Travel Requirements Est. Amount Brief Description 0% Valid Driver's License Required Yes/No Reason for Drivers License No **About Us** Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents. **About the Team** Cedars-Sinai is one of the largest nonprofit academic medical centers in the U.S., with 886 licensed beds, 2,100 physicians, 2,800 nurses and thousands of other healthcare professionals and staff. Choose this if you want to work in a fast-paced environment that offers the highest level of care to people in the Los Angeles that need our care the most. **Req ID** : 12489 **Working Title** : Registered Nurse - 4S Oncology - 12hr Nights **Department** : Oncology Acute Care **Business Entity** : Cedars-Sinai Medical Center **Job Category** : Nursing **Job Specialty** : RN **Overtime Status** : NONEXEMPT **Primary Shift** : Night **Shift Duration** : 12 hour **Base Pay** : $55.11 - $88.18 Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.