Clinical Nurse I
Includes: Acute Rehab, Advanced Endoscopy, Brain and Spine Unit,
Cardiac Rehabilitation, Cardiovascular Holding Room, Chemical
Dependency, CT Scan Radiology, Gamma Knife, GI Lab, Heart Valve
Clinic, Interventional Radiology, Outpatient Treatment, Radiation
Oncology, Wound Healing Center, Main X-Ray, Telemetry, Magnetic
Resonance, Medical (Pulmonary), Medical (Oncology), Pacemaker &
Arrhythmia Center, PICC Services, Surgical (Gyn/Urol), Surgical,
Telemetry, Ultrasound Radiology, HOI MedSurg Joint, Home Health,
The Clinical Nurse I - MedSurg role provides direct patient care
in accordance with the Nurse Practice Act to assigned patients on
Medical/Surgical units. The nurse collaborates with other
disciplines of the health care team to ensure the delivery of safe,
timely and appropriate quality patient care. This includes
providing physical assessments, nursing interventions, pain
management, medication administrations, specimen collection,
meeting nutritional needs, and teaching and discharge needs of the
patients assigned. Utilizes the nursing process based on
evidence-based best practices to meet patient care needs. Evaluates
and adjusts the nursing care process as necessary with consultation
as needed, and confers with the appropriate resource personnel when
making ethical/legal/medical dilemma decisions. Performs other
duties as assigned.
Job Knowledge, Skills, and Competencies
Adaptability - Ability to change as environmental,
organizational, workload, task, direction and other conditions
change while reacting in a positive and constructive manner.
Equipment Knowledge - Knowledge of equipment, tools, technology
and other devices in work area and the ability to use them to the
extent required for the job. For clinical equipment, this is
demonstrated by unit based competency testing.
Infection Control - Follows all policies and procedures used to
minimize the risk of spreading infections.
Job Knowledge - The knowledge and understanding of concepts and
procedures needed to be successful in the job. For clinical
positions, this includes clinical procedures required by department
and unit, as demonstrated by unit based competency testing.
Medication Management - Manages and administers prescribed
medication, ECT and perioperative care, medication adherence
assessment, medication education, medication review, and,
monitoring of side effects of medication.
Patient Counseling - Able to give advice or guidance in a
specific area of clinical expertise or knowledge which results in a
problem solved, information provided, and possibly a plan of action
for the person seeking assistance
Patient Documentation - Preparation and delivery of patient
information in a manner that is consistent with the requirements of
the job. Includes what happens during a clinical visit with
patients and why a particular procedure or service is being
performed or why a particular device is being used.
Patient Safety - Embraces the principle of keeping patients safe
by following safety policies and procedures, treating people with
respect, and speaking up in Patient Safety related situations.
Treatment Planning - Ability to anticipate resource needs and
then arrange, prioritize and shape activities to meet Treatment
Oral/Written Communication - Ability to speak and write
effectively, demonstrates fundamental command of language,
communicates well using all mediums.
Interpersonal Skills - Listens to and understands what others
are saying. Establishes effective working relationships with
others, contributing to a climate of mutual respect and
cooperation. Uses vocabulary and grammar appropriate to the
situation. Demonstrates sensitivity and tact, understanding own
effect on the motivation, attitudes and actions of others. Makes
favorable first impressions.
Diversity - Able to demonstrate the knowledge and practice of
Diversity in the workplace. Able to work with a diverse group of
people in a manner that enables them to reach their full potential,
in pursuit of organizational objectives, without anyone being
advantaged or disadvantaged by irrelevant considerations.
Organization Behavioral Competencies
Trust & Accountability
Demonstrates honest and ethical behavior. Takes responsibility
for both words and actions. Acts with integrity. Maintains patient
Uses resources, equipment and finances appropriately.
Demonstrates the functional and technical skills to do the job
effectively. Willing and actively shares his/her knowledge with
others. Accepts changes and adapts to new situations and
Delivers superior customer service consistent with the Hoag
Experience. Displays a professional image. Demonstrates tact,
diplomacy and understanding when dealing with difficult situations.
Listens and asks questions to understand patient and customer
needs. Builds relationships with internal customers and employees.
Admits mistakes and takes service recovery to steps to ensure any
issues or problems are quickly addressed. Ensures that all
information and services provided are safe, accurate, and available
in a timely manner and meet regulatory requirements.
Brings forth creative ideas (one's own or others) to address
patient, physician, customer, and community needs. Looks for
creative or new ways to improve efficiencies and reduce costs.
Adopts new processes, techniques and methods. Stays current with
technologies and advances in his/her area, department and/or
Education and Experience
Clinical Nurse I's at Magnet designated facilities only require
a BSN or that a BSN program is started within one year of hire date
and BSN degree is attained within two years of the starting the BSN
program. BSN preferred. Additional requirements for specific
departments are as follows:
Advanced Brain and Spine Unit: Neurology and Neurosurgery
telemetry experience preferred, including but not limited to:
stroke, seizure, brain tumor/surgery, Parkinson's, spinal
Acute Rehab: Experience in Functional Improvement Measure (FIM)
preferred. Previous experience in rehab nursing preferred.
Cardiac Telemetry: Successful completion of Sub-Intensive,
Intermediate, Progressive or Critical Care course/experience
required. Successful completion of ECG test required. Fulfills
mandatory stroke education requirements per certification
Gamma Knife: Previous telemetry experience preferred including
but not limited to PACU, ED, ICU/CCU, GI Lab units. Successful
completion of ECG test required.
GI Lab: Moderate Sedation experience required. Previous GI
nursing experience preferred. Solid computer technical skills
required, including proficiency with Microsoft Office products
(Outlook, Word, Excel, PowerPoint, Visio) and additional
Organizational systems (Affinity, SMS, and PACS).
Gyn/Urol: Medical/Surgical, Gyn/Urology experience
Heart and Vascular Institute (HVI): Experience in cardiac
Hoag Orthopedic Institute (HOI): ADN required. Successful
completion of ECG test required. Orthopedic nursing experience
preferred. BSN preferred.
Home Health: One (1) year of home health care experience
preferred. Must be a licensed driver with an automobile that is
insured in accordance with state and/or organization requirements
and is in good working order.
Hospice: Minimum of two (2) years' experience, at least one of
which is in the area of public health, home care, or hospice
nursing is preferred. Must have completed associated degree in
Nursing or higher. Must be a licensed driver with an automobile
that is insured in accordance with state and/or organization
requirements and is in good working order.
Ortho Surgery Center: Successful completion of ECG test
required. Two years clinical/management experience preferred.
Outpatient Treatment Center: Chemotherapy/biotherapy
Radiation Oncology: Minimum of two (2) years' experience in
Radiation Oncology in an acute healthcare system environment and
one (1) year supervisory experience in an acute healthcare system
Radiology: Interventional Radiology experience preferred.
Surgical - 6 West: Experience in SUB-ICU required. Experience on
Surgical-6 West unit preferred.
All Clinical Nurse I's must have current licensure as a
Registered Nurse in the State of California.
All Clinical Nurse I's are required to have current BLS
certification prior to clinical rotation. Department specific
certification requirements are as follows:
Acute Rehab: FIM certification, Certified Rehabilitation Nurse
(CRRN) and NIHSS certification preferred.
Advanced Brain and Spine Unit: NIHSS and ACLS required upon
hire. Fulfills mandatory stroke education requirements per
certification agency. CNRN &/or SCRN preferred.
Cardiac Telemetry: ACLS required upon hire. Completes annual
stroke education per Hoag Hospital guidelines. PCCN preferred.
Gamma Knife: ACLS and PALS certification is required within 30
days of hire.
GI Lab: ACLS required.
Gynecology/Urology: Requires ONS Biotherapy/Chemotherapy
Certificate on hire or within year of hire as designated by
Heart and Vascular Institute (HVI): ACLS required upon hire.
Completes annual stroke education per Hoag Hospital guidelines.
Hoag Orthopedic Institute (HOI): ACLS required.
Oncology/Pulmonary/Sepsis: ACLS upon hire.
Biotherapy/Chemotherapy certification required to administer
Radiology: ACLS and PALS certifications required. NIHSS
certification required within 30 days of hire. CRN certification
preferred. Neuro Interventional Radiology - Fulfills mandatory
stroke education requirements per certification agency.
Telemetry: ACLS required. Previous Telemetry experience
preferred. Irvine Tele - Certified Stroke Nurses only: Fulfills
mandatory stroke education requirements per certification
and maintains NIHSS certification.