Class Title:	REGISTERED NURSE II
Class Code:	73952
Salary:	$25.17 - $31.17 Hourly $2,013.55 - $2,493.82 Biweekly $4,362.70 - $5,403.27 Monthly $52,352.35 - $64,839.22 Annually

Description  Benefits
Under general supervision to perform professional nursing duties in the care of patients in a hospital, health care clinic, school, home or mental health facility; to assist physicians and carry out their orders; may coordinate a continuum of care for a selected group of patients from pre-admission through post-discharge; and to do other work as required. This is the full journey level class for Registered Nurses working in non-acute care assignments with the Department of Mental Health, Probation Department, Riverside County Regional Medical Center, or the Health Department programs. Incumbents of positions in this class perform the full range of professional nursing duties within the scope of the Nursing Process with a minimum of supervision and periodic in-service training.
Examples Of Essential Duties:
• Within the full scope of the nursing process assesses, plans, organizes, and provides nursing care to assigned patients in accordance with physician instructions; makes preliminary observations of and prepares patients for medical treatment. • Assists physicians in administering treatments and in performing medical examinations, diagnostic tests and surgical operations. • As directed, administers prescribed treatment and medications including dispensing as ordered to patients; charts treatment of patients and records and reports significant changes in condition and general progress of patient. • Counsels and advises patients, families, and significant others regarding special medical problems and/or proper health care methods; prepares and maintains concise and complete records and reports. • Instructs patients in carrying out physician's orders; may transcribe physician's orders to working records. • May provide orientation and training to new staff, residents, medical students, ROP and nursing students. • May participate in quality assurance reviews; may act as a tem leader or relief charge nurse. • Assigns and monitors the work of subordinate nursing personnel; participates in committee activities. • May triage patients by reviewing admission charts and merging patients into the patient assignment or clinic flow at the appropriate time and place. • May testify in court as to the client's mental and physical condition; may recommend initiating conservatorship investigations when assigned to the mental health setting. • May coordinate and monitor patients through the hospitalization process utilizing physicians, primary care nurses, and third party payors to maintain quality care and fiscal responsibility. • May review the post hospital care plan with the patient/family. Establishes a contact regarding time frames and responsibilities. Follows plan through a discharge.
Recruiting Guidelines:
Experience: Completion of one year of experience as a registered nurse in an acute care hospital, mental health setting, clinic outpatient setting or health care agency program. Experience gained as an Interim Permit Nurse may be credited toward meeting the required experience. Evaluations and references must show proficiency of practice as a Registered Nurse. Experience: Positions assigned to Patient and Family Services Case Management must have at least one year of patient case management experience or possess a certificate in case management. Education: Graduation from a recognized college with diploma or degree as a Registered Nurse. Knowledge of: Current principles, techniques and procedures used in professional nursing; medical terminology and patient care routine appropriate to clinical setting; medical instruments and equipment; the uses and effects of medicines and narcotics; community resources available to provide patient care and follow-up; Federal, State and local laws and regulations governing professional aspects of nursing; identification of potential discharge needs; payor source documentation requirements and governmental regulations affecting reimbursement. Ability to: Perform the full range of nursing duties and responsibilities in a patient care setting; plan and organize nursing plans for patients; prepare and maintain concise and complete records and reports; establish and maintain effective working relationships with physicians, patients, and fellow employees; assist in the instruction of entry level nurses and ancillary personnel; evaluate the medical records of hospital admissions; make recommendations regarding continued stay necessity; identify discharge needs.
Other Requirements:
License/Certificate: Must possess and maintain a current valid license to practice as a Registered Nurse in the State of California. Possession of a valid California Driver's License may be required of some positions in these classes.
Pre-Employment:
All employment offers are contingent upon successful completion of both a pre-employment physical exam, including a drug/alcohol test, and a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment).
Probationary Period:
As an Approved Local Merit System, the County of Riverside requires all new regular or seasonal employees to serve an initial probationary period, the duration of which is indicated in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.