Clinic RN - PACE

The Brandman Centers for Senior Care (BCSC), a Program of All-inclusive Care for the Elderly (PACE), provides high-quality, comprehensive healthcare services. We are a program of Los Angeles Jewish Health, renowned for providing quality care to vulnerable seniors.

We value our employees! We offer long term employment opportunities with job stability, including supporting and encouraging career growth advancement. We offer Health, Dental and Vision insurance, Paid Time Off, 9 Paid Holidays, 403(b) with Matching Retirement Plan, Life insurance (paid by the company) and a team spirit workplace culture!

Under the supervision of the Clinic Nurse Supervisor, is responsible for providing direct and indirect nursing care to assigned BCSC participants. Works in close coordination with the Primary Care Physician to manage ongoing care and complex clinical situations and support the operation of the clinic.

Administrative Functions

• Conducts initial and quarterly assessment of each assigned participant’s health and social status; identifies overt problems/needs and sets priorities; treats problems requiring immediate referral and/or follow-up; and interprets and records latest diagnostic results.
• In coordination with the Interdisciplinary Team, develops a Plan of Care based on nursing process that incorporates immediate and continuing care needs and includes the participant and family perspective.
• Provides care that conforms to accepted practice standards and age-related characteristics and needs of participants.
• Provides direct care that includes, but is not limited to wound care, IV therapy, blood sugar checks, IM injections, vital sign checks and/or follow-up on an episodic problem previously identified by the Primary Care Physician, such as Congestive Heart Failure, chest pain, dehydration, edema, urinary tract infection or other health problems.
• Oversees the organization of the BCSC exam and treatment rooms and coordinates with other Interdisciplinary Team members to schedule participants in such a way as to assure day-to-day operational efficiency and participant well-being.
• When assigned, participates in daily morning meetings to update other Interdisciplinary Team members on changes in participants’ condition and movement between home, supportive housing, nursing home, hospital and other residential settings. Provides briefing to Interdisciplinary Team members on participant health problems, daily schedules, planned tests, appointments, and Medical Specialty appointments scheduled.
• Records participant assessments, reassessments and care delivered in the medical record.
• Consults with and educates the participant, family members and/or caregiver regarding the disease process, self-care techniques, prevention strategies and medical interventions.
• Provides the Primary Care Physician with a summary of health findings and any changes in a participant’s health condition.
• Ensures that all tests, lab work and diagnostic studies ordered by the Primary Care Physician have been carried out.
• Coordinates all medication for BCSC, including the stocking of non-prescription medications, the ordering of prescription medications, the administering of medication in the PACE Center, and the monitoring of participant compliance. Arranges for delivery of needed medications and supplies to the participant’s home.
• Collaborates with the Primary Care Physician to assure that protocols are in place and standing orders are carried out with regard to bowel care; foot care; skin care; urinary tract infection; vital signs and weight; and wound care. Provides continence training to participants as needed.
• Prior to the use of physical or chemical restraints, conducts an assessment and documents in the medical record that participant restraint alternatives have been attempted and obtains a physician order for restraints. Obtains family consent or refusal for restraint use. Monitors and documents that the participant has a specific medical symptom that cannot be addressed by another less restrictive intervention and a restraint is required to treat the medical symptom, protect the participant’s safety, and help the participant achieve his/her highest level of physical or psychological well-being.
• Supports the Infection Control function in coordination with the Quality Assurance Coordinator.
• Actively participants in the Quality Assessment and Performance Improvement (QAPI) process.
• Recognizes inappropriate participant care management or service delivery by other Interdisciplinary Team members and addresses directly and/or refers to the RN Clinic supervisor immediately.
• Identifies emergency situations and takes appropriate action, including coordinating direct hospital admissions from clinic to hospital as necessary.
• Understands and demonstrates respect for participant rights and refers ethical issues to the BCSC Ethics Committee.
• Coordinates with the Pharmacist to support participant care.
• Coordinates with the Home Care Coordinator to support participant care at home.
• Complies with safety policies and procedures, identifying and immediately reporting any potential or actual unsafe acts or conditions to the Center Manager. Takes necessary measures to ensure a safe environment for oneself, co-workers, contractors, participants, visitors and others.
• Consistently meets or exceeds BCSC targets for productivity.
• Continually seeks better ways for delivering services and communicating with participants.
• Consistently meets or exceeds BCSC customer service targets.
• Demonstrates respect for and promotes participant rights, including dignity, self-determination, access to care, confidentiality and independence.
• Understands the importance of community involvement and participates as appropriate in activities that link BCSC to its communities.
• Effectively collaborates with staff peers and contractors to meet BCSC goals and further success.
• Complies with all policy and procedures of BCSC.
• Demonstrates proficiency in delivering age-specific care.
• Consistently meets or exceeds BCSC quality assessment and performance improvement targets.

Education and Experience

• Degree and diplomas: Graduate of a school of professional nursing.
• Certificates, Licenses: RN currently licensed by the California Board of Registered Nursing. Verification of completion of CPR (BLS) and first aid training. TB screening and successful completion of a health examination by a health care provider is required for employment. Must have valid California driver’s license.
• Experience: Two years nursing employment with at least one year caring for the frail or elderly. A Public Health Nursing background and/or experience with PACE (Program of All-inclusive Care for the Elderly) is preferred.
• Skills/Aptitudes: Nursing knowledge and skills necessary to treat participants and manage complex clinical situations. Ability to provide care for the frail elderly. Ability to work independently and within an Interdisciplinary Team. Good organizational and supervisory skills. Ability to handle complex interpersonal and clinical situations.