Job Information

St. Joseph Health / Covenant Health Staff RN - Pediatrics *Up to $20,000 Hiring Bonus* in Apple Valley, California

We are looking for a Staff Registered Nurse for the Pediatrics Department at St. Mary Medical Center.

Location: Apple Valley, CA

Work Schedule: Full time - 72 Biweekly Hours

Shift: 12-hour, Nights

Job Summary:

Within the identified roles of Practitioner, Teacher and Leader, the staff Registered Nurse provides collaborative and comprehensive care based on patient and/or family needs. The staff Registered Nurse implements and evaluates care delivery based on predicted outcomes while anticipating potential responses provides assessment, treatment and care throughout the hospital and outlying clinics. The staff Registered Nurse will practice in accordance with all regulatory, professional, legal and hospital policies. The Staff Registered Nurse works independently under limited supervision directly reporting to the Unit/Department Supervisor, Director of Assistant Vice President.

Essential Functions:

  • Performs a complete patient assessment that encompasses the patient’s physical, physiological, emotional and spiritual status.

  • Formulates a nursing diagnosis based upon the patient assessment and develops and implements an individualized patient care plan that is based upon collaboration with the patient and the assessment of the patient.

  • Performs procedures/treatments, administers medications and provides nursing care based upon established clinical practice (policy and procedures), the patients plan of care and physician orders.

  • Evaluates the effectiveness of the care plan through observation of the patient’s physical condition and behavior, signs and symptoms of illness and reactions to the treatment. Through communication with the patient and the health team members, including shift to shift report modifies the plan as needed.

  • Develops, coordinates, and implements the individual patient/family education plan together with the multidisciplinary team.

  • Provides and documents patient/family education within the Registered Nurse’s scope of practice. Communicates effectively with members of the health care team with regard to patients condition and needs.

  • Acts as the patient/family advocate as circumstances require by initiating action to improve health care or to change decision or activities which are against the interest or wishes of the patient or family and by giving the patient/family the opportunity to make informed decisions about health care before it is provided.

  • Coordinates discharge planning of the simple patient and obtain necessary orders for discharge.

  • Delegates tasks to Team Members based on scope of practice, competencies and qualifications.

  • Effectively supervises care being given by Nurses Aides, Licensed Vocational Nurses and Student Nurses.

  • Participates in orientation of new employees and student nurses.

  • Demonstrates critical thinking capabilities.

  • Participates in continuing education programs offered by SMMC. Assists and participates in committee work as requested. Is an effective member of the healthcare team and participates in 75% of department and unit staff meetings.

  • Knows staff nurse is a team member in the Utilization Management process.

  • Participates in multidisciplinary conferences.

  • Documents patient specific data/information concisely and thoroughly, according to hospital and regulatory agency requirements.

  • Completed all CEU requirements in accordance with RN license renewal.

  • Pediatrics, 629000-K01:

  • Meets performance standards for the Registered Nurse.

  • Obtains PALS certification within three months of hire and presents every other year renewal, prior to expiration date. Submits licensure and BLS documentation prior to expiration dates.

  • Schedules and meets formally with Patient Care Coordinator or Nursing Director at least once per quarter, to discuss personal caregiver performance, general staff performance and unit issues.

  • Attends hospital required training and in-services. Completes annual review components prior to annual anniversary date. Independently maintains annual educational log and presents completed forms and CEU documents before or during the annual performance review.

  • Demonstrates positive verbal and non-verbal communication with peers, co-workers, supervisors, administration, patients, visitors, and physicians. Willingly participates in quality improvement root-cause analysis and/or interpersonal communication resolution sessions, as requested.

  • Demonstrates skill and knowledge base for the identification of signs and reporting for child abuse and prevention of or potential for a pediatric abduction.

  • Acts as resource person for LVNs, UCAs, registry and float personnel in the interpretation, rationale, and the treatment of the sick pediatric patient and family. Completes or co-signs necessary documentation.

  • Prepares for and assists the physician or other departments with tests and procedures.

  • Participates in the orientation of new employees and/or trainees.

  • Schedules and meets with Unit Supervisor at least quarterly to discuss individual performance and unit strategic plans.

  • Maintains 5 of 15 CEUs in Pediatric clinical care.

  • Demonstrates critical thinking skills and basic understanding of the care necessary for the pediatric patient and family based on the appropriate developmental stage of the patient.

  • Attends at least 50% of staff meetings and medical center and/or unit sponsored outreach in-service presentations. Provides documentation that minutes for staff meetings are read and understood for any meetings not attended, reads and initials communication book entries and/or memos, and provides in-service records for any unit sponsored poster in-services presented. Completes any self study educational packet and presents post test within 30 days of distribution.

  • Leads the unit rounds with physicians, administration, and/or the multidisciplinary team. Coordinates the completion of the multidisciplinary care plan upon admission and ongoing thereafter.

  • Initiates discharge planning upon admission and provides educational information throughout the Hospital stay, including family participation in care and medication administration. Provides maintenance of the continuum of care following discharge including plans for education needs for the school age and adolescent patients.

  • Provides input into the development of the annual educational center.

  • Initiates and presents at least two care conferences of staff in-services.

  • Documentation of the medical record is complete and per standards. Participates in the monitoring of compliance and peer education including completion of the performance improvement audits within 15 days following the month assigned.

  • Maintains equipment/safety and supply checks during scheduled shift. Maintains cleanliness to patient area, work station, and supply areas per regulation.

  • Initiates at least two policy and procedure reviews including researching and referencing standards or journal research. Assists with other policy and procedure reviews.

  • Is an active member of at least one unit based and/or medical center committee (policy and procedure, quality care, patient education/clinical pathway, caregiver performance). Provides input to other unit based committees.

  • Provides immediate information to the Unit Supervisor or AVP regarding changes in the patient condition and provides accurate data about the patient’s acuity level for staffing purposes.

  • Participates in mock code blue scenarios and demonstrates the ability to perform in actual situations.

  • Demonstrates the knowledge of the specific BIOPSYCHOSOCIAL needs to care for or interact with the infant, toddler, preschool, school age, and adolescent patient and family. Accurate medication dosing and administration is demonstrated.

  • Participates in 10 hours of community education and /or professional outreach (Voluntary).


  • Excellent oral and written communication skills.

  • Excellent organizational and critical thinking skills.

  • Ability to operate standard office equipment (copier, fax, personal computer, printer, telephone, nurse call system).

  • Basic knowledge of nursing procedures.

  • Ability to troubleshoot basic nursing and unit specific equipment.

  • Demonstrates competencies in IV initiation and management.

Minimum Position Requirements:


  • Associate's Degree

  • Coursework/Training - Other training as specific to unit requirements.

  • Coursework/Training - Environmental Orientation within 30 days of hire.

  • Coursework/Training - General RN competency within 30 days of hire.

  • Coursework/Training - Unit Specific competency within 90 days of hire.

  • Coursework/Training - Preceptor / Mentor: Preceptor Mentor competency prior to first schedule Preceptor/Mentor shift.

  • Coursework/Training - Rapid Response: Role Specific competency prior to first schedule RRT shift.


  • Preceptor / Mentor: 18 months experience in hospital nursing practice.

  • Rapid Response: 18 months experience in critical care area

  • Team Leader:

  • 2 years of recent RN experience in an acute care hospital.

  • 6 months recent experience in the hospital department involved or in a different department, either at St. Mary Medical Center or elsewhere, with similar patient care responsibilities.


  • Current California Registered Nurse License by evidence of Primary Source Verification.

  • Current BLS.

  • Other certifications as specific to unit requirements.

  • Pediatrics, 629000-K01:

  • PALS certification within 3 months of hire.

  • NRP certification within 6 months of hire.

Preferred Position Qualifications:

Experience: 2 years experience in a hospital environment.

St. Mary Medical Center (SMMC) is an acute care hospital with 213 beds and over 1,750 employees making it one of the region's largest employers serving communities of the High Desert. The facility was constructed in 1956 and joined the St. Joseph Health System in 1992.

This facility has the only Neonatal Care Unit in the High Desert Accredited by California Children Services and has been granted approval as a Special Hospital with the California Children's Services Community Neonatal Intensive Care Unit. St. Mary was accredited as a primary Stroke Receiving Center in 2018, the only stroke-receiving center in the High Desert.

The Services and Clinical Specialties offered at this Hospital are Diabetes Education, Emergency Services, Heart and Vascular Services, Imaging Services, Rehabilitation Services, Respiratory Services, Robotic Surgery Services, Surgical Services, Women & Children's Services and Wound Care and Hyperbaric Medicine.

Company: St. Mary Medical Center

Category: Medical/Surgical Nursing

Req ID: R347478