Clinical Nurse II, Labor and Delivery

Stanford Medicine Children's Health • Palo Alto, CA

14h • $96 - $111 • Onsite

About The Position

The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse II job description and exhibits organizational core values which reflect its mission. The Clinical Nurse II independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the adult. The Clinical Nurse II demonstrates within the competency domains of Patient and Family Centered Care, Evidence Based Practice and Research, Safety, Continuous Quality Improvement, Teamwork, Technology/Informatics, Professionalism, and Leadership. The Clinical Nurse II works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse II seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies.

Requirements

• Graduate from an accredited nursing program. BSN preferred.
• Minimum of 1.5 years or 18 months of recent L&D experience, preferably in a center serving high risk patients.
• Registered Nurse by California Board of Registered Nursing
• Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support
• NRP Provider Card by American Academy of Pediatrics (AAP) within 90 days of hire
• Advanced Cardiovascular Life Support by American Heart Association (AHA) within 90 days of hire or RQI Healthcare Provider Advanced Life Support
• Advanced Fetal Heart Monitoring (Advanced) by Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) or Intermediate Fetal Heart Monitoring (Advanced) by Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) or Certification Electronic Fetal Monitoring (C-EFM) from National Certification Corporation (NCC)
• Ability to perform functions as described in the position description addendum according to the clinical level.
• Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting.
• Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care.
• The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures.

Nice To Haves

• BSN preferred.

Responsibilities

• Performs all the functions of Clinical Nurse I
• Manages more complex patient care assignments appropriate to skill level
• Participates in building consensus and resolving conflict in the context of patient care
• Demonstrates the ability to see the "big picture"
• Uses clinical experience and historical patient responses as a way to develop and refine practice
• Is able to speak to the patient about advanced care planning, values and end- of- life care before the need for an acute decision arises
• Evaluates and considers the implementation of alternative approaches to establishing a healing environment
• Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family- centered care
• Ensures the systems within the area of practice support patient- centered care.
• Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice
• Questions current practice and develops a sense of clinical inquiry
• Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation.
• Locates current evidence and resources related to clinical practice
• Serves as resource person for safety concerns
• Demonstrates skills in problem solving, conflict resolution, and negotiation
• Participates appropriately in analyzing errors and designing system improvements
• Participates in the design, review, and evaluation of QI data and initiatives at the unit level
• Integrates QI initiatives into individual plan of care
• Links initiatives or projects to PQMS
• Focuses efforts to improve the quality of health care
• Identifies QI tools, methods, and mindset
• Continuously plans for improvement in effective team development
• Asserts his or her own position or perspective, and supports discussions about patient care and the work environment
• Initiates a plan for self-development as team member
• Applies leadership skills that support collaborative practice and team effectiveness
• Demonstrates team values that orient people to care about performance and the success of others and the organization
• Describes the roles and scopes of practice of inter-professional team members, as well as his or her own role within the team
• Serves as a resource for other nurses in for how to document and plan nursing care utilizing technology
• Models behaviors that support the implementation and appropriate use of clinical systems and technology in providing safe patient care
• Promotes communication technologies that support clinical decision making, error prevention, care coordination and, protection of patient privacy
• Searches, retrieves, and manages data needed to make decisions, using information and knowledge management systems
• Evaluates information and its source critically, and incorporates selected information into his or her own knowledge base and value system
• With nursing colleagues, acts as a champion for clear, concise, and timely documentation
• Anticipates unintended consequences of new technology and responds proactively
• Demonstrates an understanding of the principles upon which organizational and professional health care information systems are based
• Integrates the use of clinical information systems to coordinate and anticipate care across the continuum
• Stays knowledgeable about technology on the horizon
• Promotes identification and discussion of ethical concerns
• Prepares for certification in a specialty
• Fosters and supports the development of others through precepting
• Identifies opportunities for improved processes related to moral and ethical dilemmas
• Promotes the ANA's Code of Ethics for Nurses and professional nursing and organizational standards
• Actively delivers constructive feedback to peers with the purpose of fostering development and improving performance
• Obtains membership and participates in professional organizations
• Communicates confidently with team members, adapting one's own style of communicating to meet the needs of the team and situation
• Identifies and embraces the need for change and new approaches to care when supported by evidence
• Demonstrates appropriate use and allocation of resources
• Establishes oneself as a credible health care provider and resource
• Identifies diverse viewpoints and manages conflict

Benefits

• Benefits Eligible: Yes

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree