Clinical Nurse RN - Medical ICU - Sharp Grossmont Hospital - Night Shift - Full-time - Eligible for up to $10K in New Hire Incentive

Sharp HealthCare•La Mesa, CA

1d•Onsite

About The Position

The 24-bed Medical Intensive Care Unit (MICU) at Sharp Grossmont Hospital cares for medical critically ill patients and surgical overflow patients, including those with CHF, Massive MI, Abdominal surgery, and Multiple Organ Failures. It is designed for efficiency with full view nursing stations and in-room restroom facilities. The unit utilizes advanced technologies such as articulating arms, bispectral index, cardiac monitors, automated medical and supply stations, Picture Archiving Clinical Information System, automated hand washing systems, isolation rooms, and nurse-managed IABPs and SLEDD (CVVH). The MICU has achieved “Gold Beacon” status from the AACN, recognizing its clinical excellence. This position offers an atmosphere of continual learning that is challenging and stimulating, focusing on providing direct and indirect nursing services to patients and families.

Requirements

Graduate of nursing school.
1 Year clinical experience (RNs with less than 12 months experience will complete the new grad requirements).
California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED
AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED
ACLS Certification (Advanced Cardiac Life Support) - American Heart Association -REQUIRED

Responsibilities

Provide direct and indirect nursing services to patients and families.
Use systematic planning, appropriate methods, and timely exchange of information with the multidisciplinary team and patient/family to coordinate care.
Demonstrate ability to focus on and manage multiple patient needs and aspects of care.
Actively communicate with the care team to plan patient care.
Utilize available resources to problem-solve and determine the most effective approach to action.
Utilize the nursing process and a critical thinking approach to provide patient care that incorporates the mind, body, and spirit; is individualized, goal directed, and consistent with current standards of safety.
Identify actual/potential problems for which the patient is at risk.
Continuously evaluate interventions and care, and adjust the plan as patient and family needs change.
Identify need for referrals based on information obtained in initial and ongoing assessments and evaluation.
Collaborate with patient, family, and other team members to develop a comprehensive plan of care.
Prioritize demand for resources and collaborate with others to meet individualized patient needs.
Act as preceptor/teacher in guiding other nurses on how to apply the nursing process with a particular unit population.
Make appropriate referrals based on information obtained in initial and ongoing assessments and evaluation.
Implement safe, therapeutic, and efficient care for patients with complex needs due to multi-system disease and/or complications of treatment.
Demonstrate accountability for achieving patient outcomes.
Demonstrate an ability to quickly recognize a patient diagnosis even though presenting symptoms or situations may be dissimilar.
Document per department/entity guidelines of care and policies and procedures, representing a detailed, concise picture of patient's care.
Serve as a resource for other staff in managing unit specific documentation issues.
Ensure charting reflects a critical thinking/problem oriented approach to patient issues.
Delegate/assign and communicate expectations for care delivery processes to each member of the team.
Be knowledgeable about what can and cannot be delegated to each different health care team member.
Be responsible for delegation and follow through to ensure delegated tasks are complete.
Analyze each situation, determine, and consistently apply levels of supervision needed before delegating.
Assess appropriateness of physician orders and question physician when appropriate.
Help coworkers improve performance and offer assistance and support.
Provide positive feedback to others.
Provide unit specific information to students, floats, travelers/registry personnel and document appropriately.
Provide incidental teaching to members of the team.
Look for and apply ways to improve work processes and systems.
Offer and accept constructive feedback/criticism in a non-judgmental, positive, and confidential manner.
Seek out opportunities to assist and support coworkers.
Establish a therapeutic relationship with patient and family.
Anticipate problems to establishing/maintaining a therapeutic relationship with a specific patient and take actions to enhance quality of nurse/patient/family interaction.
Analyze social/cultural variables and adapt nursing interventions to meet diverse needs.
Serve as a patient advocate through actions such as removing obstacles, identifying and supporting appropriate needs and wants, and interpreting for patient to physician and vice versa.
Provide age appropriate patient education that facilitates recovery, self-care, end-of-life care, health maintenance, health promotion, and wellness.
Coordinate transfer and discharge planning and teaching in collaboration with other members of the health care team.
Collaborate with other team members to identify, develop, and/or revise patient education materials.
Demonstrate flexibility to teaching based on assessment of learner's needs and the integration of adult learning principles.
Independently perform the nursing process through individualized assessment, planning, implementation, and evaluation of safe, therapeutic, efficient care for patients with overt and subtle needs.
Perform safe nursing care for patients in more complex situations with some assistance and supervision.
Demonstrate competency in all areas of the unit skills and some advanced skills.
May teach some skills competencies.
Coordinate patient care administered by other members of the care team.
May assume the responsibility of relief charge nurse and may assist with preceptorship/professional development of new nurses and students.
Use common equipment and medications safely in the practice setting and consult others when unfamiliar.
Recognize inconsistencies in patient care and manage potential complications.
Demonstrate consistent organization and prioritization of workload; confident management of emergency situations.
Participate in quality improvement initiatives.
Comply with all regulatory and accreditation standards.
Demonstrate professional behavior through participation in unit activities and committees as appropriate.
Utilize a variety of teaching/coaching strategies to assist family through disease process/experience.
Promote clinical effectiveness, efficient use of resources, and quality care in practice setting.
Transfer knowledge and mentor others to improve clinical practice.
Demonstrate complex problem solving and the use of critical thinking skills.