Clinical Nurse RN - Short Stay Observation Unit - Sharp Memorial Hospital - Night shift

Sharp HealthCare•San Diego, CA

2d•Onsite

About The Position

To provide direct and indirect nursing services to patients and families. This role involves utilizing the nursing process and critical thinking to deliver individualized, goal-directed care consistent with current safety standards. The nurse will identify actual and potential patient risks, continuously evaluate interventions, and collaborate with the patient, family, and healthcare team to develop a comprehensive plan of care. Responsibilities include acting as a preceptor/teacher, implementing safe and efficient care for patients with complex needs, and documenting care comprehensively. The role also involves clinical leadership, including delegating tasks, assessing physician orders, and supporting coworkers. Establishing a therapeutic relationship with patients and families, providing age-appropriate education, and coordinating transfer and discharge planning are key aspects. The nurse will independently perform the nursing process for patients with overt and subtle needs and may assume responsibility as a relief charge nurse. Participation in quality improvement initiatives and compliance with regulatory standards are expected.

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 Nurse
AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association

Responsibilities

Provide direct and indirect nursing services to patients and families.
Utilize the nursing process and critical thinking to provide individualized, goal-directed care.
Identify actual and 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 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.
Serve as a resource for other staff in managing unit specific documentation issues.
Delegate/assign and communicate expectations for care delivery processes to each member of the team.
Assess appropriateness of physician orders and to question physician when appropriate.
Help coworkers improve performance.
Offer assistance and support to coworkers.
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; interpreting for patient to physician and visa/versa.
Provide age-appropriate patient education that facilitates recovery, self-care, end-of-life care and 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 throughout the continuum of care, and according to unit's standards of care.
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 consults others when unfamiliar.
Recognize inconsistencies in patient care and manages 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.
Teach skills as necessary.
Coordinate patient care administered by other members of the nursing staff.
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.