Clinical Nurse RN - Surgery - Sharp Memorial Hospital - Evening Shift - Full Time - Eligible for New Hire Relocation

Sharp HealthCare•San Diego, CA

1d•Onsite

About The Position

The Clinical Nurse RN in Surgery provides direct and indirect nursing services to patients and families. This role involves applying the nursing process and critical thinking to deliver individualized, goal-directed, and safe patient care, incorporating the mind, body, and spirit. The nurse continuously evaluates interventions, adjusts care plans, and identifies needs for referrals. They are expected to demonstrate competency in unit skills, manage complex patient situations, and participate in quality improvement initiatives. The position also involves clinical leadership, including delegation, assessing physician orders, and mentoring other staff. A key aspect is establishing therapeutic relationships with patients and families, providing age-appropriate education, and advocating for patients, while adapting interventions to diverse social/cultural variables. The role requires independently performing the nursing process, performing safe nursing care in complex situations, coordinating care administered by other team members, and potentially assuming relief charge nurse duties or assisting with preceptorship. It also involves using common equipment and medications safely, recognizing inconsistencies in patient care, managing potential complications, and demonstrating consistent organization and prioritization of workload, including confident management of emergency situations. Professional behavior through participation in unit activities and committees is expected, along with compliance with regulatory and accreditation standards. The nurse will utilize various teaching/coaching strategies, promote clinical effectiveness and efficient resource use, and demonstrate complex problem-solving and critical thinking skills.

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

Responsibilities

Provide direct and indirect nursing services to patients and families.
Coordinate patient care using systematic planning, appropriate methods, and timely information exchange with the multidisciplinary team and patient/family.
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.
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.
Delegate/assign and communicate expectations for care delivery processes to each member of the team.
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, offer assistance and support, and provide positive feedback.
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 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.
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.
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.
Teach some skills competencies.
Coordinate patient care administered by other members of the care team.
Assume the responsibility of relief charge nurse and 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.