About The Position

The Clinical Nurse RN provides direct and indirect nursing services to patients and families in the Medical Neuroscience Unit at Sharp Memorial Hospital. The nurse coordinates individualized patient care with patients, families, and the multidisciplinary team; applies the nursing process and critical thinking to deliver safe, therapeutic, efficient care; and evaluates and adjusts care as patient needs change. The role includes caring for patients with complex needs, documenting care, educating patients and families, and coordinating referrals, transfers, and discharge planning. The nurse may also support coworkers and learners through delegation, teaching, preceptorship, and clinical guidance.

Requirements

  • Graduate of a nursing school.
  • At least 1 year of clinical experience; RNs with less than 12 months of experience will complete the new graduate requirements.
  • Current California Registered Nurse (RN) license from the California Board of Registered Nursing.
  • American Heart Association Basic Life Support for Healthcare Professionals (AHA BLS Healthcare) certification.
  • NIH Stroke Scale (NIHSS) certificate.

Responsibilities

  • Coordinate care with the multidisciplinary team, patients, and families using systematic planning and timely communication.
  • Manage multiple patient needs and collaborate with the care team to plan and prioritize care.
  • Apply the nursing process and critical thinking to provide individualized, safe, therapeutic, and efficient care consistent with current standards.
  • Identify actual and potential patient problems, evaluate interventions, adjust care plans, and make appropriate referrals.
  • Collaborate with patients, families, and team members to develop comprehensive plans of care and prioritize resources.
  • Implement care for patients with complex needs related to multi-system disease or treatment complications, and remain accountable for patient outcomes.
  • Document care according to department and entity guidelines, maintaining comprehensive and problem-oriented records; support unit documentation practices as a resource to staff.
  • Delegate and assign care appropriately, communicate expectations, select suitable levels of supervision, and follow through on delegated tasks.
  • Assess physician orders and question them when appropriate.
  • Support coworkers, provide constructive feedback, assist with performance improvement, and share unit-specific information with students and temporary or registry staff.
  • Establish therapeutic relationships with patients and families, adapt care to social, cultural, spiritual, language, and communication needs, and advocate for patients.
  • Provide age-appropriate education on recovery, self-care, end-of-life care, health maintenance, health promotion, and wellness.
  • Coordinate transfer and discharge planning and teaching, and collaborate on patient education materials.
  • Coordinate care delivered by other team members and nursing staff; teach or coach patients, families, and colleagues as needed.
  • Use equipment and medications safely, recognize inconsistencies and potential complications, and manage emergency situations with appropriate organization and prioritization.
  • Participate in quality improvement initiatives, unit activities, and committees as appropriate; comply with regulatory and accreditation standards.
  • Promote clinical effectiveness, efficient resource use, quality care, and the development of others through mentoring and transfer of knowledge.
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