Clinical Nurse RN - Stepdown Unit - Sharp Chula Vista Medical Center - Day Shift - Full-time

Sharp HealthCare•Chula Vista, CA

11h

About The Position

Provides direct and indirect nursing services to patients and families in the Stepdown Unit at Sharp Chula Vista Medical Center. The role involves individualized assessment, planning, implementation, and evaluation of safe, therapeutic, and efficient patient care, including care for patients with complex needs related to multisystem disease or treatment complications. The nurse coordinates care with patients, families, and multidisciplinary team members; exercises clinical judgment; documents care; and supports patient education, transfer, and discharge planning. The nurse also coordinates and delegates care among members of the healthcare team, provides guidance and support to coworkers, and may serve as a relief charge nurse or assist with preceptorship and professional development. The position is a 12-hour day shift, 7:00 AM to 7:30 PM, with every-other-weekend requirements and no on-call requirement. This evergreen posting represents five positions.

Requirements

Graduate of nursing school.
One year of clinical experience; RNs with less than 12 months of experience will complete the new graduate requirements.
California Registered Nurse (RN) license from the California Board of Registered Nursing.
American Heart Association Basic Life Support for Healthcare Professional (AHA BLS Healthcare) certification.
Demonstrated ability to perform the nursing process through individualized assessment, planning, implementation, and evaluation of patient care.
Competency in all areas of unit skills and some advanced skills.
Ability to coordinate patient care, prioritize workload, and manage emergency situations.
Ability to use common equipment and medications safely and consult others when unfamiliar.
Ability to apply critical thinking and complex problem-solving skills.

Responsibilities

Provide direct and indirect nursing services to patients and families.
Plan and coordinate patient care with the multidisciplinary team, patient, and family, and communicate changes and care needs.
Use the nursing process and critical thinking to assess patients, identify actual or potential problems, implement interventions, evaluate outcomes, and revise care plans as needs change.
Provide safe, therapeutic, and efficient care, including for patients with complex needs due to multisystem disease or treatment complications.
Identify referral needs and collaborate with patients, families, and team members on comprehensive plans of care.
Document patient care according to department and entity guidelines, policies, and procedures; serve as a resource for unit-specific documentation issues.
Delegate and assign care appropriately, communicate expectations, determine necessary supervision, and follow up to ensure delegated tasks are completed.
Assess physician orders for appropriateness and question them when appropriate.
Support coworkers, provide constructive feedback, help improve performance and work processes, and share unit-specific information with students, float staff, and registry personnel.
Establish therapeutic relationships with patients and families, adapt interventions to diverse social and cultural needs, and advocate for patients.
Provide age-appropriate patient and family education, including education related to recovery, self-care, end-of-life care, health maintenance, health promotion, and wellness.
Coordinate transfer and discharge planning and teaching with the healthcare team, and collaborate on patient education materials.
Coordinate care administered by other members of the care team and nursing staff.
Use common equipment and medications safely, seek assistance when unfamiliar, recognize inconsistencies in care, and manage potential complications and emergency situations.
Participate in quality improvement initiatives, unit activities, and committees as appropriate; comply with regulatory and accreditation standards.
Teach skills and use teaching and coaching strategies to support families through disease processes and experiences.
Mentor others and transfer knowledge to improve clinical practice and promote effective use of resources and quality care.