About The Position

Provides direct and indirect nursing services to patients and families in the Acute Care and Progressive Care Unit at Sharp Coronado Hospital. The nurse independently performs the nursing process through individualized assessment, planning, implementation, and evaluation of safe, therapeutic, and efficient care across the continuum. The role involves caring for patients with complex needs, coordinating care with patients, families, and multidisciplinary team members, and supporting patient education, transfer, and discharge planning. The position is a full-time night shift, from 7:00 PM to 7:30 AM, on a 12-hour schedule of 12 hours per shift and 36 hours per week, with every-other-weekend requirements and no on-call requirement. Hourly pay ranges from $64.210 to $93.760, with a midpoint of $72.970. Placement within the range is based on years of RN experience and the applicable collective bargaining agreement.

Requirements

  • Graduate of a nursing school.
  • One year of clinical experience; RNs with less than 12 months of experience must complete new graduate requirements.
  • 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 patient care using systematic planning, appropriate methods, and timely communication with the multidisciplinary team and patient or family.
  • Manage multiple patient needs, communicate with the care team, and use available resources to solve problems and determine effective actions.
  • Apply the nursing process and critical thinking to provide individualized, goal-directed care consistent with current safety standards.
  • Identify actual or potential patient problems and risks; evaluate interventions and adjust the plan as patient and family needs change.
  • Collaborate with patients, families, and team members to develop comprehensive plans of care and prioritize resources to meet individual needs.
  • Implement safe, therapeutic, and efficient care for patients with complex needs, including multisystem disease or complications of treatment.
  • Recognize patient diagnoses and potential complications, maintain accountability for patient outcomes, and document care comprehensively according to applicable guidelines and policies.
  • Make referrals based on initial and ongoing assessment and evaluation findings.
  • Delegate and assign care appropriately, communicate expectations, determine supervision needs, and follow up to ensure delegated tasks are completed.
  • Assess physician orders and question them when appropriate.
  • Support coworkers, provide feedback, help improve performance and work processes, and share unit-specific information with students and temporary or floating personnel.
  • Establish therapeutic relationships with patients and families, adapt interventions to social and cultural 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 with the health care team, and help develop or revise patient education materials.
  • Coordinate care provided by other members of the care team and nursing staff; teach skills and use teaching or coaching strategies to support families.
  • Use common equipment and medications safely, seek guidance when unfamiliar, organize and prioritize workload, and manage emergency situations.
  • Participate in quality improvement initiatives, comply with regulatory and accreditation standards, and participate in unit activities and committees as appropriate.
  • May act as a relief charge nurse, preceptor, or mentor and support the professional development of nurses and students.
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