About The Position

The Clinical Nurse RN provides direct and indirect nursing services to patients and families in the Stepdown Unit at Sharp Chula Vista Medical Center. The role uses individualized assessment, planning, implementation, and evaluation to deliver safe, therapeutic, efficient care, including care for patients with complex needs related to multi-system disease or treatment complications. The nurse coordinates care with patients, families, and multidisciplinary team members; applies critical thinking and clinical judgment; documents care; and supports patient education, transfer, and discharge planning. The position may include relief charge responsibilities, precepting, mentoring, and teaching.

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.
  • AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) certification from the American Heart Association.

Responsibilities

  • Coordinate patient care using systematic planning and timely communication with the multidisciplinary team and the patient and family.
  • Manage multiple patient needs and prioritize resources to meet individualized care needs.
  • Use the nursing process and critical thinking to assess risks, identify actual or potential problems, implement care, evaluate outcomes, and adjust the plan as needs change.
  • Collaborate with patients, families, and care team members to develop and revise comprehensive plans of care and make appropriate referrals.
  • Provide safe, therapeutic, efficient care for patients with complex needs and recognize potential complications or inconsistencies in care.
  • Document care according to department and entity guidelines, policies, and procedures, maintaining comprehensive, concise, problem-oriented records.
  • 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 constructive feedback, share unit-specific information, and contribute to improving work processes and systems.
  • Establish therapeutic relationships with patients and families, adapt care to social, cultural, spiritual, language, and communication 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 other members of the health care team.
  • Coordinate care delivered by other care team members and nursing staff; teach skills and use coaching strategies to support families.
  • May act as a relief charge nurse and assist with precepting and professional development of new nurses and students.
  • Use common equipment and medications safely and consult others when unfamiliar with them.
  • Participate in quality improvement initiatives, unit activities, and committees as appropriate, and comply with regulatory and accreditation standards.
  • Promote clinical effectiveness, efficient resource use, and quality care; transfer knowledge and mentor others.
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