About The Position

Provides direct and indirect nursing services to patients and families in the Medical Surgical 4 West unit at Sharp Chula Vista Medical Center. The nurse independently performs the nursing process through individualized assessment, planning, implementation, and evaluation of safe, therapeutic, efficient care throughout the continuum of care. The role includes caring for patients with complex needs, coordinating care with the multidisciplinary team, educating and advocating for patients and families, and contributing to quality improvement and professional development. The nurse uses clinical judgment and critical thinking to identify actual and potential problems, adjust care as needs change, recognize complications, and support patient outcomes. The role also involves coordinating and delegating care, documenting comprehensively, supporting coworkers and learners, and complying with regulatory and accreditation standards. This is a full-time night-shift position with 12-hour shifts from 7:00 PM to 7:30 AM, on an AWS 12/36 schedule. Weekend work is required every other weekend; on-call is not required. Eligible new hires relocating to San Diego may qualify for a $5,000 relocation bonus. Placement within the stated hourly pay range is based on years of RN experience and governed by the applicable collective bargaining agreement.

Requirements

  • Graduate of a nursing school.
  • At least 1 year of clinical experience; RNs with less than 12 months of experience will complete new graduate requirements.
  • Current California Registered Nurse (RN) license from the California Board of Registered Nursing.
  • Current AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) certification from the American Heart Association.
  • Demonstrated competency in all areas of unit skills and some advanced skills.
  • Ability to perform the nursing process independently and provide safe care in complex situations, with some assistance and supervision as needed.
  • Ability to coordinate care, delegate appropriately, prioritize workload, and manage emergency situations.
  • Ability to use critical thinking and complex problem-solving skills.
  • Ability to use common equipment and medications safely and seek assistance when unfamiliar.
  • Ability to communicate and collaborate with patients, families, and members of the health care team.

Responsibilities

  • Coordinate patient care with the multidisciplinary team, patients, and families using systematic planning and timely communication.
  • Manage multiple patient needs and use available resources to determine effective approaches to care.
  • Apply the nursing process and critical thinking to provide individualized, safe, goal-directed care consistent with current standards.
  • Identify actual or potential patient problems, evaluate interventions, and adjust care plans as patient and family needs change.
  • Collaborate with patients, families, and care team members to develop comprehensive plans of care and prioritize resources.
  • Implement safe, therapeutic, efficient care for patients with complex needs, including multi-system disease or treatment complications.
  • Recognize patient diagnoses and potential complications, and demonstrate accountability for patient outcomes.
  • Document care comprehensively according to departmental and organizational guidelines, policies, and procedures.
  • Delegate and assign care appropriately, communicate expectations, determine necessary supervision, and follow up on delegated tasks.
  • Assess physician orders and question them when appropriate.
  • Support coworkers, provide constructive feedback, and share unit-specific information with students, float staff, and registry personnel.
  • Identify opportunities to improve work processes and systems, and participate in quality improvement initiatives.
  • Establish therapeutic relationships with patients and families, adapting care to social, cultural, spiritual, language, and communication needs.
  • Advocate for patients by addressing barriers and supporting their needs and preferences.
  • 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.
  • Coordinate care delivered by other care team members and nursing staff; may serve as relief charge nurse or assist with preceptorship and professional development.
  • Teach or coach patients, families, coworkers, and learners as appropriate.
  • Use common equipment and medications safely, consulting others when unfamiliar.
  • Promote clinical effectiveness, efficient resource use, and quality care while complying with regulatory and accreditation standards.

Benefits

  • Eligible new hires relocating to San Diego may receive a $5,000 relocation bonus.
  • Internal Sharp employees may be eligible for a $2,500 referral bonus for a qualified external new-hire referral, subject to eligibility requirements.
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