Per Diem A4 Clinical Nurse - Sharp Coronado - Emergency Dept.- Nights - Per Diem

Sharp HealthCare•Coronado, CA

1d•Onsite

About The Position

The Per Diem A4 Clinical Nurse provides direct and indirect nursing services to patients and families, independently performing the nursing process through individualized assessment, planning, implementation, and evaluation of safe, therapeutic, and efficient care. This role involves caring for patients with overt and subtle needs across the continuum of care, adhering to unit standards. The nurse will perform safe nursing care in complex situations with some assistance and supervision, demonstrate competency in unit-specific and some advanced skills, and may teach skills competencies. Responsibilities also include coordinating patient care administered by other team members, potentially serving as a relief charge nurse, and assisting with preceptorship and professional development for new nurses and students. The nurse is expected to use common equipment and medications safely, consult others when unfamiliar, recognize inconsistencies in patient care, manage potential complications, and consistently organize and prioritize workload.

Requirements

Graduate of nursing school
2 Years clinical experience
California Registered Nurse (RN) - CA Board of Registered Nursing
AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association
ACLS Certification (Advanced Cardiac Life Support) - American Heart Association
Pediatric Advanced Life Support (PALS) - American Heart Association
NIH Stroke Scale (NIHSS) - Various-Employee provides certificate (required within 90 days of hire)

Responsibilities

Delegates/assigns and communicates expectations for care delivery processes to each member of the team
Knowledgeable about what can and cannot be delegated to each different health care team member
Responsible for delegation and follows through to ensure delegated task is complete
Before delegating, analyzes each situation, determines and consistently applies levels of supervision needed (unsupervised, initial direction and periodic inspection, continuous supervision, or should not be delegated)
Assesses appropriateness of physician orders and to question physician when appropriate
Documents per department/entity guidelines of care and policies and procedures
Comprehensive; representing detailed, concise picture of patient's care
Serves as a resource for other staff in managing unit specific documentation issues
Charting reflects a critical thinking/problem oriented approach to patient issues
Establishes a therapeutic relationship with patient and family
Anticipates problems to establishing/maintaining a therapeutic relationship with a specific patient and takes actions to enhance quality of nurse/patient/family interaction (problems may include: spiritual, cultural, language or other communication barriers; those imposed by nature of illness or health issue)
Analyzes social/cultural variables and adapts nursing interventions to meet diverse needs
Serves as a patient advocate through actions such as: removing obstacles, identifying and supporting appropriate needs and wants; interpreting for patient to physician and visa/versa
Helps coworkers improve performance
Offers assistance and support to coworkers
Provides positive feedback to others
Provides unit specific information to students, floats, travelers/registry personnel and documents appropriately
Provides incidental teaching to members of the team
Looks for and applies ways to improve work processes and systems
Offers and accepts constructive feedback/criticism in a non-judgmental, positive and confidential manner
Seeks out opportunities to assist and support coworkers
Provides age appropriate patient education that facilitates recovery, self-care, end-of-life care and health maintenance, health promotion, and wellness
Coordinates transfer and discharge planning and teaching in collaboration with other members of the health care team
Collaborates with other team members to identify, develop and/or revise patient education materials
Demonstrates flexibility to teaching based on assessment of learner's needs and the integration of adult learning principles
Uses systematic planning, appropriate methods and timely exchange of information with multidisciplinary team and patient/family to coordinate care
Demonstrates ability to focus on and manage multiple patient needs and aspects of care
Actively communicates with care team to plan patient care
Utilizes available resources to problem-solve and determine most effective approach to action
Utilizes the nursing process and a critical thinking approach to provide patient care that incorporates the mind, body and spirit; is individualized, goal directed, and consistent with current standards of safety
Identifies actual/potential problems for which the patient is at risk
Continuously evaluates interventions and care, and adjusts the plan as patient and family needs change
Identifies need for referrals based on information obtained in initial and ongoing assessments and evaluation
Collaborates with patient, family and other team members to develop a comprehensive plan of care
Prioritizes demand for resources and collaborates with others to meet individualized patient needs
Acts as preceptor/teacher in guiding other nurses on how to apply the nursing process with a particular unit population
Makes appropriate referrals based on information obtained in initial and ongoing assessments and evaluation
Implements safe, therapeutic and efficient care for patients with complex needs due to multi-system disease and/or complications of treatment
Demonstrates accountability for achieving patient outcomes
Demonstrates an ability to quickly recognize a patient diagnosis even though presenting symptoms or situations may be dissimilar