Per Diem RN - ICU - Entity Float Pool - Sharp Grossmont Hospital - Night - Per Diem

Sharp HealthCare•La Mesa, CA

1d•Onsite

About The Position

This Per Diem Registered Nurse position in the ICU at Sharp Grossmont Hospital involves providing direct and indirect nursing services to patients and families. The role requires independently performing the nursing process through individualized assessment, planning, implementation, and evaluation of safe, therapeutic, and efficient care for patients with diverse needs, adhering to unit standards of care. Nurses in this role will perform safe nursing care in complex situations with some assistance and supervision, demonstrating competency in all unit skills and some advanced skills. Responsibilities may include teaching skills competencies, coordinating patient care administered by other team members, assuming relief charge nurse duties, and assisting with preceptorship and professional development for new nurses and students. The nurse is expected to use common equipment and medications safely, recognize inconsistencies in patient care, manage potential complications, and consistently organize and prioritize their workload.

Requirements

Graduate of nursing school
3 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
NIH Stroke Scale (NIHSS) - Various-Employee provides certificate
Demonstrates competency in all areas of the unit skills and some advanced skills

Responsibilities

Provide direct and indirect nursing services to patients and families.
Delegate/assign and communicate expectations for care delivery processes to each member of the team.
Be knowledgeable about what can and cannot be delegated to each different health care team member.
Responsible for delegation and follow through to ensure delegated task is complete.
Analyze each situation, determine and consistently apply levels of supervision needed (unsupervised, initial direction and periodic inspection, continuous supervision, or should not be delegated) before delegating.
Assess appropriateness of physician orders and question physician when appropriate.
Document per department/entity guidelines of care and policies and procedures.
Serve as a resource for other staff in managing unit specific documentation issues.
Establish a therapeutic relationship with patient and family.
Anticipate problems to establishing/maintaining a therapeutic relationship with a specific patient and take actions to enhance quality of nurse/patient/family interaction.
Analyze social/cultural variables and adapt nursing interventions to meet diverse needs.
Serve 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.
Help coworkers improve performance.
Offer assistance and support to coworkers.
Provide positive feedback to others.
Provide unit specific information to students, floats, travelers/registry personnel and document appropriately.
Provide incidental teaching to members of the team.
Look for and apply ways to improve work processes and systems.
Offer and accept constructive feedback/criticism in a non-judgmental, positive and confidential manner.
Seek out opportunities to assist and support coworkers.
Provide age appropriate patient education that facilitates recovery, self-care, end-of-life care and health maintenance, health promotion, and wellness.
Coordinate transfer and discharge planning and teaching in collaboration with other members of the health care team.
Collaborate with other team members to identify, develop and/or revise patient education materials.
Demonstrate flexibility to teaching based on assessment of learner's needs and the integration of adult learning principles.
Use systematic planning, appropriate methods and timely exchange of information with multidisciplinary team and patient/family to coordinate care.
Demonstrate ability to focus on and manage multiple patient needs and aspects of care.
Actively communicate with care team to plan patient care.
Utilize available resources to problem-solve and determine most effective approach to action.
Utilize 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.
Identify actual/potential problems for which the patient is at risk.
Continuously evaluate interventions and care, and adjust the plan as patient and family needs change.
Identify need for referrals based on information obtained in initial and ongoing assessments and evaluation.
Collaborate with patient, family and other team members to develop a comprehensive plan of care.
Prioritize demand for resources and collaborate with others to meet individualized patient needs.
Act as preceptor/teacher in guiding other nurses on how to apply the nursing process with a particular unit population.
Make appropriate referrals based on information obtained in initial and ongoing assessments and evaluation.
Implement safe, therapeutic and efficient care for patients with complex needs due to multi-system disease and/or complications of treatment.
Demonstrate accountability for achieving patient outcomes.
Demonstrate an ability to quickly recognize a patient diagnosis even though presenting symptoms or situations may be dissimilar.
Independently perform the nursing process through individualized assessment, planning, implementation and evaluation of safe, therapeutic, efficient care for patients with overt and subtle needs throughout the continuum of care, and according to unit's standards of care.
Perform safe nursing care for patients in more complex situations with some assistance and supervision.
Demonstrate competency in all areas of the unit skills and some advanced skills.
May teach some skills competencies.
Coordinate patient care administered by other members of the care team.
May assume the responsibility of relief charge nurse.
May assist with preceptorship/professional development of new nurses and students.
Use common equipment and medications safely in the practice setting and consult others when unfamiliar.
Recognize inconsistencies in patient care and manage potential complications.
Demonstrate consistent organization and prioritization of workload.