Registered Nurse II - General Surgical - 12 Hour Days

Cedars-Sinai Medical Center•Los Angeles, CA

About The Position

A Clinical Nurse II (CN II) is a competent clinician who provides nursing care in a skilled and effective manner. The CN II independently prioritizes and delivers dependable, effective patient care in a variety of situations using the nursing process and appropriate decision-making skills. The role requires technical, interpersonal, and cognitive competence to independently and safely manage a routine patient assignment. Under the leadership of experienced and expert clinicians, the CN II begins developing mentorship skills and drives the mentee-mentor relationship to identify gaps in skills, practice, and knowledge and achieve desired goals. The CN II establishes a plan of care, sets goals, determines priorities, and provides care within established standards of practice. Responsibilities and accountability are governed by facility, department, and position requirements, including clinical and technical skills consistent with the Nurse Practice Act. Nursing duties must meet the Nurse Practice Act, Title 22, The Joint Commission, the Plan for Provision of Nursing Care, the Plan for Provision of Care to Patients, and other regulatory requirements.

Requirements

Associate degree or college diploma is the minimum education requirement.
At least one year of clinical experience is required for promotion to Clinical Nurse II; promotion follows a satisfactory performance appraisal at the Clinical Nurse I level.
For external hires, acute care experience in the specialty is required.
California State RN License upon hire.
Basic Life Support (BLS) certification upon hire.
Other competencies required by the specialty unit (for example, ACLS, PALS, or fetal heart monitoring).

Nice To Haves

Bachelor of Science in Nursing from a state-accredited program preferred.
Any ANCC Specialty Certification preferred; strongly recommended after two years in the specialty.

Responsibilities

Provide and accurately document direct and indirect patient care that ensures patient safety, comfort, personal hygiene, and protection in a timely manner.
Provide patient care and education on disease prevention and restorative measures.
Administer medications and therapeutic agents needed to implement treatment, disease prevention, or rehabilitation plans of care.
Perform skin tests, immunizations, phlebotomy, and initiation of peripheral venous access.
Observe signs and symptoms of illness, reactions to medications or treatments, behavior, and general physical condition.
Use refined assessment skills and appropriate data sources to distinguish normal from abnormal patient characteristics.
Plan and implement individualized patient care based on observations.
Implement appropriate reporting, referrals, and care according to standardized procedures.
Initiate emergency procedures when indicated.
Provide care to special patient populations and patients with diverse cultural backgrounds.
Identify patients’ readiness to learn, ability to follow directions or instructions, and ability to give consent.
Identify and make necessary adjustments for patients’ cultural, spiritual, age, psychosocial, communication, gender, sexual orientation, economic, education, family, and condition-related needs.
Participate in evidence-based improvement initiatives and/or councils or committees that improve nursing outcomes and the unit or department work environment.
Identify and assess patient safety concerns with respect to age and developmental considerations, intervene to provide a safe environment, and evaluate the effectiveness of interventions.