Registered Nurse III - Short Stay Unit - 12 Hour Days

Cedars-Sinai Medical Center•Los Angeles, CA

About The Position

A Clinical Nurse III (CN III) is a proficient and experienced clinician who provides comprehensive care to complex patients using strong technical and organizational skills, critical thinking, nursing problem-solving processes, and advanced assessment skills. The CN III has in-depth knowledge of nursing care for the unit’s patient population and applies specialized knowledge and skills to manage care for individual patients and groups of patients and their families. The role also serves as an experienced mentor to help develop unit staff and works with a mentor to identify resources and people that support personal growth and development. Each year, the CN III must select and demonstrate achievement in one of three clinical advancement pathways: Clinical Quality, Education, or Leadership, and consistently maintain an ANCC-approved specialty nursing certification. The position’s scope of responsibility and accountability is governed by the Nurse Practice Act, applicable Title 22 health and safety codes, The Joint Commission standards, facility nursing and patient-care plans, and other regulatory requirements.

Requirements

Minimum associate degree or college diploma in nursing; a Bachelor of Science in Nursing from a state-accredited program is preferred.
At least 3 years of relevant acute-care experience in the specialty area.
At least 1 year as a Clinical Nurse II at CSMC is required for promotion within the clinical ladder.
California State RN License upon hire.
Basic Life Support (BLS) certification upon hire, unless a higher level of certification is required.
ANCC specialty certification; the qualifications list a 1-year minimum.
Other competencies or certifications required by the specialty unit, such as ACLS, PALS, or fetal heart monitoring.

Nice To Haves

Bachelor of Science in Nursing from a state-accredited program.

Responsibilities

Provide and precisely document nursing-process components and relevant interventions for direct and indirect patient-care services, ensuring patient safety, comfort, hygiene, and protection in a timely manner.
Provide experienced care and patient education on disease prevention and restorative measures.
Provide comprehensive direct and indirect care to complex patients, including administering medications and therapeutic agents needed to implement treatment, disease prevention, or rehabilitation plans.
Perform skin tests, immunizations, phlebotomy, and initiation of peripheral venous access.
Observe and evaluate patients, and promptly adjust plans of care in response to signs and symptoms of illness, reactions to medications or treatments, behavior, or physical condition.
Use advanced assessment skills and appropriate data sources to distinguish normal from abnormal findings.
Plan and implement individualized patient care in collaboration with interdisciplinary teams.
Implement appropriate reporting, referrals, and care in accordance with standardized procedures; initiate emergency procedures when indicated.
Provide care to special patient populations and patients from diverse cultural backgrounds, adapting care to cultural, spiritual, age, psychosocial, communication, gender, sexual-orientation, economic, educational, family, and condition-related needs.
Assess patient readiness to learn and ability to follow directions or instructions and give consent.
Identify patient-safety concerns with respect to age and development, intervene to provide a safe environment, and evaluate the effectiveness of interventions.
Choose and carry out a clinical advancement pathway by mentoring, precepting, or educating; leading a clinical quality or nursing research initiative; or serving as a charge nurse or council chair, among related activities.
Support and provide constructive input at unit and department meetings and initiatives focused on improving nursing outcomes and the work environment.
Assist co-workers, new staff, temporary staff, and students.
When assigned charge nurse responsibilities, coordinate unit activity throughout the shift, authorize incidental overtime, and initiate the chain of command as appropriate.
Participate in at least 50% of unit meetings and provide constructive input to assist with unit direction.
Serve as a change champion and agent and participate in departmental quality-improvement activities.