Per Diem Registered Nurse-Cardiovascular Center-CVC

Kaweah Health•Visalia, CA

2d•$56 - $83

About The Position

The Registered Nurse protects and promotes health, prevents illness and injury, and alleviates suffering through nursing diagnosis and treatment. The role demonstrates leadership in professional practice by overseeing the interdisciplinary healthcare team to provide holistic care and advocate for patients and families. The nurse uses the nursing process, collaborates with patients, families, and healthcare providers, and contributes to quality improvement and effective care coordination. As a team leader, the nurse serves as a clinical resource, role model, and mentor for unit staff, and represents the Nurse Manager when needed. The role supports staff orientation and development, manages staff and patient flow, coordinates care during high-risk or emergency situations, and supports communication and collaboration across the unit. Patient care is provided as needed. If assigned to the Infusion Center, responsibilities include coordinating patient assignments and intake, educating patients, establishing or accessing IV lines, administering ordered therapies and medications, monitoring patients, completing documentation, and providing discharge instructions and telephone triage. The nurse must provide care appropriate to the population served and account for patients’ and families’ cultural, linguistic, spiritual, gender, developmental, and age-specific needs.

Requirements

Current California Registered Nurse (RN) license.
Basic Life Support (BLS) certification.
Demonstrated knowledge and skills necessary to provide appropriate care and services to the population served.
Ability to communicate effectively and provide care consistent with the Plan for Provision of Care.

Nice To Haves

BSN, MSN, or current enrollment in an RN-BSN program.

Responsibilities

Practice according to the nursing Code of Ethics and demonstrate professional, respectful, and nondiscriminatory behavior.
Identify high-risk patients and initiate appropriate ancillary interventions.
Protect patient confidentiality and act as a patient advocate, supporting patients in developing self-advocacy skills.
Preserve patient autonomy, dignity, and rights.
Use the nursing process, including assessment, diagnosis, planning, outcome identification, implementation, and evaluation.
Use quality and performance-improvement results to identify and implement changes in nursing practice.
Collect clinical data, identify quality-monitoring needs, and recommend improvements to nursing practice and patient outcomes.
Assist with developing and implementing policies, procedures, and practice guidelines.
Participate in interdisciplinary teams and quality-improvement studies; implement recommendations, identify problems, and share findings.
Collaborate and communicate with patients, families, and healthcare providers; monitor documentation and referrals.
Develop plans of care with patient involvement and make referrals to support continuity of care.
Serve as a clinical resource, role model, and mentor for staff; support preceptors and new employees during orientation.
Represent the Nurse Manager in their absence and provide staff leadership, support, problem-solving, and decision-making.
Provide input on employee evaluations and ensure float staff receive unit orientation.
Make and adjust staff assignments based on staff abilities and patient needs; coordinate admissions and transfers.
Ensure shift report begins on time, monitor breaks, assess next-shift staffing needs, and communicate staffing needs to the appropriate personnel.
Assign staff to complete equipment checks, including PCX controls, crash cart, refrigerator temperatures, red books, and narcotic counts.
Coordinate care during high-risk or emergency situations and keep the Nurse Manager, Director, or Nursing Supervisor informed of critical patients and unit issues.
Promote collaboration and open communication among unit staff, physicians, providers, and other departments.
Ensure patient care issues are documented and reported, and that the appropriate nurse completes a Statement of Concern.
Follow the Medical Staff and Kaweah Health chain of command; provide employee guidance and alert the Nurse Manager to counseling needs.
Provide patient care as needed and make fiscally responsible decisions regarding staffing and patient supplies.
If assigned to the Infusion Center, assign patients to infusion chairs, initiate nursing intake, and educate patients about medications and therapies.
If assigned to the Infusion Center, start peripheral IVs or access PICC and Port-a-Cath devices, and administer infusions according to physician orders.
If assigned to the Infusion Center, monitor vital signs and patient status, obtain patient histories, and perform medication reconciliation.
If assigned to the Infusion Center, administer medications, IV hydration, blood transfusions, and dressing changes.
If assigned to the Infusion Center, complete infusion documentation, discontinue IVs, provide discharge instructions, and perform telephone triage and patient education.
Maintain competency in IV therapy, infusion pumps, and emergency response procedures when assigned to the Infusion Center.
Provide care appropriate to the population served and to patients’ and families’ cultural, linguistic, spiritual, gender, developmental, and age-specific needs.
Perform other duties as assigned.