Per Diem RN A4 BU – Outpatient Surgery – Sharp Grossmont Hospital – Variable Shift – Per Diem

Sharp HealthCare•La Mesa, CA

About The Position

Provides direct and indirect nursing services to patients and families in the Outpatient Surgery department at Sharp Grossmont Hospital. The role performs individualized nursing care across the continuum, coordinates care with patients, families, and other members of the healthcare team, and supports safe, therapeutic, and efficient care. The position is per diem, with variable shifts and required on-call availability; weekend work is not required. The nurse uses the nursing process and critical thinking to assess patients, plan and deliver care, evaluate outcomes, adapt interventions, identify risks and referral needs, and coordinate transfers, discharge planning, and patient education. The role also includes appropriate delegation, documentation, patient advocacy, collaboration, and support for coworkers, students, and other nursing staff.

Requirements

Graduate of a nursing school.
Two years of clinical experience.
Current California Registered Nurse (RN) license from the California Board of Registered Nursing.
AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) certification from the American Heart Association.
Advanced Cardiac Life Support (ACLS) certification from the American Heart Association.
Ability to perform the nursing process independently and provide safe, therapeutic, efficient care for patients with varied needs throughout the continuum of care.
Ability to provide nursing care in complex situations with some assistance and supervision.
Competency in all unit skills and some advanced skills.
Ability to coordinate care delivered by other members of the care team.
Ability to use common equipment and medications safely and seek assistance when unfamiliar.
Ability to recognize inconsistencies in patient care and manage potential complications.
Ability to organize and prioritize workload.

Responsibilities

Delegate and assign care tasks, communicate expectations, determine appropriate supervision, and follow up to ensure delegated tasks are completed.
Assess the appropriateness of physician orders and question them when appropriate.
Document patient care comprehensively and according to departmental and organizational guidelines, policies, and procedures.
Establish and maintain therapeutic relationships with patients and families, addressing barriers and adapting care to social, cultural, spiritual, language, and communication needs.
Advocate for patients by addressing obstacles and helping communicate patient needs and preferences to physicians and other care team members.
Support coworkers, provide constructive feedback, share unit-specific information, and offer incidental teaching to team members.
Provide age-appropriate patient education on recovery, self-care, end-of-life care, health maintenance, health promotion, and wellness.
Coordinate transfer and discharge planning and teaching in collaboration with the healthcare team.
Collaborate with team members to identify, develop, or revise patient education materials and adapt teaching to learner needs.
Plan and coordinate care through timely communication with the multidisciplinary team, patients, and families.
Use the nursing process and critical thinking to provide individualized, goal-directed care consistent with current safety standards.
Identify actual and potential patient problems, evaluate interventions, adjust care plans as needs change, and make appropriate referrals.
Collaborate with patients, families, and team members to develop comprehensive plans of care and prioritize resources to meet individual needs.
Guide other nurses in applying the nursing process and may act as a preceptor or teacher.
Implement safe, therapeutic, and efficient care for patients with complex needs, including multi-system disease or treatment complications.
Demonstrate accountability for patient outcomes and recognize diagnoses even when symptoms or situations differ from typical presentations.
Coordinate care provided by other members of the care team and may serve as relief charge nurse or assist with preceptorship and professional development.
Use common equipment and medications safely, consult others when unfamiliar, recognize inconsistencies in care, and manage potential complications.
Organize and prioritize workload consistently and look for ways to improve work processes and systems.