FLEXCARE - Per Diem - Variable Shift

Sierra View Medical•Porterville, CA

20d•Onsite

About The Position

The Registered Nurse (R.N.) works in Recovery/PACU/Flexcare on a per-diem basis. Under the general direction of the Unit Director, Clinical Manager, and Charge Nurse, the R.N. independently provides holistic, individualized care using the Nursing Process for patients routinely seen on the unit. The role requires advanced clinical competency, nursing judgment, teaching skills, and a commitment to improving patient-care quality. The R.N. performs general and unit-specific clinical skills and contributes positively to the Department of Patient Care Services and the nursing profession. The nurse is responsible for assessment, treatment, and care appropriate to patients of all ages, including geriatric, adult, adolescent, pediatric, and newborn patients. The role requires obtaining and interpreting information about patient needs, knowledge of growth and development, and an understanding of the range of treatment needed for each patient group. The R.N. must work effectively under pressure, manage competing deadlines, and demonstrate cooperative behavior with colleagues and supervisors. The employee also has a responsibility to report perceived misconduct, including actual or potential violations of laws, regulations, policies, procedures, or organizational standards and code of conduct. The position requires scheduled hours that may include holidays, weeknights, weekends, call-backs, and on-call duty. The employee may be directed to participate in emergencies and community disasters during scheduled or unscheduled hours and is designated as a disaster service worker under the California Emergency Services Act. The schedule is variable, with 8-hour shifts and varying start and end times; weekend call is listed. The R.N. must hold a current California Registered Nurse license and maintain current BLS certification. ACLS and PALS cards must be maintained or obtained within six months of assignment to the department, at the Department Director’s discretion.

Requirements

Current licensure as a Registered Nurse in the state of California.
Current BLS certification, maintained as required.
Current ACLS and PALS cards, or obtain them within six months of assignment to the department; the Department Director determines the applicable timeframe.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence if required.
Ability to calculate figures and amounts, including proportions and percentages, if required.
Ability to apply common-sense understanding to follow written, oral, or diagrammatic instructions.
Ability to address problems involving several concrete variables in standardized situations.
Basic computer skills.
Ability to work under pressure, meet multiple and competing deadlines, and cooperate with colleagues and supervisors.
Ability to work scheduled hours that may include holidays, weeknights, weekends, call-backs, and on-call duty.

Responsibilities

Assess, treat, and provide care appropriate to the ages and needs of patients served.
Use holistic assessment skills to identify patient, significant-other, discharge, psychosocial, biophysical, environmental, and teaching needs.
Identify nursing diagnoses and interdependent nursing problems, and select applicable nursing care standards.
Develop and maintain a patient-specific care plan that incorporates interdependent nursing standards and discharge needs, including those of complex or multi-system patients.
Provide safe nursing care according to clinical policies, procedures, and standards, including safe medication administration, equipment troubleshooting, and clinical problem-solving.
Ensure nursing care is consistent with the Nursing Plan of Care, Medical Plan of Care, and patient age-related needs.
Evaluate care-plan effectiveness, communicate findings through exchange reports, and recommend future care consistent with current documentation.
Communicate changes in patient status and supporting information to physicians or the health care team as appropriate.
Adhere to applicable Joint Commission National Patient Safety Goals and demonstrate knowledge of their relevance to the area of practice.
Document care in compliance with hospital policies and procedures and established documentation standards.
Understand the uses, actions, and interactions of drugs used for patients with multi-system problems.
Complete required unit-specific performance criteria checklists.
Apply infection-prevention practices, including protocols or procedures for central lines and indwelling Foley catheters.
Report quality or risk-management issues through appropriate administrative or clinical channels.
Maintain knowledge of health care trends affecting nursing practice on the unit.
Uphold the California Nursing Practice Act and the ANA Code of Ethics for the nursing profession.
Attend on site and arrive to work on time.
Work scheduled hours that may include holidays, weeknights, weekends, call-backs, and on-call duty; participate in emergency and community disaster response as directed.
Report perceived misconduct, including actual or potential violations of laws, regulations, policies, procedures, or organizational standards.