Registered Nurse-Surgery Center-Ambulatory

Kaweah Delta Health Care District•Visalia, CA

About The Position

Kaweah Health is seeking a Registered Nurse for its Surgery Center-Ambulatory department. The position protects and promotes health, prevents illness and injury, and alleviates suffering through nursing diagnosis and treatment. The nurse demonstrates leadership in the professional practice setting by overseeing the interdisciplinary healthcare team to provide holistic care and advocate for patients and families. The nurse serves as a primary clinical resource, role model, and mentor for staff, and represents unit leadership when designated leaders are absent. The role includes supporting staff decision-making and professional development; coordinating staff and patient flow; promoting communication and collaboration across disciplines; coordinating care during high-risk or emergent situations; and providing patient care as needed. The nurse also supports regulatory compliance, audits, documentation, and fiscally responsible use of staffing and supplies. The position is full-time and benefit eligible, with a day shift of 12 hours. The pay range is $48.30–$72.45.

Requirements

  • Current California RN license.
  • BLS certification.
  • Kaweah Health-approved crisis intervention training within 60 days of hire or transfer.
  • ACLS within one year of hire or transfer.

Nice To Haves

  • Nationally recognized certification per specialty Core Curriculum Pathway.
  • BSN, MSN, or current enrollment in an RN-BSN program.
  • At least two years of RN experience in the specialty area.

Responsibilities

  • Serve as a primary clinical resource, role model, and mentor for staff on the assigned unit.
  • Represent unit leadership in the absence of the Assistant Nurse Manager, Nurse Manager, or Director.
  • Support staff through effective problem-solving and decision-making, clinical guidance, patient advocacy, and participation in shared decision-making.
  • Support nurse preceptors and new employees during orientation, ensure float staff receive an appropriate unit orientation, and provide input on employee evaluations.
  • Prepare and adjust staff assignments based on staff abilities and patient needs and acuity.
  • Prioritize patient care, assign admissions, and arrange transfers in coordination with appropriate personnel.
  • Ensure shift report starts on time using bedside handoff and monitor breaks to maintain adequate staffing.
  • Determine staffing needs for the next shift and communicate them to the Staff Facilitator or Nursing Supervisor.
  • Assign staff to complete equipment checks, including PCX controls, crash carts, refrigerator temperatures, red books, and narcotic counts.
  • Set and communicate shift expectations and make decisions aligned with team goals.
  • Collaborate across units to support patient and fiscal outcomes, including appropriate staff flexing based on patient census.
  • Promote collaboration and open communication among staff, physicians, providers, and other departments; model professional communication such as SBAR and rounding.
  • Coach and support team members regarding the work environment, patient care, and physician relations.
  • Coordinate care in high-risk or emergent situations and keep the Nurse Manager, Director, or Nursing Supervisor informed about critical patients and unit issues.
  • Ensure patient care issues are documented and reported, including ensuring the appropriate nurse completes a Statement of Concern.
  • Promote a positive and professional environment for internal and external customers and support Kaweah Health leadership through professional behavior.
  • 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 perform the duties of a Registered Nurse.
  • Make fiscally responsible decisions regarding staffing and patient supplies.
  • Maintain awareness of regulatory compliance and perform and report audits as assigned.
  • Provide care appropriate to the population served, accounting for patient and family growth, development, cultural, linguistic, spiritual, gender, and age-specific needs.
  • Communicate and care effectively for patients and families in accordance with the Plan for Provision of Care.
  • Perform other duties as assigned.
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