About The Position

Provide direct and indirect nursing services to patients and families in the 4E Pulmonary/CHF Progressive Care Unit at Sharp Grossmont Hospital. This is a full-time day-shift role with 12-hour shifts, from 7:00 AM to 7:30 PM, on an AWS schedule of 12/36. Weekend work is required every other weekend; on-call is not required. Hourly pay ranges from $64.210 to $93.760, with placement based on years of RN experience and the applicable collective bargaining agreement. The RN independently performs the nursing process to provide individualized, safe, therapeutic, and efficient patient care throughout the continuum of care. The position involves coordinating care with patients, families, and multidisciplinary team members; managing complex patient needs; exercising clinical judgment; documenting care; and supporting other staff through delegation, teaching, mentoring, and teamwork. The position may be eligible for a $5,000 relocation bonus for new hires moving to San Diego. Incentive eligibility requires at least one year of related experience, and certain current employees, rehires, reinstates, and transfers are excluded. An internal Sharp employee referral bonus may also apply to qualified external new hires under the stated referral requirements.

Requirements

  • Graduate of a nursing school.
  • At least one year of clinical experience; RNs with less than 12 months of experience will complete the new graduate requirements.
  • Current California Registered Nurse license issued by the California Board of Registered Nursing.
  • American Heart Association Basic Life Support for Healthcare Professionals certification.
  • Competency in all areas of unit skills and some advanced skills.
  • Ability to independently perform individualized assessment, planning, implementation, and evaluation of nursing care.
  • Ability to provide safe nursing care in complex situations, with some assistance and supervision.
  • Ability to coordinate patient care, delegate appropriately, prioritize workload, and manage emergency situations.
  • Ability to use common equipment and medications safely and consult others when unfamiliar.
  • Ability to recognize patient-care inconsistencies and manage potential complications.

Responsibilities

  • Coordinate care with patients, families, and multidisciplinary team members using systematic planning and timely communication.
  • Manage multiple patient needs and aspects of care, identify risks and potential problems, and use available resources to determine effective actions.
  • Use the nursing process and critical thinking to develop, implement, and continually evaluate individualized care plans that meet safety standards and adapt to changing patient and family needs.
  • Collaborate with patients, families, and team members on comprehensive care plans, referrals, and appropriate resource allocation.
  • Provide safe, therapeutic, efficient care to patients with complex needs resulting from multi-system disease or treatment complications, and remain accountable for patient outcomes.
  • Document patient care comprehensively according to department and organizational guidelines, policies, and procedures; support staff with unit-specific documentation issues.
  • Delegate and assign care appropriately, communicate expectations, determine required supervision, and follow up to ensure delegated tasks are completed.
  • Assess physician orders for appropriateness and question orders when appropriate.
  • Support coworkers through assistance, constructive feedback, performance improvement, and unit-specific guidance for students, float staff, and travelers or registry personnel.
  • Establish therapeutic relationships with patients and families, address barriers to communication, adapt care to social and cultural needs, and advocate for patients.
  • Provide age-appropriate patient and family education related to recovery, self-care, end-of-life care, health maintenance, health promotion, and wellness.
  • Coordinate transfer and discharge planning and teaching; collaborate with team members to develop or revise patient education materials.
  • Use common equipment and medications safely, seek assistance when unfamiliar, recognize inconsistencies in care, and manage potential complications.
  • Organize and prioritize workload, manage emergency situations, participate in quality improvement, and comply with regulatory and accreditation standards.
  • Coordinate care delivered by other care-team members and nursing staff; teach skills, mentor others, and support preceptorship and professional development as appropriate.
  • Promote clinical effectiveness, efficient use of resources, and quality care; use complex problem-solving and critical-thinking skills.

Benefits

  • Potential $5,000 relocation bonus for eligible new hires moving to San Diego.
  • Potential $2,500 referral bonus for eligible external new hires referred by a Sharp employee.
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