$ REGISTERED NURSE - DPSNF - Full Time - Variable Shifts

Sierra View Medical•Porterville, CA

13h•Onsite

About The Position

The Registered Nurse - DP/SNF Full Time position involves providing care to a patient population aged 21 years and older in a Skilled Nursing Facility (SNF) or Distinct Part (DP) unit. The role requires the nurse to be responsible for assessment, treatment, and care appropriate to the ages of the patients served, demonstrating the ability to obtain and interpret information based on patient needs. The position includes understanding growth and development and the range of treatment for all patient groups. The nurse must be able to work scheduled hours, including holidays, weeknights, weekends, and on-call, and participate in emergencies and disasters as a designated disaster service worker. A key aspect of the role is the affirmative duty to report perceived misconduct and violations of laws, regulations, policies, or standards. The employee is expected to work well under pressure, meet deadlines, and maintain cooperative behavior with colleagues and supervisors.

Requirements

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 such as discounts, interest, commissions, proportions, and percentages if required.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Ability to deal with problems involving several concrete variables in standardized situations.
Basic computer skills.
Current licensure as a Registered Nurse in the state of California.
Current BLS certification or obtain within orientation process, prior to hands-on patient care.

Nice To Haves

3+ years experience as an RN (for sign-on bonus qualification)

Responsibilities

Responsible for the assessment, treatment, or care appropriate to the ages of the patients served (Adult, 21+ years, or Geriatric).
Demonstrates ability to obtain and interpret information in terms of patient needs, possessing knowledge of growth and development and understanding the range of treatment needed for patient groups.
Reviews/revises/records an individualized patient history and assessment, utilizing holistic assessment skills to incorporate patient/significant other involvement, discharge needs, psychosocial, biophysical, environmental, and teaching needs.
Demonstrates problem identification skills based on current physical/behavioral science knowledge base, identifying nursing diagnoses and interdependent nursing problems, and selecting applicable nursing care standards.
Develops a care plan that reflects recognition of issues impacting mutual goals, utilizes interdependent nursing standards, is specific and unique to the individual patient, addresses discharge needs of complex patients, and is routinely reviewed/revised based on changing patient status.
Safely performs nursing care, including safe administration of medication, and demonstrates understanding of drug use, actions, and interactions for patients with multi-system problems.
Troubleshoots equipment and demonstrates skill in clinical problem-solving and implementing interventions for patients at covert risk of injury or complication.
Evaluates the effectiveness of the plan of care and communicates through report, making recommendations for future care.
Communicates evaluation of, or changes in, patient status, providing supportive data to the physician or health care team.
Evaluates teaching effectiveness based on patient response and revises teaching plan, acting as a liaison between patient/family and the health care team.
Demonstrates adherence to "National Patient Safety Goals for Hospitals" as defined by scope of practice, with documentation reflecting compliance with hospital policies and procedures.
Performs general and unit-specific skills independent of supervision.
Adheres to OSHA Guidelines/Universal Precautions as described in hospital policy.
Assists in the orientation of new staff.
Demonstrates proper infection prevention skills, including standardized protocols for central lines and indwelling Foley catheters.
Assumes or supports charge nurse role, making patient care assignments based on patient acuity, staff qualifications, and available resources.
Organizes and establishes patient care priorities in a cost-effective manner and delegates appropriate tasks to unlicensed staff.
Conducts monitors and articulates outcomes related to the unit's quality assessment plan, making recommendations for improvement and assisting in formulating quarterly reports.
Reports quality or risk management issues through appropriate channels.
Demonstrates adaptability/flexibility in meeting unit needs, including providing staffing support, working extra shifts, and assisting in unusual clinical situations.
Promotes an atmosphere of open communication with respect for the individual and accepts/responds to changes positively.
Represents appropriate practice and directs others to follow hospital policies, procedures, or standards of nursing care.
Models appropriate communication and assists other staff in identifying appropriate communication channels and methods.
Serves as a clinical resource and provides direction in patient care when working with aides, LVNs, students, and peers.
Actively participates in unit problem-solving and communication through staff/unit rep meetings.
Maintains current knowledge of health care trends affecting clinical practice and upholds all aspects of the Nursing Practice Act.
Demonstrates standards of documentation and adherence to the ANA Code of Ethics for the nursing profession.
Knowledge of long term care regulations.
Possesses assessment skills, including respiratory assessment.
Possesses ability to initiate, monitor, and discontinue all intravenous fluids, including total parenteral nutrition and chemotherapy, and has knowledge/skills for central line care.
Promptly notifies the attending physician or designee of changes in patient condition or significantly abnormal lab values.
Knowledgeable of Resident Rights and does not infringe on those rights.