Per Diem Registered Nurse-Cardiovascular Center-CVC

Kaweah Delta Health Care District•Visalia, CA

About The Position

Kaweah Health is a publicly owned community healthcare organization serving the greater Visalia area in central California. This per diem Registered Nurse position is in the Cardiovascular Center (CVC). The role protects and promotes health, prevents illness and injury, and alleviates suffering through nursing diagnosis and treatment. The nurse demonstrates professional leadership by supporting the interdisciplinary healthcare team in providing holistic care and advocating for patients and families. The nurse practices in accordance with the Code of Ethics, maintains confidentiality, respects patient autonomy and dignity, and uses the nursing process to assess, plan, implement, and evaluate care. The role also contributes to quality improvement, collaborates with patients, families, and care providers, and supports continuity of care through appropriate referrals. When assigned as team leader, the nurse serves as a clinical resource and role model, supports staff and orientation, helps manage staff and patient flow, coordinates care in high-risk situations, and communicates unit needs and issues to leadership. If assigned to the Infusion Center, responsibilities include patient intake and education, vascular access and infusion administration, monitoring, documentation, discharge instructions, and telephone triage.

Requirements

  • Current California RN license.
  • BLS certification.
  • Knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.
  • Ability to communicate effectively and provide care to patients and families as reflected in the Plan for Provision of Care.

Nice To Haves

  • BSN, MSN, or current enrollment in an RN-BSN program.

Responsibilities

  • Practice in accordance with the Code of Ethics and demonstrate professional, respectful behavior.
  • Identify high-risk patients and initiate interventions with ancillary departments.
  • Maintain patient confidentiality and advocate for patients, supporting their ability to advocate for themselves.
  • Deliver nonjudgmental, nondiscriminatory care that preserves patient autonomy, dignity, and rights.
  • Use the nursing process, including assessment, diagnosis, planning, outcome identification, implementation, and evaluation.
  • Use quality and performance-improvement findings to inform changes in nursing practice.
  • Collect clinical data, identify quality-monitoring priorities, and recommend improvements to nursing practice and patient outcomes.
  • Assist with developing and implementing policies, procedures, and practice guidelines.
  • Participate in interdisciplinary teams and quality-improvement studies, task forces, or committees; share findings and implement improvement suggestions.
  • Collaborate and communicate with patients, families, and other healthcare providers; use peer review and observation.
  • Formulate plans of care with patient involvement and make referrals to support continuity of care.
  • When assigned as team leader, serve as a clinical resource and role model, mentor staff, and act as the Nurse Manager representative in their absence.
  • Support staff problem-solving, preceptors, new employees, and float-staff orientation; provide input on employee evaluations and alert the Nurse Manager to counseling needs.
  • Manage staff and patient flow by making assignments, coordinating admissions and transfers, ensuring timely shift reports, monitoring breaks, and communicating next-shift staffing needs.
  • Assign staff to complete equipment checks, including PCX controls, crash cart, refrigerator temperatures, red books, and narcotic counts.
  • Coordinate care during high-risk or emergent situations and keep appropriate leaders informed of critical patients and unit issues.
  • Promote collaboration and communication among staff, physicians, providers, and departments; ensure patient-care issues are documented and reported and that a Statement of Concern is completed when appropriate.
  • Use the Medical Staff and Kaweah Health chain of command and make fiscally responsible staffing and supply decisions.
  • Provide patient care as needed.
  • If assigned to the Infusion Center, assign patients to infusion chairs, initiate nursing intake, and educate patients about medications and therapies.
  • If assigned to the Infusion Center, start peripheral IVs or access PICC and Port-a-Cath devices; administer ordered infusions, medications, hydration, and blood transfusions; monitor patient status and vital signs; reconcile medications and obtain patient history; perform dressing changes; document care; discontinue IVs; and provide discharge instructions.
  • If assigned to the Infusion Center, maintain competency in IV therapy, infusion pumps, and emergency response, and provide telephone triage and education about side effects, symptom management, and resources.
  • Provide care appropriate to the population served, considering patient and family growth, development, cultural, linguistic, spiritual, gender, and age-specific needs.
  • Perform other duties as assigned.
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