Registered Nurse- M/S CDU 2S

Kaweah Delta Health Care District•Visalia, CA

13h•Onsite

About The Position

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.

Requirements

CA RN license
BLS

Nice To Haves

BSN, MSN, or currently enrolled in RN-BSN program.

Responsibilities

Protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment.
Demonstrate leadership in the professional practice setting through oversight of the interdisciplinary health care team to provide holistic care and advocate for patients and families served.
Identify high risk patients and initiates intervention of ancillary department.
Act as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves.
Deliver care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights.
Utilize nursing process - assessed via direct observation, peer reviews, audits, and documentation.
Use the results of quality of care/performance improvement activities to initiate changes in nursing practice.
Collect clinical data to monitor quality and effectiveness of nursing care.
Identify aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes.
Assist in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice.
Participate on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care.
Participate in QI studies: involved in task force or committee.
Implement suggestions for improving outcomes per unit study results.
Independently identify problematic areas and recommends problem solving.
Share findings of studies, audits with others.
Seek improvement independently.
Collaborate and communicate with the patient/resident, family, and other health care providers.
Utilize peer review and observation.
Monitor documentation for appropriate referrals.
Formulate the plan of care and involves patient/residents in decisions related to care and the delivery services.
Make referrals, including provisions for continuity of care, as needed.
Act as a primary clinical resource for staff on assigned unit.
Act as a role model and mentor for staff.
Act as the Nurse Manager Representative in his/her absence.
Provide leadership and support for staff through effective problem solving and decision making.
Support nurse preceptors and new employees during orientation.
Provide input on employee evaluations.
Assure float staff receive orientation to the floor and feel welcome.
Make and adjust staff assignments based on the abilities of staff and needs of the patient population.
Assign admissions and arrange transfers in coordination with the Nurse Manager, House Supervisor and/or Bed Coordinator.
Assure that shift report starts on time.
Monitor breaks to provide adequate staffing.
Determine staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor.
Assign staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts.
Coordinate care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues.
Ensure collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit.
Keep lines of communication open.
Ensure patient care issues are documented and reported.
Assure the appropriate nurse completes a Statement of Concern.
Understand and utilize Medical Staff and Kaweah Health's chain of command.
Provide employee guidance and alerts the Nurse Manager of counseling needs.
Provide patient care as needed.
Make fiscally responsible decisions regarding staffing and use of patient supplies.
Assign patients to infusion chairs and initiates nursing intake.
Educate patients on upcoming medications and therapies.
Start peripheral IVs or access Central Venous Access Devices (PICC, Port-a-Cath) lines and administers infusions per physician orders.
Monitor vital signs and patient status throughout treatment.
Perform medication reconciliation and obtains patient history.
Administer medications (IV, IM, SQ, PO), IV hydration, blood transfusions, and dressing changes.
Complete all infusion documentation, discontinue IVs, and provide discharge instructions.
Maintain competency in IV therapy, infusion pumps, and emergency response procedures.
Provide telephone triage and patient education on side effects, symptom management, and resources.
Communicate and collaborate closely with physicians, inpatient and outpatient nurses, Wound Center staff to coordinate care.
Function as a case manager for assigned patients with responsibility to plan, implement and evaluate the care for Wound Center patients.
Ensure patients and families receive comprehensive education related to management of their wounds and underlying health conditions.
Work with appropriate autonomy in the wound center and hyperbaric setting.
Function as a resource to staff, management and other health team members regarding nursing practice for wound care.
Facilitate staff development and education.
Assist in the development and maintenance of Wound Center policies and procedures.
Comply with department requirements for continuing education and maintain active participation in hyperbaric related organizations.
Take part in required Healogics training, competency assessments, and ongoing education as approved by Kaweah Health leadership.
Support and follow all relevant clinical protocols, operational procedures, documentation standards, and workflows outlined in the Healogics Clinical Policies and Procedures.
Work in alignment with the program’s performance expectations, quality measures, and operational requirements established for the wound care program.
Demonstrate the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.
Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs.
Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care.
Perform other duties as assigned.