RN - 5W Cardiac Progressive Care Unit - Sharp Grossmont Hospital - Days - Full Time - May be eligible for Relocation Incentive

Sharp HealthCare•La Mesa, CA

3d•Onsite

About The Position

To provide direct and indirect nursing services to patients and families. This role involves clinical advancement, utilizing systematic planning, appropriate methods, and timely exchange of information with the multidisciplinary team and patient/family to coordinate care. The position requires the ability to focus on and manage multiple patient needs and aspects of care, actively communicating with the care team to plan patient care and utilizing available resources to problem-solve and determine the most effective approach to action. The nurse will use the nursing process and a critical thinking approach to provide patient care that incorporates the mind, body, and spirit; is individualized, goal-directed, and consistent with current standards of safety. This includes identifying actual/potential problems for which the patient is at risk, continuously evaluating interventions and care, and adjusting the plan as patient and family needs change. The role also involves making appropriate referrals, collaborating with patient, family, and team members to develop a comprehensive plan of care, and prioritizing demand for resources. Additionally, the RN will act as a preceptor/teacher for other nurses, manage complex patient needs, document care per guidelines, and serve as a resource for documentation issues. Clinical leadership is expected, including delegating and assigning tasks, assessing physician orders, helping coworkers improve performance, and offering assistance and support. Establishing a therapeutic relationship with patients and families, providing age-appropriate education, and coordinating transfer and discharge planning are also key responsibilities. The role requires independent performance of the nursing process, safe nursing care for complex patients, competency in unit skills, and coordination of patient care administered by other team members. The RN may assume responsibility as a relief charge nurse and assist with preceptorship/professional development. They will use common equipment and medications safely, recognize inconsistencies in patient care, manage potential complications, and demonstrate consistent organization and prioritization of workload. Participation in quality improvement initiatives, compliance with regulatory and accreditation standards, and demonstrating professional behavior are also expected. The role promotes clinical effectiveness, efficient use of resources, and quality care, transferring knowledge and mentoring others to improve clinical practice, and demonstrating complex problem-solving and critical thinking skills.

Requirements

Graduate of nursing school.
1 Year clinical experience (RNs with less than 12 months experience will complete the new grad requirements).
California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED
AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED

Responsibilities

Provide direct and indirect nursing services to patients and families.
Utilize systematic planning, appropriate methods, and timely exchange of information with the multidisciplinary team and patient/family to coordinate care.
Focus on and manage multiple patient needs and aspects of care.
Actively communicate with the care team to plan patient care.
Utilize available resources to problem-solve and determine the most effective approach to action.
Provide patient care that incorporates the mind, body, and spirit; is individualized, goal-directed, and consistent with current standards of safety.
Identify actual/potential problems for which the patient is at risk.
Continuously evaluate interventions and care, and adjust the plan as patient and family needs change.
Identify need for referrals based on information obtained in initial and ongoing assessments and evaluation.
Collaborate with patient, family, and other team members to develop a comprehensive plan of care.
Prioritize demand for resources and collaborate with others to meet individualized patient needs.
Act as preceptor/teacher in guiding other nurses on how to apply the nursing process with a particular unit population.
Make appropriate referrals based on information obtained in initial and ongoing assessments and evaluation.
Implement safe, therapeutic, and efficient care for patients with complex needs due to multi-system disease and/or complications of treatment.
Demonstrate accountability for achieving patient outcomes.
Quickly recognize a patient diagnosis even though presenting symptoms or situations may be dissimilar.
Document per department/entity guidelines of care and policies and procedures.
Serve as a resource for other staff in managing unit specific documentation issues.
Delegate/assign and communicate expectations for care delivery processes to each member of the team.
Assess appropriateness of physician orders and question physician when appropriate.
Help coworkers improve performance.
Offer assistance and support to coworkers.
Provide positive feedback to others.
Provide unit specific information to students, floats, travelers/registry personnel and document appropriately.
Provide incidental teaching to members of the team.
Look for and apply ways to improve work processes and systems.
Offer and accept constructive feedback/criticism in a non-judgmental, positive and confidential manner.
Seek out opportunities to assist and support coworkers.
Establish a therapeutic relationship with patient and family.
Anticipate problems to establishing/maintaining a therapeutic relationship with a specific patient and take actions to enhance quality of nurse/patient/family interaction.
Analyze social/cultural variables and adapt nursing interventions to meet diverse needs.
Serve as a patient advocate through actions such as: removing obstacles, identifying and supporting appropriate needs and wants; interpreting for patient to physician and visa/versa.
Provide age-appropriate patient education that facilitates recovery, self-care, end-of-life care and health maintenance, health promotion, and wellness.
Coordinate transfer and discharge planning and teaching in collaboration with other members of the health care team.
Collaborate with other team members to identify, develop and/or revise patient education materials.
Demonstrate flexibility to teaching based on assessment of learner's needs and the integration of adult learning principles.
Independently perform the nursing process through individualized assessment, planning, implementation and evaluation of safe, therapeutic, efficient care for patients with overt and subtle needs throughout the continuum of care, and according to unit's standards of care.
Perform safe nursing care for patients in more complex situations with some assistance and supervision.
Demonstrate competency in all areas of the unit skills and some advanced skills.
May teach some skills competencies.
Coordinate patient care administered by other members of the care team.
May assume the responsibility of relief charge nurse and may assist with preceptorship/professional development of new nurses and students.
Use common equipment and medications safely in the practice setting and consult others when unfamiliar.
Recognize inconsistencies in patient care and manage potential complications.
Demonstrate consistent organization and prioritization of workload; confident management of emergency situations.
Participate in quality improvement initiatives.
Comply with all regulatory and accreditation standards.
Demonstrate professional behavior through participation in unit activities and committees as appropriate.
Teach skills as necessary.
Coordinate patient care administered by other members of the nursing staff.
Utilize a variety of teaching/coaching strategies to assist family through disease process/experience.
Promote clinical effectiveness, efficient use of resources, and quality care in practice setting.
Transfer knowledge and mentor others to improve clinical practice.
Demonstrate complex problem solving and the use of critical thinking skills.