RN MED-SURG

PIONEERS MEMORIAL HEALTHCARE DISTRICT•Brawley, CA
•$38 - $53

About The Position

The Registered Nurse provides professional nursing care to patients on an assigned unit using the nursing process and coordinates care throughout the hospital. The nurse cooperates with the health care team to meet patients’ needs, participates in patient education, and directs or assists ancillary personnel. The role requires assessing patient and family needs, establishing measurable outcomes, developing and revising patient-specific care plans, collaborating with physicians, and evaluating nursing interventions. The nurse provides appropriate clinical care, responds to emergencies, advocates for patient rights, maintains confidentiality and safety, and adapts to changing workloads while working independently with minimal supervision. The nurse administers and controls medications, narcotics, parenteral medications, and blood components; manages resources and equipment safely; supports quality improvement; and participates in required education, meetings, and annual skills updates. The position also includes orientation and support of staff, cross-training to another unit or area within one year as staffing permits, and floating to areas where the nurse has documented competency when requested. The nurse works under the responsibility of the charge nurse. Scheduling is based on patient-care needs and may include weekends, holidays, nights, and call assignments. Working every other weekend is a minimum requirement, and alternate shifts or rotating schedules may be assigned for limited periods to meet department needs.

Requirements

  • Current licensure to practice registered nursing in the State of California.
  • Current AHA BLS certification upon hire.
  • ACLS certification as required by the Med/Surge Department.
  • Ability to follow written and oral instructions, learn job functions, work as part of a team, and maintain effective work relationships.
  • Manual dexterity and fine motor ability to operate and handle departmental equipment.
  • Ability to lift 25 pounds and lift, turn, and transfer patients.
  • Availability for scheduling that may include weekends, holidays, nights, and call; working every other weekend is a minimum requirement.
  • Ability to work alternate shifts or rotating schedules for limited periods as department needs require.

Nice To Haves

  • Previous clinical experience in a patient-care setting is preferred.

Responsibilities

  • Use the nursing process to assess, diagnose, plan, implement, and evaluate comprehensive patient care.
  • Assess the physiological, psychosocial, educational, and discharge-planning needs of patients and their families.
  • Establish realistic and measurable expected outcomes with patients and families, and develop patient-specific nursing interventions.
  • Develop, implement, change, and evaluate patient care plans, documenting review and revision every 72 hours or as needed.
  • Collaborate with physicians to identify patient goals and nursing interventions.
  • Maintain positive and caring relationships with patients, families, and coworkers, and accept constructive feedback.
  • Demonstrate appropriate technical and clinical skills and exercise sound judgment during emergencies.
  • Adapt to workload changes, work independently with minimal supervision, and advocate for patient rights, privacy, confidentiality, safety, and education.
  • Complete assignments within scheduled work hours and maintain appropriate time records.
  • Assist with orienting new staff and serve as a clinical resource to LVNs, CNAs/NAs, and ancillary department technicians.
  • Follow hospital and unit policies, procedures, and the Nurse Practice Act; remain willing to cross-train.
  • Manage resources, equipment, time, and supplies safely and efficiently to support cost control.
  • Administer and control narcotics, medications, parenteral medications, and blood components.
  • Attend required unit meetings, read meeting minutes, participate in conferences and education programs, complete annual skills updates, and contribute to quality-improvement activities.
  • Cross-train to an additional unit or area within one year of hire as staffing permits, and float when requested to areas where competency is documented.
  • Assess and care for geriatric patients using knowledge and clinical skills related to the aging process.
  • Use the chain of command when an issue exceeds the nurse's authority.
  • Maintain accountability for professional practice and participate in self-development and hospital in-service education.
  • Apply ethical and legal principles in practice.
  • Communicate pertinent patient-care information clearly and accurately to the patient care team.
  • Maintain legible, problem-oriented, factual, and accurate patient records, with entries dated, timed, and signed with a title.
  • Promote safety standards, identify risks, and intervene appropriately.
  • Complete annual certification of standardized procedures and maintain knowledge of Universal Precautions for potential bloodborne-pathogen exposure.
  • Perform Medical/Surgical department-specific quality-control functions related to equipment, supplies, and pharmaceuticals.
  • Perform other duties as assigned.
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