RN Med-Surg

PIONEERS MEMORIAL HEALTHCARE DISTRICT•Brawley, CA

11d

About The Position

The Registered Nurse provides professional nursing care to patients in an assigned unit using the nursing process, coordinates care throughout the hospital, collaborates with the healthcare team to meet patients’ needs, participates in patient education, and directs or assists ancillary personnel. The role requires clinical competence, adaptability, independent work with minimal supervision, and advocacy for patients’ rights, safety, privacy, confidentiality, and best interests. The nurse assesses patients and families, establishes nursing diagnoses and measurable outcomes, develops and evaluates patient-specific interventions and care plans, and works with physicians to identify patient goals. The role includes caring for adult and geriatric patients, administering medications and blood components, documenting care accurately, supporting quality and safety practices, managing equipment and supplies, and maintaining clinical knowledge through required education and competency activities. The nurse works under the responsibility of the charge nurse and may cross-train or float to another area when qualified and requested. Scheduling is based on patient-care needs and may include weekends, holidays, nights, and call. Working every other weekend is a minimum requirement. Shift and call assignments may change with department needs, and staff may be required to work alternate shifts or rotating schedules for limited periods during emergencies.

Requirements

Current California licensure to practice as a registered nurse.
Current American Heart Association Basic Life Support certification upon hire.
Ability to lift 25 pounds and perform lifting, turning, and transferring of patients.
Manual dexterity and fine motor ability to operate and handle department equipment.
Ability to follow written and oral instructions and willingness and ability to learn the job functions.
Ability to work as part of a team and maintain effective work relationships.
Ability to adapt to department scheduling needs, including every other weekend, and potentially nights, holidays, call, alternate shifts, or rotating schedules.
Ability to complete annual certification of standardized procedures and maintain knowledge of Universal Precautions for potential bloodborne-pathogen exposure.

Nice To Haves

Previous clinical experience in a patient-care setting is preferred.
ACLS certification as required by the Med/Surg Department.

Responsibilities

Use the nursing process to assess, diagnose, plan, implement, and evaluate patient care.
Prioritize, plan, and organize comprehensive nursing care, including assessment of physiological, psychosocial, educational, and discharge-planning needs.
Establish realistic, measurable outcomes with patients and families and develop nursing interventions based on diagnoses and expected outcomes.
Develop, implement, change, and evaluate patient care plans, documenting review and revision at least every 72 hours or as needed.
Collaborate with physicians and other healthcare team members to identify patient goals and interventions and coordinate care throughout the hospital.
Maintain positive and caring relationships with patients, families, and coworkers; accept constructive feedback to improve practice.
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, safety, privacy, confidentiality, and education.
Complete assigned work within scheduled hours and maintain appropriate time records.
Assist with orientation of new staff and act as a clinical resource to LVNs, CNAs/NAs, and ancillary-department technicians.
Follow hospital and unit policies and procedures and the Nurse Practice Act; be willing to cross-train.
Manage resources and equipment safely and contribute to cost control through effective use of time, supplies, and resources.
Administer and control narcotics, medications, parenteral medications, and blood components.
Attend at least 75% and a minimum of six unit staff meetings annually, read meeting minutes, and participate in required conferences, education programs, annual skills updates, and quality-improvement activities.
Cross-train to an additional unit or area within one year of hire as staffing permits and float to another area when requested if 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 issues exceed the nurse’s authority.
Maintain accountability for own practice, participate in ongoing hospital in-service education, and apply ethical and legal principles.
Communicate pertinent patient-care information clearly and accurately to the patient-care team.
Document relevant, factual, accurate, and legible information in patient records; date, time, and sign entries with a title.
Support safety standards, identify risk situations, and intervene appropriately.
Complete annual certification of standardized procedures and maintain knowledge of Universal Precautions for potential bloodborne-pathogen exposure.
Perform Medical/Surgical quality-control functions related to the operation and maintenance of equipment, supplies, and pharmaceuticals.
Perform other duties as assigned.
Work every other weekend at minimum and accommodate scheduling that may include weekends, holidays, nights, call, alternate shifts, and rotating schedules as department needs require.