RN - 5E Neuroscience Progressive Care Unit - Sharp Grossmont Hospital - Nights - Full Time - May be eligible for Relocation Incentive

Sharp HealthCare • La Mesa, CA

22h • 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. Clinical judgment and decision-making are crucial, involving 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. The role 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. It also involves identifying the need for referrals, collaborating with the patient, family, and other team members to develop a comprehensive plan of care, and prioritizing demand for resources. The RN will act as a preceptor/teacher, guiding other nurses, and making appropriate referrals. They will implement safe, therapeutic, and efficient care for patients with complex needs, demonstrating accountability for achieving patient outcomes and the ability to quickly recognize a patient diagnosis. Documentation must be comprehensive, concise, and reflect a critical thinking/problem-oriented approach. Clinical leadership involves delegating/assigning and communicating expectations for care delivery processes, assessing the appropriateness of physician orders, and helping coworkers improve performance. Establishing a therapeutic relationship with the patient and family, anticipating problems, and adapting nursing interventions to meet diverse needs are key. The RN will serve as a patient advocate, provide age-appropriate patient education, and coordinate transfer and discharge planning. The role requires independent performance of the nursing process, safe nursing care for patients in complex situations, and competency in unit skills. Coordination of patient care administered by other members of the care team is expected, with the potential to assume responsibility as a relief charge nurse and assist with preceptorship/professional development. Safe use of common equipment and medications is required, along with recognizing inconsistencies in patient care and managing potential complications. Consistent organization, prioritization of workload, and confident management of emergency situations are essential. Participation in quality improvement initiatives, compliance with regulatory and accreditation standards, and demonstration of professional behavior are expected. The RN will utilize a variety of teaching/coaching strategies, promote clinical effectiveness, efficient use of resources, and quality care, and transfer knowledge and mentor others to improve clinical practice. Complex problem-solving and critical thinking skills are necessary.

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
• NIH Stroke Scale (NIHSS) - Various-Employee provides certificate -REQUIRED

Nice To Haves

• Minimum 1 year of related experience

Responsibilities

• Provide direct and indirect nursing services to patients and families.
• Use 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.
• Utilize 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.
• 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.
• Demonstrate an ability to 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, ensuring documentation is comprehensive, detailed, concise, and reflects a critical thinking/problem-oriented approach.
• 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.
• Analyze each situation, determine and consistently apply levels of supervision needed before delegating.
• Assess appropriateness of physician orders and question physician when appropriate.
• Help coworkers improve performance, offer assistance and support, and provide positive feedback.
• 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 in establishing/maintaining a therapeutic relationship 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 vice 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.

Benefits

• $5k in Relocation Bonus for new hires moving to San Diego
• $2,500 Referral Bonus for Internal Sharp employees only (for a qualified external new hire referral); Name of employee referring must be listed on the application.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed