RN - Women's Hospital Telemetry - Sharp Grossmont Hospital - Nights - Full Time - May be eligible for Relocation Incentive

Sharp HealthCare•La Mesa, CA

12h•Onsite

About The Position

To provide direct and indirect nursing services to patients and families. This role involves utilizing systematic planning, appropriate methods, and timely exchange of information with the multidisciplinary team and patient/family to coordinate care. The nurse will demonstrate 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 position requires the use of 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 nurse will 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. They will identify the need for referrals, collaborate with the patient, family, and other team members to develop a comprehensive plan of care, and prioritize demand for resources. Additionally, the role may involve acting as a preceptor/teacher for other nurses and making appropriate referrals. The nurse will implement safe, therapeutic, and efficient care for patients with complex needs, demonstrate accountability for achieving patient outcomes, and quickly recognize patient diagnoses. Documentation will be per department/entity guidelines and reflect a critical thinking/problem-oriented approach. The role also includes 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 analyzing social/cultural variables to adapt nursing interventions are key aspects. The nurse will serve as a patient advocate, provide age-appropriate patient education, and coordinate transfer and discharge planning. The position requires independent performance of the nursing process for patients with overt and subtle needs, safe nursing care for patients in more complex situations with some assistance, and competency in unit skills and some advanced skills. Coordination of patient care administered by other members of the care team is expected, and the nurse may assume responsibility as a relief charge nurse and assist with preceptorship/professional development. Safe use of common equipment and medications, recognition of inconsistencies in patient care, management of potential complications, consistent organization and prioritization of workload, and confident management of emergency situations are also required. Participation in quality improvement initiatives, compliance with regulatory and accreditation standards, and demonstration of professional behavior are expected. The nurse will utilize a variety of teaching/coaching strategies, promote clinical effectiveness, efficient use of resources, and quality care, and transfer knowledge and mentor others. Complex problem-solving and critical thinking skills are essential.

Requirements

Graduate of nursing school.
1 Year clinical experience
California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED
AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED

Nice To Haves

May teach some skills competencies.
May assume the responsibility of relief charge nurse and may assist with preceptorship/professional development of new nurses and students.

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.
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.
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 the need for referrals based on information obtained in initial and ongoing assessments and evaluation.
Collaborate with the 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, ensuring documentation is comprehensive 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.
Assess appropriateness of physician orders and question physicians 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 the 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.