Clinical Nurse RN - ICU - Sharp Chula Vista Medical Center - Night Shift - Full-time -- Eligible for up to $10K in New Hire Incentives

This Evergreen posting represents 1 position.

About the role

Sharp Chula Vista’s ICU is the largest in the South Bay. Designed as a healing environment with ocean or mountain views from each private patient room as well as a family reflection garden, a soothing color scheme and original artwork to promote reflection and healing, the high acuity 28-bed MICU along with the 10-bed SICU provide comprehensive cardiac and intensive care services. The intensive care units of Sharp Chula Vista provide care for a variety of patient populations, including cardiovascular surgery, IABP, neurosurgery, ICP, stroke, sepsis and shock, multi-system organ failure, renal failure/CRRT, respiratory failure with ventilator management, cardiac emergencies and STEMI/interventional cardiology. ICU nurses participate in the code blue and rapid response teams. We strive to deliver compassionate, patient and family-centered care using evidence-based practices and state-of-the-art techniques.

Responsibilities

• Provide direct and indirect nursing services to patients and families.
• Use systematic planning, appropriate methods, and timely exchange of information with multidisciplinary team and patient/family to coordinate care.
• Demonstrate ability to focus on and manage multiple patient needs and aspects of care.
• 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; ensure charting reflects a critical thinking/problem-oriented approach to patient issues.
• 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 to determine and consistently apply levels of supervision needed before delegating.
• Assess appropriateness of physician orders and question when appropriate.
• 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, and 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 in teaching based on assessment of learner’s needs and integration of adult learning principles.

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
• ACLS Certification (Advanced Cardiac Life Support) – American Heart Association – REQUIRED
• NIH Stroke Scale (NIHSS) – Various – Employee provides certificate – REQUIRED

Skills

• 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, 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 unit skills and some advanced skills; may teach some skills competencies.
• Coordinate patient care administered by other members of the care team.
• Assume the responsibility of relief charge nurse and 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.
• Delegate/assign and communicate expectations for care delivery processes to each member of the team; 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.

Pay

The stated pay scale reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of California/Union of Health Care Professionals, NUHHCE, AFSME, AFL-CIO. Placement within the range is based on years of RN experience.

• Hourly Pay Range: $61.740 - $70.170 - $90.160

Schedule

• Shift Start Time: 7 PM
• Shift End Time: 7:30 AM
• 12-hour shift (12/36 schedule)
• Weekend Requirements: Every Other
• On-Call Required: No

Benefits

• Qualified external candidates may be eligible for a $5,000 Sign-on Bonus and $5,000 Relocation Assistance.
• Sharp employees may be eligible for a $2,500 Employee Referral Bonus (for a qualified external new hire referral). Name of employee referring must be listed on the application.

New Hire Incentive Eligibility Requirements:

• One year of related experience for all hires.
• The following are not eligible for hiring incentives:
  • Current Sharp employees.
  • Rehires/Reinstates rejoining the organization less than 12 months from last date of employment with Sharp Healthcare.

To remain eligible for your sign-on incentive, the following criteria must be met:

• Must remain in original hired FTE status and shift (if specified in offer letter).
• Must remain in original department/specialty.
• Must remain in original Job Title.
• Transfers to a non-bonus eligible department or position may result in forfeiting remaining incentive bonus.

Employee Referral Incentive Eligibility:

• Referral must list the name of the Sharp employee that referred them on the job application.
• External referrals only.
• If referring a former Sharp employee – must be more than 12 months since last date of employment with Sharp Healthcare at the time of referral.