Clinical Nurse - RN - Sub-Acute Care - Sharp Coronado - 8 hour shift - Night - Part Time .6 FTE

Shift: 11 PM – 7:30 AM, 8-hour shift on an 8/80 schedule (every other weekend required). No on-call.

Pay

Hourly pay range: $61.74 – $90.16. Placement within the range is based on years of RN experience 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.

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.
• Demonstrate ability to 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.
• Apply the nursing process and a critical-thinking approach to provide patient care that incorporates mind, body, and spirit; is individualized, goal-directed, and consistent with current standards of safety.
• Identify actual or potential problems for which the patient is at risk; continuously evaluate interventions and care, adjusting 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 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 assessments.
• 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 ability to quickly recognize a patient diagnosis even when presenting symptoms or situations may be dissimilar.
• Document per department/entity guidelines and policies; 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 and assign care delivery processes to each member of the team; communicate expectations clearly.
• Analyze each situation to determine and consistently apply levels of supervision needed (unsupervised, initial direction and periodic inspection, continuous supervision, or should not be delegated).
• Assess the appropriateness of physician orders and question when necessary.
• Provide unit-specific information to students, floats, travelers/registry personnel, and document appropriately.
• Offer and accept constructive feedback in a non-judgmental, positive, and confidential manner.
• Seek opportunities to assist and support coworkers; look for and apply ways to improve work processes and systems.
• Establish a therapeutic relationship with patient and family; anticipate and address barriers (e.g., spiritual, cultural, language, or communication).
• Analyze social/cultural variables and adapt nursing interventions to meet diverse needs.
• Serve as a patient advocate by removing obstacles, identifying and supporting needs, and interpreting for patient and physician.
• Provide age-appropriate patient education that facilitates recovery, self-care, end-of-life care, 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 of clinical experience (RNs with less than 12 months experience will complete new grad requirements).
• California Registered Nurse (RN) license – CA Board of Registered Nursing (required).
• AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) – American Heart Association (required).

Skills

• Independently perform the nursing process through individualized assessment, planning, implementation, and evaluation of safe, therapeutic, and efficient care for patients with overt and subtle needs throughout the continuum of care, according to unit standards.
• Perform safe nursing care for patients in complex situations with some assistance and supervision; demonstrate competency in all unit skills and some advanced skills.
• Coordinate patient care administered by other members of the care team; may assume responsibility as relief charge nurse and assist with preceptorship/professional development of new nurses and students.
• Use common equipment and medications safely in the practice setting; consult others when unfamiliar.
• Recognize inconsistencies in patient care and manage potential complications.
• Demonstrate consistent organization and prioritization of workload; confidently manage 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 team member; 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 the disease process/experience.
• Promote clinical effectiveness, efficient use of resources, and quality care in the practice setting.
• Transfer knowledge and mentor others to improve clinical practice; demonstrate complex problem-solving and critical-thinking skills.