Clinical Nurse RN - Surgery - Sharp Grossmont Hospital - Variable Shift - Full Time - Eligible for New Hire Relocation

Variable shift hours with on-call requirement. Weekend work as needed.

Pay

Hourly pay range: $61.74 – $90.16. 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.

Qualified external new hire candidates relocating from 100+ miles outside of San Diego may be eligible for a $5,000 relocation incentive. Current Sharp employees may be eligible for a $2,500 employee referral bonus.

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.
• Utilize 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 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 and the 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, ensuring follow-through to completion.
• Analyze each situation to determine the level of supervision needed before delegating tasks.
• Assess the appropriateness of physician orders and question when necessary.
• Provide unit-specific information to students, float, traveler/registry personnel, and document appropriately.
• Provide incidental teaching to members of the team and seek ways to improve work processes and systems.
• Offer and accept constructive feedback in a non-judgmental, positive, and confidential manner.
• Establish a therapeutic relationship with patient and family; anticipate and address barriers to this relationship (e.g., spiritual, cultural, language, or illness-related).
• Analyze social/cultural variables and adapt nursing interventions to meet diverse needs.
• Serve as a patient advocate by 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, health maintenance, health promotion, and wellness.
• Coordinate transfer and discharge planning and teaching in collaboration with other members of the healthcare 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.
• Participate in quality improvement initiatives and comply with all regulatory and accreditation standards.
• Demonstrate professional behavior through participation in unit activities and committees as appropriate.
• 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 the use of critical-thinking skills.

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) certification – 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 areas of unit skills and some advanced skills.
• Coordinate patient care administered by other members of the care team; may 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.
• Delegate, assign, and communicate expectations for care delivery processes to each member of the team; teach skills as necessary.
• Utilize a variety of teaching/coaching strategies to assist family through the disease process/experience.