RN - 4E Pulmonary/ CHF Progressive Care Unit at Sharp Grossmont Hospital - Days - Full Time - May be eligible for Relocation Incentive

Shift: 7:00 AM – 7:30 PM, 12-hour shifts on a 12/36 schedule. Weekend requirement: every other weekend. On-call not required.

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

Responsibilities

Clinical Advancement

• Uses systematic planning, appropriate methods, and timely exchange of information with the multidisciplinary team and patient/family to coordinate care.
• Demonstrates ability to focus on and manage multiple patient needs and aspects of care.
• Actively communicates with the care team to plan patient care.
• Utilizes available resources to problem-solve and determine the most effective approach to action.

Clinical Judgment and Decision Making

• Utilizes 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.
• Identifies actual/potential problems for which the patient is at risk.
• Continuously evaluates interventions and care, adjusting the plan as patient and family needs change.
• Identifies the need for referrals based on information obtained in initial and ongoing assessments and evaluation.
• Collaborates with patient, family, and other team members to develop a comprehensive plan of care.
• Prioritizes demand for resources and collaborates with others to meet individualized patient needs.
• Acts as preceptor/teacher in guiding other nurses on how to apply the nursing process with a particular unit population.
• Makes appropriate referrals based on information obtained in initial and ongoing assessments and evaluation.
• Implements safe, therapeutic, and efficient care for patients with complex needs due to multi-system disease and/or complications of treatment.
• Demonstrates accountability for achieving patient outcomes.
• Demonstrates an ability to quickly recognize a patient diagnosis even though presenting symptoms or situations may be dissimilar.
• Documents per department/entity guidelines of care and policies and procedures, ensuring a comprehensive, detailed, and concise picture of patient care that reflects a critical thinking/problem-oriented approach to patient issues.
• Serves as a resource for other staff in managing unit-specific documentation issues.

Clinical Leadership

• Delegates/assigns and communicates expectations for care delivery processes to each member of the team.
• Knowledgeable about what can and cannot be delegated to each different healthcare team member.
• Responsible for delegation and follows through to ensure the delegated task is complete.
• Before delegating, analyzes each situation, determines, and consistently applies levels of supervision needed (unsupervised, initial direction and periodic inspection, continuous supervision, or should not be delegated).
• Assesses the appropriateness of physician orders and questions physicians when appropriate.
• Helps coworkers improve performance, offers assistance and support, and provides positive feedback.
• Provides unit-specific information to students, floats, travelers/registry personnel, and documents appropriately.
• Provides incidental teaching to members of the team.
• Looks for and applies ways to improve work processes and systems.
• Offers and accepts constructive feedback/criticism in a non-judgmental, positive, and confidential manner.
• Seeks out opportunities to assist and support coworkers.

Nurse-Patient/Family Relationship

• Establishes a therapeutic relationship with patient and family.
• Anticipates problems in establishing/maintaining a therapeutic relationship with a specific patient and takes actions to enhance the quality of nurse/patient/family interaction (problems may include spiritual, cultural, language, or other communication barriers; those imposed by the nature of illness or health issue).
• Analyzes social/cultural variables and adapts nursing interventions to meet diverse needs.
• Serves 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.
• Provides age-appropriate patient education that facilitates recovery, self-care, end-of-life care, health maintenance, health promotion, and wellness.
• Coordinates transfer and discharge planning and teaching in collaboration with other members of the healthcare team.
• Collaborates with other team members to identify, develop, and/or revise patient education materials.
• Demonstrates flexibility in teaching based on assessment of learner’s needs and the integration of adult learning principles.

Requirements

• Graduate of nursing school.
• 1 year of 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.

Skills

• Independently performs 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 standards.
• Performs safe nursing care for patients in more complex situations with some assistance and supervision.
• Demonstrates competency in all areas of unit skills and some advanced skills; may teach some skills competencies.
• Coordinates 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.
• Uses common equipment and medications safely in the practice setting and consults others when unfamiliar.
• Recognizes inconsistencies in patient care and manages potential complications.
• Demonstrates consistent organization and prioritization of workload; confident management of emergency situations.
• Participates in quality improvement initiatives.
• Complies with all regulatory and accreditation standards.
• Demonstrates professional behavior through participation in unit activities and committees as appropriate.
• Delegates/assigns and communicates expectations for care delivery processes to each member of the team; teaches skills as necessary.
• Coordinates patient care administered by other members of the nursing staff.
• Utilizes a variety of teaching/coaching strategies to assist family through the disease process/experience.
• Promotes clinical effectiveness, efficient use of resources, and quality care in the practice setting.
• Transfers knowledge and mentors others to improve clinical practice.
• Demonstrates complex problem-solving and the use of critical thinking skills.

Benefits

• $5,000 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); the name of the employee referring must be listed on the application.

Eligibility Requirements for Hiring Incentives

• Minimum 1 year of related experience.
• The following are not eligible for hiring incentives:
  • Current Sharp employees.
  • Rehires/Reinstates rejoining the organization less than 12 months from the last date of employment with Sharp Healthcare.
  • Transfers to a non-bonus eligible department or position may result in forfeiting the 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 the last date of employment with Sharp Healthcare at the time of referral.