Sharp Healthcare

Not-for-profit integrated health care system

Clinical RN - Emergency Dept

Nursing & Frontline Patient CareUpdated on Nov 11

Full-timeCoronado, CA, USAIn-person

About the Job

Requirements

Graduate of nursing school.
At least 1 year of clinical experience; registered nurses with less than 12 months of experience must complete the new-graduate requirements.
A California Registered Nurse license from the California Board of Registered Nursing is required.
American Heart Association Basic Life Support for Healthcare Professionals certification is required.
American Heart Association Advanced Cardiac Life Support certification is required.
National Institutes of Health Stroke Scale certificate is required; the employee provides the certificate.
American Heart Association Pediatric Advanced Life Support certification is required.
Independently perform the nursing process through individualized assessment, planning, implementation, and evaluation of safe, therapeutic, efficient care throughout the continuum of care and according to unit standards.
Provide safe nursing care in complex situations with some assistance and supervision, demonstrate competency in unit skills and some advanced skills, and teach skills competencies as applicable.
Use common equipment and medications safely and consult others when unfamiliar.
Recognize inconsistencies in patient care, manage potential complications, organize and prioritize workload, and manage emergency situations confidently.
Comply with regulatory and accreditation standards and demonstrate professional behavior through participation in unit activities and committees as appropriate.
Use teaching and coaching strategies to assist families through a disease process or experience.
Apply complex problem-solving and critical-thinking skills.

Responsibilities

Provide direct and indirect nursing services to patients and families.
Use systematic planning, appropriate methods, and timely information exchange with the multidisciplinary team and patient or family to coordinate care.
Manage multiple patient needs and aspects of care, communicate with the care team to plan care, and use available resources to determine effective actions.
Use the nursing process and critical thinking to provide individualized, goal-directed care consistent with safety standards.
Identify actual and potential patient risks, continuously evaluate interventions and care, and adjust care plans as patient and family needs change.
Identify and make referrals based on initial and ongoing assessments and evaluations.
Collaborate with patients, families, and team members to develop comprehensive care plans, prioritize resource needs, and meet individualized patient needs.
Guide other nurses as a preceptor or teacher in applying the nursing process to the unit population.
Implement safe, therapeutic, efficient care for patients with complex needs due to multisystem disease or treatment complications, and remain accountable for patient outcomes.
Recognize patient diagnoses when presenting symptoms or situations are dissimilar.
Document care according to department and organizational guidelines, policies, and procedures, providing a detailed and concise account of care and applying critical-thinking and problem-oriented charting.
Serve as a resource to staff on unit-specific documentation issues.
Delegate and assign care tasks, communicate expectations, assess what tasks may be delegated to each team member, determine appropriate supervision, and follow through to ensure completion.
Assess physician orders for appropriateness and question physicians when appropriate.
Help coworkers improve performance, provide assistance and support, and offer positive feedback.
Provide unit-specific information to students, float staff, and travelers or registry personnel, and document it appropriately.
Provide incidental teaching to team members and identify and apply improvements to work processes and systems.
Offer and accept constructive feedback in a nonjudgmental, positive, and confidential manner.
Establish therapeutic relationships with patients and families and address barriers to maintaining those relationships, including spiritual, cultural, language, communication, or health-related barriers.
Analyze social and cultural variables and adapt nursing interventions to diverse needs.
Advocate for patients by removing obstacles, identifying and supporting their needs and wishes, and interpreting between patients and physicians when needed.
Provide age-appropriate education to support recovery, self-care, end-of-life care, health maintenance, and wellness.
Coordinate transfer and discharge planning and teaching with the healthcare team.
Collaborate with team members to identify, develop, and revise patient education materials, and adapt teaching to learners' needs using adult-learning principles.
Coordinate patient care delivered by other care-team and nursing staff members and, as applicable, assume relief charge nurse responsibilities and assist with preceptorship and professional development of new nurses and students.
Participate in quality-improvement initiatives and promote clinical effectiveness, efficient resource use, and quality care.
Transfer knowledge and mentor others to improve clinical practice.

Hours:

Shift Start Time:

7 PM

Shift End Time:

7:30 AM

AWS Hours Requirement:

12/36 - 12 Hour Shift

Additional Shift Information:

Weekend Requirements:

Every Other

On-Call Required:

Hourly Pay Range (Minimum - Midpoint - Maximum):

$64.210 - $72.970 - $93.760

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.

What You Will Do
To provide direct and indirect nursing services to patients and families.

Required Qualifications

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
Pediatric Advanced Life Support (PALS) - American Heart Association -REQUIRED

Essential Functions

Clinical advancement
Uses systematic planning, appropriate methods and timely exchange of information with 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 care team to plan patient care.
Utilizes available resources to problem-solve and determine 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, and adjusts the plan as patient and family needs change.
Identifies 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.
Comprehensive; representing detailed, concise picture of patient's care.
Serves as a resource for other staff in managing unit specific documentation issues.
Charting reflects a critical thinking/problem oriented approach to patient 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 health care team member.
Responsible for delegation and follows through to ensure 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 appropriateness of physician orders and to question physician when appropriate.
Helps coworkers improve performance.
Offers assistance and support to coworkers.
Provides positive feedback to others.
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 to establishing/maintaining a therapeutic relationship with a specific patient and takes actions to enhance quality of nurse/patient/family interaction (problems may include: spiritual, cultural, language or other communication barriers; those imposed by 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; interpreting for patient to physician and visa/versa.
Provides age appropriate patient education that facilitates recovery, self-care, end-of-life care and health maintenance, health promotion, and wellness.
Coordinates transfer and discharge planning and teaching in collaboration with other members of the health care team.
Collaborates with other team members to identify, develop and/or revise patient education materials.
Demonstrates flexibility to teaching based on assessment of learner's needs and the integration of adult learning principles.

Knowledge, Skills, and Abilities

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, and according to unit's standards of care. Performs safe nursing care for patients in more complex situations with some assistance and supervision. Demonstrates competency in all areas of the 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 disease process/experience. Promotes clinical effectiveness, efficient use of resources, and quality care in practice setting. Transfers knowledge and mentors others to improve clinical practice. Demonstrates complex problem solving and the use of critical thinking skills.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

About the Company

Sharp Healthcare

Not-for-profit integrated health care system

Sharp HealthCare is a not-for-profit, integrated health system in the San Diego area that operates four acute-care hospitals, three specialty hospitals, three affiliated medical groups, and a health plan to provide primary and specialty care across services like cancer treatment, cardiovascular care, orthopedic surgery, and women’s health. Its network links hospitals, clinics, physicians, and a health plan to deliver coordinated care from prevention to treatment. Unlike many providers, Sharp reinvests its profits into community health initiatives, combining hospital care, physician groups, and an insurance-like plan within one not-for-profit system. Its goal is to improve the health and well-being of the San Diego population through high-quality, coordinated care.

Company size: 10,001+
Company stage: Not listed
Total funding: Not listed
Headquarters: San Diego, CA
Founded: 1946

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