Facility: Grossmont Hospital

　　City La Mesa

　　Department

　　Job Status

　　Regular

　　Shift

　　Night

　　FTE

　　0.9

　　Shift Start Time

　　Shift End Time

　　ACLS Certification (Advanced Cardiac Life Support) - American Heart Association; AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse (RN) - CA Board of Registered Nursing

　　Hours

　　Shift Start Time:

　　Shift End Time:

　　Additional Shift Information:

　　Weekend Requirements:

　　On-Call Required:

　　No

　　Hourly Pay Range (Minimum - Midpoint - Maximum):

　　$54.400 - $67.470 - $80.540

　　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.

　　Hours:

　　Full-time, 12-hour shift, night shift, 7:00 PM - 7:30 AM, including every other weekend

　　Bonus

　　Qualified external candidates may be eligible for a $5K Sign-on Bonus and $5K Relocation Assistance.

　　$15K conversion bonus available for current Sharp HealthCare travelers in lieu of any sign-on and relocation bonuses currently being offered by the department.

　　Sharp employees may be eligible for a $2,500 Employee Referral Bonus.

　　Required Qualifications

　　Graduate of nursing school.

　　1 Year clinical experience

　　California Registered Nurse (RN) - CA Board of Registered Nursing

　　AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association

　　ACLS Certification (Advanced Cardiac Life Support) - American Heart Association

　　Preferred Qualifications

　　One year of recent ICU RN clinical experience in an acute care settingEssential Functions

　　Clinical advancementUses 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 makingUtilizes 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 leadershipDelegates/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 relationshipEstablishes 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.Summary

　　Our 24-bed Medical Intensive Care Unit's patient population includes medical critically ill patients and also surgical overflow patients. Patients may also include CHF, Massive MI, Abdominal surgery and Multiple Organ Failures. It is the most efficiently designed centers in the County, with full view nursing stations and in-room restroom facilities. Technologies: articulating arms, bispectral index, cardiac monitors, automated medical and supply stations, Picture Archiving Clinical Information System, Automated hand washing system, and isolation rooms. Also nurse managed IABPs and SLEDD (CVVH). The MICU achieved “Gold Beacon” status which is a designation conferred by the AACN to ICUs demonstrating clinical excellence. If you desire an atmosphere of continual learning that is challenging and stimulating, this is the place for you!

　　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.

　　Keywords: Registered Nurse, ICU, Intensive Care Unit, Critical Care