Charge Registered Nurse

Overview The Nursing Supervisor has 24/7 Administrative and Operational responsibility for the organization. They perform under the authority of executive leadership. Operationally, they are responsible for patient safety, quality, staff education and service excellence. The Nursing Supervisor is a fiscal steward for the organization collaborating with nursing and ancillary leaders in problem solving staffing roles and responsibilities. The Nursing Supervisor is able to cover nurse staffing in ICU, ED and Med/Surg. Responsibilities 24/7 operational and administrative oversight for the organization. The Nursing Supervisor acts independently in the absence of leadership and collaborates with the Administrator on Call, Nursing and Ancillary leaders as appropriate. Knows hospital strategic plan and aligns resources and objectives to achieve. Exhibits confidence in self and others; inspires respect and trust. Holds employees accountable to values, clinical standards, accepted behaviors and confronts unsatisfactory performance promptly and fairly. Provides developmental opportunities for continuous learning and skill building. Collaborates with leaders for education training initiatives for staff. Provides for safe and effective staffing of all nursing departments and respiratory therapy. Seeks to fill unplanned vacancies in staffing through collaboration with off duty staff and professional registries. Facilitates break relief and can relieve nursing personnel in ICU, M/S and the ED. Responds to Code Blue, RRT and Code Stroke Attends to plant operational issues (fire alarms, oxygen alarms, etc.) in timely manner and collaborates with engineer on call. Resets alarms and/or performs fire watch if indicated. Retrieves equipment and/or supplies as needed by nursing and/or ancillary departments Documents Nurse, RT and Hospitalist staffing in hospital computer system. Uploads nursing acuities in hospital computer system and determines appropriate staffing based on Title 22 staffing ratios and/or acuity calculation; whichever is greater. Knowledge of Title 22, CIHQ and CMS standards and conditions of participation. Emails End of Shift Report to Leadership Participates in performance improvement activities as it pertains to nursing department with focus on patient flow, staffing efficiency and resource utilization. Assures timely transfer of admissions from the Emergency Department to patient care areas. Assists Employee Health in determining compliance of, and administration of, seasonal flu vaccinations, mask fit testing , TB screening & questionnaire compliance. Role models service excellence behaviors: AIDET, rounding, monitors employee compliance to white boards and holds staff accountable to service excellence standards. Maintains certifications, provides staffing availability according to department policy, completes annual educational requirements During off hours, immediately assumes role of Incident Commander during identified disaster responses. Contacts Administrator on Call for further instruction. Maintains role until handed off to more senior administrator. Qualifications Education : Graduate of accredited RN program BSN or MS preferred Experience : 5 years acute care nursing experience. Critical Care/ED preferred 1 year or more Nursing Supervisor experience preferred Licenses & Certifications : California RN license, BLS, ACLS, PALS Required Skills & Knowledge : Able to assess, plan, implement and act independently in the day to day operations of the facility. This includes nursing and ancillary services and plant operations as well. The Nursing Supervisor is the eyes and ears of Administration and have demonstrated strong leadership and managerial ability. They maintain basic nursing skills in ICU, ED and Med/Surg. Compensation Actual compensation is influenced by a wide array of factors including but not limited to level of experience, education, special skills and/or certifications. Minimum: USD $62.94 Maximum: USD $86.54

Clinical Coordinator/SCU Charge RN (32 hours per week)

Overview This position is responsible for the daily work and work flow within the Surgical Care Unit (SCU). The Clinical Coordinator/SCU Charge RN supervises the nursing staff in coordinating schedules, nursing assignments and patient care in the preoperative and postoperative phases of surgery from preadmission through discharge. Responsibilities Daily staffing: Assigns nursing staff according to caseload, types of surgery cases, and staffing needs in accordance with Title 22. Knows the strengths of each staff member and works to provide ongoing training and mentoring as needed to bring all staff to similar levels of expertise in both the pre and post op care of surgery patients. Assigns and gives breaks and lunches. Steps in to assist when needed in all areas when there are sick calls or emergencies. Creates and maintains the six-week work and call schedule; coordinates with staff to insure accuracy and fairness. Maintains accurate daily and monthly checks for department: assigns daily check-offs including glucometer, crash cart, and others per unit policy. Responsible for overseeing the maintenance, restocking as needed, and outdates for crash cart, Malignant Hyperthermia carts, and Broselow carts Surgery daily flow: Leads and coordinates the inflow and outflow of patients; watches for delays of surgery and communicates to team and patient/family, as needed. Must maintain sight of the 'big picture' each day and make adjustments to room and nurse assignments as necessary. Keeps staff informed throughout day and conducts a daily huddle as needed to review the day and challenges. Communicates with anesthesiologists and surgeons concerning timing, delays, and any changes to the daily schedule. Writes the daily schedule on the tracking board as patients are admitted and works meticulously to keep the information current and updated. Maintains good working relationship with Clinical Coordinator/Charge - OR RN for coordination of care for all patients in all phases of the surgical process. Has frequent and effective communication throughout the day to expedite with accuracy and safety the daily workload. Assists with coordination of add-on cases including inpatients for timing, staffing, as well as communication out to all other necessary persons. Oversees the Nurse Navigation and Outpatient Infusion process and team: works with director to review workflow, suggest and implement changes. Direct oversight of the daily workflow of Unit/Nursing Assistant and all other ancillary resources coming to the unit. Assigns duties as needed. Oversees stocking of supplies and ordering of supplies for unit. Coordinates with admitting staff, volunteers and others for the smooth coordination of care for all SCU patients. Ensures a safe and productive work environment. Assists the director in providing ongoing training to staff and in collecting performance improvement data. Assists director with quality metrics and performance improvement for SCU. Provides feedback to the director and participates in hiring decisions and performance evaluations for SCU RN staff, Nurse Navigator, Perioperative Administrative Coordinator, and SCU Unit/Nursing Assistant. Provides leadership when the director is unavailable and acts as a role model to all staff Qualifications Education : Graduate of an accredited nursing program. BSN preferred. Experience : At least 2 years pre-op and/or P.A.C.U. experience; minimum 1 year leadership experience. Licenses & Certifications : Current California RN license; ACLS; BLS; PALS Required Skills & Knowledge : Strong communication skills; ability to multi-task with strong organization and coordination skills. Proficient on computer with skills in Microsoft Office and Outlook. Compensation Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package. Minimum: USD $62.94 Maximum: USD $86.54

Manager/Supervisor

Nursing Supervisor (Per Diem 12 Hour Night Shifts)

$76 - $104.50 / hour

Overview The Nursing Supervisor has 24/7 Administrative and Operational responsibility for the organization. They perform under the authority of executive leadership. Operationally, they are responsible for patient safety, quality, staff education and service excellence. The Nursing Supervisor is a fiscal steward for the organization collaborating with nursing and ancillary leaders in problem solving staffing roles and responsibilities. The Nursing Supervisor is able to cover nurse staffing in ICU, ED and Med/Surg. Responsibilities 24/7 operational and administrative oversight for the organization. The Nursing Supervisor acts independently in the absence of leadership and collaborates with the Administrator on Call, Nursing and Ancillary leaders as appropriate. Knows hospital strategic plan and aligns resources and objectives to achieve. Exhibits confidence in self and others; inspires respect and trust. Holds employees accountable to values, clinical standards, accepted behaviors and confronts unsatisfactory performance promptly and fairly. Provides developmental opportunities for continuous learning and skill building. Collaborates with leaders for education training initiatives for staff. Provides for safe and effective staffing of all nursing departments and respiratory therapy. Seeks to fill unplanned vacancies in staffing through collaboration with off duty staff and professional registries. Facilitates break relief and can relieve nursing personnel in ICU, M/S and the ED. Responds to Code Blue, RRT and Code Stroke Attends to plant operational issues (fire alarms, oxygen alarms, etc.) in timely manner and collaborates with engineer on call. Resets alarms and/or performs fire watch if indicated. Retrieves equipment and/or supplies as needed by nursing and/or ancillary departments Documents Nurse, RT and Hospitalist staffing in hospital computer system. Uploads nursing acuities in hospital computer system and determines appropriate staffing based on Title 22 staffing ratios and/or acuity calculation; whichever is greater. Knowledge of Title 22, CIHQ and CMS standards and conditions of participation. Emails End of Shift Report to Leadership Participates in performance improvement activities as it pertains to nursing department with focus on patient flow, staffing efficiency and resource utilization. Assures timely transfer of admissions from the Emergency Department to patient care areas. Assists Employee Health in determining compliance of, and administration of, seasonal flu vaccinations, mask fit testing , TB screening & questionnaire compliance. Role models service excellence behaviors: AIDET, rounding, monitors employee compliance to white boards and holds staff accountable to service excellence standards. Maintains certifications, provides staffing availability according to department policy, completes annual educational requirements During off hours, immediately assumes role of Incident Commander during identified disaster responses. Contacts Administrator on Call for further instruction. Maintains role until handed off to more senior administrator. Qualifications Education : Graduate of accredited RN program BSN or MS preferred Experience : 5 years acute care nursing experience. Critical Care/ED preferred 1 year or more Nursing Supervisor experience preferred Licenses & Certifications : California RN license, BLS, ACLS, PALS Required Skills & Knowledge : Able to assess, plan, implement and act independently in the day to day operations of the facility. This includes nursing and ancillary services and plant operations as well. The Nursing Supervisor is the eyes and ears of Administration and have demonstrated strong leadership and managerial ability. They maintain basic nursing skills in ICU, ED and Med/Surg. Compensation Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package. Minimum: USD $76.00 Maximum: USD $104.50

RN - Surgical Care Unit (Part Time, 24 hours per week M-Th)

$59.94 - $82.42 / hour

Overview SCU (Surgical Care Unit) RN is responsible for the preoperative preparation and recovering of all surgical patients. Responsible to act as an integral team member and keep patients moving through the unit in a safe, efficient, and timely manner. Able to apply critical thinking skills throughput the surgical continuum for each patient under their care. Skilled in post anesthesia recovery care of patient undergoing various types of procedures with different combinations of anesthesia. Responsibilities Opening and closing unit- turn lights on in Waiting Room, unlock front door, remove keys from Pyxis to unlock cabinets, prints daily schedule, gets charts out of cabinet and puts them in order. Checks each patient bay- Suction, airways, ambu bag, O2 tank. Performs QC glucometer. Assigns rooms for patient arrival. Prints H&P 's, orders labs and EKGs where appropriate. Proactively directs the patient plan of care from admission to discharge. Admits and assesses each patient in a timely manner. Follows hospital policies and procedures for patient and procedure verification including all necessary preoperative checks prior to patient going into surgery. Charts allergies and fall risk. Draws labs prn, starts IV prn, notes required documentation on chart and verifies accuracy and timeliness. Gives pre-op meds as ordered. Notes Physician's Orders. Records all medications given on the electronic health record. Provides comfort measures as needed. Safely logs patient belongings and whereabouts. Maintains good communication with patient and family, communicating wait times, delays, etc. Provides education to patients and family both pre-operatively and upon discharge in a manner that its easily understood. Ensures that case management referrals, if any, are completed prior to discharge. Works with Case Management and Social Services as necessary. Calls in prescriptions prn.Provides safe recovery from anesthesia and documents the recovery process. Demonstrates excellent patient assessment skills to initiate immediate post op plan of care. Notifies Anesthesia and the Surgeon of any untoward events during the recovery phase. Uses the Chain of Command as appropriate. Continually monitors patient condition. Asks for help when needed. Documents full assessment of patient according to procedure performed. Promotes a safe environment of care and culture of safety. Demonstrates an active commitment to continuous quality and performance improvement as well as own professional development. Participates in staff meetings and brings best practices to the unit for consideration. Participates in postop calls and communicates when follow-up is needed with Perioperative Coordinator SCU. Communicates patient and family concerns to Periop Coordinator SCU as needed Qualifications Education : Registered Nursing degree, BSN preferred Experience : 2 years experience in an acute Unit, 1 year critical care experience, preferably PACU related Licenses & Certifications : RN License, ACLS, BLS, PALS Required Skills & Knowledge : Strong organization, problem solving skills. Ability to manage priorities and workflow. Willingness to work within constantly changing priorities with enthusiasm and good will towards other team members. Computer literate. Effective communication skills. Compensation Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package. Minimum: USD $59.94 Maximum: USD $82.42

RN - Surgical Care Unit (Per Diem)