Sp Unit Charge RN - Hospital (Operating Room)

Job Summary:

Functions as a Lead of the healthcare team, coordinates departmental operations that ensure quality patient care in a safe, healing environment that is patient and family centered. Demonstrates responsibility and accountability for own professional practice. Has appropriate clinical skills to be an expert resource. Is available and supportive to employees and understands priorities/needs of the department. Is a staff role model for professional nursing practice. May recommend to management in efficient resource allocation by assuring appropriate patient assignments, staffing, and scheduling. Demonstrates performance consistent with the strategic plan of the organization and the KP nursing mission and values.

Essential Responsibilities:

The Charge Registered Nurse demonstrates proficiency by exhibiting the following skills, competencies, and behaviors:

Leadership:

Directs reviews, assigns and organizes the work of at least three (3) or more employees, of which at least one (1) must be another Registered Nurse.

Applies the KP Nursing mission, vision, values and behaviors in daily practice. Understands needs and sets priorities for the department.

Provides professional leadership and direction of department personnel in order to maintain efficient delivery of effective patient care.

Coordinates departmental operations and delegates tasks appropriately. Is an excellent staff role model for professional nursing practice (e.g. RN/MD Collaborating for Outcomes, Just Culture, Quality, Service, Safety). Supports and enhances the leadership skills of the staff RNs, LVNs and UAs/CNAs (and other ancillary staff as appropriate).

Upholds compliance with Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, applicable state and federal laws and regulations, and accreditation and licensure requirements.

Upholds the standards of the California Nurse Practice Act, American Nurses Association

(ANA) Standards of Nursing Practice, and ANA Code of Ethics for Nurses.

Champions new ideas; Actively collaborates with others through the change process.

Acts as a resource, preceptor and mentor to new employees, registry, students, and other team members in department specific operations and patient care activities.

Collaborates with or refers to manager/clinical nurse specialist/educator any outstanding issues or concerns on the unit. Demonstrates ability to identify and resolve problems in collaboration with work team and with other departments.

Ensures compliance with regulatory requirements, policies, procedures, and standards of practice.

Participates in activities related to patient flow, including admission and discharge processes. Facilitates inter-professional/interdisciplinary communication and collaboration.

Nursing Process:

Serves as a resource for clinical concerns, scope of practice and applicable state and federal regulations as well as operational concerns of providers and staff. Possesses experience and skills to be a resource for providers, RNs, LVNs, USs/CNAs, (and other ancillary staff as appropriate).

Demonstrates flexibility in work schedule to meet the department demands of the day; facilitates and relieves staff breaks.

Actively involved in assigning, orienting, and precepting and coaching staff as needed.

Documentation:

Conducts audits and ensures that documentation reflects thorough assessments, incorporates physical and psychosocial findings, diagnostic tests, learning needs, barriers, multidisciplinary education plans and age appropriate care.

Clinical Outcomes:

Participates/leads various aspects of department operations, staff competencies, department committees, Unit Based Teams (UBTs), new projects, quality efforts, and educational programs.

Demonstrates knowledge of patients specific conditions commonly seen in the department and care required. Interfaces with leadership, peers, physicians, other healthcare providers, and support staff regarding performance, as necessary.

Actively participates, champions and motivates other staff in quality improvement in patient care, workflow, and improvement in clinical initiatives and working conditions of the department. Provides input on employees performance evaluations through daily observation and monitoring of performance.

Workplace Safety:

Adjusts staffing needs of the department to assure quality patient care, patient and staff safety, efficiency, productivity and working conditions of provider and staff. Actively models Labor-Management Partnership (LMP) Workplace Safety principles and practices.

Patient Care Experience/Customer Service:

Acts as a role model for staff regarding providing a patient care experience that exceeds members expectations.

Ensures timely and appropriate management of patients.

Coordinates smooth transition for patients across the care continuum. Participates in daily leadership rounds, documents rounding activities on unit rounding logs (as appropriate.). Assures hourly rounds are conducted by staff. Where appropriate, assures hourly rounds are documented according to unit/facility policy or guidelines.

Team Commitment:

Ensures support of the collaborative LMP environment through unit based teams (UBTs). Identifies and supports staff professional/clinical development needs (i.e. certification, presentations, reward/recognition).

Motivates staff to attain their fullest potential in improving performance, attendance, access, service and quality outcomes. Lead/facilitate daily/shift multidisciplinary huddles. Assures huddle messages are consistently communicated. Confronts difficult or conflict situations constructively and seeks appropriate assistance.

Fiscal Responsibility:

Participates in resource allocation (assignments, scheduling, staffing, equipment/supplies management). Collaborates and assists with leadership, physicians, and peers in staffing, workflow and throughput to promote quality patient care, patient and staff safety, efficiency, productivity and working conditions of providers and staff.

Professional Development:

Attends Charge Nurse Educational programs. Takes responsibility for professional growth and development.

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$43.51 - $68.56 / hour

Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical offers a range of primary, specialty, and multi-specialty services including high-risk pregnancy care, inpatient psychiatric services integrated with county mental health programs, and a growing network of outpatient clinics providing personalized patient-centered wellness care. Kern Medical cares for 15,500 inpatients and 125,000 clinic patients a year. Career Opportunities within Kern Medical include many benefits such as: New Hire Bonus : $6,000.00 (eligible with +1 years of RN experience) New Hire Premium : +6% of base rate of pay, matched up to 6% if contributed to Deferred Compensation Plan. Shift Differential Pay : P.M. shift (7:00 PM - 7:30 AM) = 10% of base pay. A Comprehensive Benefits Package : includes Holidays, Paid Time Off, Retirement, Medical, Dental, Vision and Life Insurance. Position : Registered Nurse - Emergency Department - Full Time - Shift Compensation The estimated pay for this position is $43.5114 to $68.5608 . The rates shown include a 6% premium pay (base= $-$ plus 6%). This reflects only a portion of the total compensation package for this position. Additional compensation may be available for this role through differentials, incentives, and bonuses. In addition, this position may be eligible for participation and company contributions into the Kern County Employees’ Retirement Plan. Distinguishing Characteristics: This classification ranges from novice nurse with limited knowledge and skills to expert nurse with advanced knowledge and skills, and the ability to perform work with minimum supervision. It is designed to accommodate the expanding experience of the Registered Nurse (RN) resulting in the ability to orient nurses with limited experience and re-entry nurses to current clinical practice. The HSN is expected to be committed to enhancing the profession of nursing, actively seek to improve their professional practice, contribute to the professional development of others, demonstrate caring-healing practices and promote the vision and goals of the organization and Department of Nursing. All nursing clinical practice will be evaluated and governed through the Chief Nursing Officer (CNO) and/or their RN designee. Essential Functions: Creates and sustains an environment that supports compassionate caring through authentic presence with the patient and family, building trusting relationships, creates connections that embrace mind, body, spirit modalities to mobilize the patient’s strengths and abilities toward healing. Collects and documents data for assigned patients according to prescribed methods. Interprets assessment data to determine whether patient has physiological and/or psychosocial risk factors, records and reports variances from normal parameters. Collaborates with the patient, family and members of the healthcare team to develop individualized plan of care based on existing and potential patient problems, observable patient responses. Implements nursing and physician orders safely Uses education, experience and interpretation of assessment data to prioritize appropriate nursing actions; Establishes nursing diagnoses, uses appropriate resources to formulate a written plan of care; evaluates the effectiveness of nursing interventions and revises patient care plans, as necessary. Anticipates and effectively manages rapidly changing situations by rapid grasp of changes in patient status and problem situations. Prioritizing and responds quickly and appropriately to identify the need for and activation of emergency protocols and assistance. Performs and documents the nursing process consistent with scientific principle and hospital policy as required by patient assignment using critical thinking and nursing judgment. Implements the medical and nursing care plans and coordinates patient care activities with nurses, physicians and Advanced Practice Providers. Partners with the patient/family to assess learning needs, priorities and level of understanding and co-develops plan. Designs teaching methods and plans accordingly; follows through on teaching plans developed to instruct patients and their family members regarding; testing, procedures and disease process; knowledge and skills essential to coping with illness, and promotion of optimum health. Coordinates and participates in patient care rounds and conferences. Understands team dynamics and collaborates effectively within the care team. Contributes to team building through participation in unit programs and meetings; contributes to positive morale, using constructive and effective conflict resolution skills. Assists with training staff members and orienting new staff; works collaboratively with clinicians to manage patient care. Assures quality of care by adhering to therapeutic standards and evidence-based practices, measuring outcomes against patient care goals and hospital or regulatory standards. Provides safe care to patients and protects employees by adhering to approved infection control policies and protocols, medication administration and storage procedures and controlled substance regulations. Participates in staff meetings, professional governance councils (unit or organizational level), evaluation and standards development for nursing practice, nursing recognition and well-being activities. Completes all competencies, mandatory classes and educational coursework as required by the Department of Nursing. Attains knowledge and competence that reflects current nursing practice. Demonstrates commitment to lifelong learning. Adheres to hospital-approved policies and procedures. Adheres to RN scope of practice, as defined by BRN licensure. Is knowledgeable of and is compliant with ANA Code of Ethics, ANA Scope and Standards of Practice, and KMC Professional Practice Model Monitors own practices and assists in monitoring others for practices related to patient and employee safety and compliance to standards and policies. Looks for opportunities for continual improvement in patient care and the work environment. Demonstrates clinical knowledge and skill in the care of populations served by Kern Medical facilities. Other Functions: Performs other job-related duties as assigned. Trains staff members, orients new staff and serves as a mentor to staff as an experienced clinician and manager of care. Employment Standards: Graduation from an accredited registered nursing program with a Bachelor or Associate’s degree preferred, and a valid and unrestricted license issued by the State of California to practice as a Registered Nurse; Or Possession of an active temporary license issued by the State of California to practice as a Registered Nurse. Employees must maintain all health requirements designated by Kern Medical Center. Possess and maintain a current American Heart Association Healthcare Provider Basic Life Support (BLS) card. Depending on assignment, incumbents may be required to possess and maintain specific certificates of competency or complete designated education as a condition of employment. Knowledge of: Theory, techniques and practices of nursing; medical terminology, instruments and equipment; the uses and effects of medicines and narcotics. Skill in: Following oral and written instruction and maintain concise and complete records. Demonstrate the practical and theoretical knowledge of nursing care specific to the assigned work area/specialty; meet the content and performance criteria specific to each defined specialty, including the nursing process, leadership/professional development, and unit operation; demonstration of standard techniques of record maintenance and report writing; using computers and related software applications; keyboarding and using standard office equipment; follow oral and written instruction; communicate both orally and in writing sufficient to exchange or convey information and to receive work direction; prepare and maintain concise and comprehensive required records and reports; establish and maintain effective work relationships with staff, other hospital employees, patients and their families; dependent upon area of practice or department assignments, demonstrates clinical knowledge and skill in the care of populations served by Kern Medical facilities. Supplemental: A background check may be required for this classification. All Kern Medical employees are designated “Disaster Service Workers”. In the event of a disaster or civil disorder, all Kern Medical employees are to remain at work or to report to work in a safe and practicable manner. If position responsibilities require driving a personal vehicle, then possession of a current valid California Driver’s License and adherence to the Kern County Hospital Authority Vehicle Use and Driving Standard Policy (ENG-EC-119) is required. If position responsibilities require driving a vehicle owned, leased or rented by Kern Medical, then possession of a current valid California Driver’s license, a signed authorization for Release of Drivers Record Information and adherence to the Kern County Hospital Authority Vehicle Use and Driving Standard Policy (ENG-EC-119) is required.