Travel Registered Nurse RN Medical Surgical

Medical-Surgical nurses provide direct care to adult patients in a variety of settings and is the largest group of nurses. They provide care for patients often with multiple diagnoses, across multiple medical specialties.

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Med-Surg

19 hours ago

Staff RN - Hospital - Med/Surg - Zion

Kaiser Permanente San Diego, CA

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent with the Medical Center Vision, Mission, and Strategic Plan of the organization. Remains flexible to changing systems; is expected to demonstrate quality and effectiveness in work habits and clinical practice; and treats co-workers, patients, families, and all members of the health care team with dignity and respect. Essential Responsibilities: The Registered Nurse demonstrates proficiency by exhibiting the following skills, competencies, and behaviors: Leadership: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws. Serves as a leader of the health care team; delegates tasks appropriately, and demonstrates appropriate accountability. Understands own and team members scope of practice and escalates issues as appropriate. Demonstrates professional, supportive behavior. Champions new ideas. Leads and directs others through the change process. Utilizes communication strategies including chain of command and issue escalation, which result in intended outcomes. Participates in problem identification and resolution. Mentors, orients, and coaches others in unit specific operations and patient care activities Shares responsibility and authority with subordinates and holds him/her accountable for performance. Demonstrates ability to problem solve with other departments in order to assist member problem resolution. Prioritizes, delegates, and supervises work assignments appropriately to ensure completion of patient care activities. Complies with regulatory requirements, policies, procedures, and standards of practice. Nursing Process: Develops and/or contributes to the individualized plan of care that reflects assessment, planning, implementing, and evaluating the outcomes of that plan. Ensures plan shows multidisciplinary planning, consultation, and education. Ensures plan is reflective of admission or outpatient database, on-going findings, age appropriate care, cultural specific needs, and appropriate acuity. Ensures plan is discussed with patient, family/significant others, and completed in a timely manner. Monitors the patients progress based on the plan. Revises plan on ongoing basis based on patient condition and evaluation of progress. Ensures care meets standards of practice. Ensures effective development and completion of discharge plan including discharge barriers and patient/family education. Ensures that patient clearly understands discharge instructions. In outpatient, identify barriers and needs for patient/family education that will facilitate the outpatient medical management plan. Ensures patient safety related but not limited to, medications and procedures utilizing the five rights; patient falls; decubitus prevention and prevention of nosocomial infections. Ensures optimal pain control and patient comfort; identifies and discusses patient anxieties, fears or concerns regarding patient condition, treatment or discharge. Ensures that patient understands medication purpose, side effects, and administration instructions in the hospital as well as at the time of discharge . Documentation: Charting is accurate, legible, dated, and timed. Documentation reflects nursing process and interventions and evaluations taken. Utilizes computer systems effectively and efficiently for optimal patient care. Clinical Outcomes: Discusses patient findings and progress toward outcomes with physicians and other members of the health care team. Demonstrates competencies during the probationary period and ongoing completion by departmental competency validation. Make comprehensive nursing decisions based on interpretation of data, assessments, and evaluations of patient outcomes. Participates in departmental performance improvement activities, i.e., planning, measuring/monitoring, assessing, and improving. Workplace Safety: Adherence to LMP Workplace Safety principles and practices. Applies standard precautions; maintains a safe environment for self and others Patient Care Experience: Practices customer service standards as defined by the Service Area, Medical Center, and specified department. Promptly answers call lights, alarms, and patient requests. Makes appropriate referrals and facilitates the customers ability to utilize resources. Maintains and protects patient confidentiality Ensures clean, orderly, and functional work environment. Treats all families of patients with courtesy, respect, kindness and compassion. Provides an optimal patient care experience by actively listening to the needs of patients and family members and taking responsibility for meeting those identified needs. Gives patients information in a way they can understand and ensures comprehension. Provides a patient care experience that exceeds members expectations. Team Commitment: Viewed by others to be an effective team member who is flexible, cooperative, and willing to assist others. Confronts difficult or conflict situations constructively and seeks appropriate assistance. Takes accountability for own actions and accepts constructive criticism. Acts as a resource, preceptor, and mentor to new employees, registry, students, and other team members. Attends all mandatory meetings, in-services and staff meetings as required, actively participates in other departmental professional development. (Requirement may vary for per diem staff). Participates with the assessment of current and future unit learning needs and development of an annual education plan. Keeps self informed of activities on the unit and makes recommendations for change. Adheres to Attendance Program. Reports to assigned area promptly, being present and available for report at beginning of assigned shift. Supports a collaborative Labor-Management Partnership environment through unit based teams. Fiscal Responsibility Organizes work to minimize the use of overtime. Identifies and assists in systems improvement that needs simplification or correction. Utilizes payroll and non-payroll resources to their maximum potential.

Clinical Nurse RN - Float Pool Med-Surg - PCU - Short Stay Observation - Physical Acute Rehab Units - Sharp Metro Campus - Day – FT

Sharp HealthCare San Diego, CA

$64.21 - $93.76 / hour

Hours : Shift Start Time: Shift End Time: AWS Hours Requirement: Additional Shift Information: Weekend Requirements: On-Call Required: No 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. There are 4 open positions associated with this requisition 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 NIH Stroke Scale (NIHSS) - Various-Employee provides certificate -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

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