Nursing Jobs in Napa, CA

RN - Surgical Care Unit (Per Diem)

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 $68.93 Maximum: USD $94.78

RN - Med/Surg (Per Diem)

Sonoma Valley Hospital Sonoma, CA

Overview The Registered Nurse (RN) is an integral part of the patient care team. The RN assists in the delivery of high quality, individualized patient care. The RN autonomously practices within the scope of RN licensure as defined by the California Board of Registered Nursing, and the Nurse Practice Act. The RN advocates for patients and their families, the care team and the organization. The RN designs and carries out the plan of care utilizing the nursing process of assessment, diagnosing, planning, implementing and evaluation. Responsibilities Is aware of patient presenting problem, and past medical history. Completes head-to-toe assessment and gathers relevant patient data (vital signs, labs, etc.) to gain clear understanding of patient status. Monitors for improvement or deterioration of status and intervenes as appropriate. Notifies MD of changes in status. Accurately and safely administers medications per orders; scans 90% or more of all administered medications. Titrates infusions per organizational protocols. Assesses and documents patient response per policy. Functions as part of an interdisciplinary team by working collaboratively with physical therapy, case management, respiratory therapy, nutrition, pharmacy and the MD; attends interdisciplinary rounds and reports nursing specific knowledge and assessment data to the team. Advocates for the patient and family. Facilitates communication between disciplines, the patient and family; utilizes the patient white board as a communication tool and ensures it is complete and up to date at the start of each shift. Provides a hand-off that is concise and accurate, and utilizes an SBAR format. Ensures hand-offs include a bedside check for safety and patient belongings, chart check for new orders and results, and items needing follow-up Is familiar with organizational goals relating to patient 5 Star experience, and has a basic grasp of HCAHPS scores and Service Excellence. Models professional behaviors Supports a safe and healing environment for each patient by keeping rooms neat and tidy, and free from clutter. Ensures all patient safety interventions are in place at all times - such as keeping the call light and patient belongings within reach of the patient; bed/chair alarms are on and functioning; and/or all other patient specific safety interventions are in place. Recognizes importance of customer service, is welcoming and friendly. Assists and guides visitors as needed, answers the phone with a professional manner and tone. Is sensitive to cultural differences and treats all people with respect and compassion. Maintains a professional personal appearance and manner at all times, in accordance with SVH policy. Supports a healthy working environment by volunteering discretionary effort constantly, is curious and not judgmental, maintains a positive attitude and fosters a spirit of teamwork among all disciplines. Seeks solutions and engages in problem-solving, avoiding gossip and negativity. Offers expert teaching and advice to all members of the team. Supports a safe working environment by keeping hallways and workstations free of equipment and clutter. Puts equipment and unused supplies away when no longer needed. Submits work orders for faulty or broken equipment to appropriate team (Biomed, Engineering, IT). Cleans and disinfects equipment per SVH Infection Prevention policy. Performs hand hygiene before and after every patient interaction and when hands are visibly soiled. Reports unanticipated events as appropriate via the Midas System Has basic understanding of the impact of healthcare reimbursement on revenue; practices financial stewardship by not overusing or wasting supplies; practices good time management to avoid incidental overtime; completes accurate documentation in a timely manner, particularly as it pertains to the discharge process, to ensure appropriate charges are captured as needed. Supports throughput efforts for timely transitions of care Maintains personal responsibility for keeping all employment requirements in good standing, including but not limited to California license to practice, BLS certification, annual employee health requirements and annual employee education requirements (i.e.Healthstreams, skills lab.) Qualifications Education : Graduate of an accredited nursing program. BSN preferred. Experience : Minimum of 2 years of Acute Care experience, with additional experience in telemetry Licenses & Certifications : Current RN license by the State of California; Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) by an American Heart Association approved provider. Required Skills & Knowledge : Proficient computer skills, strong critical thinking and analytical skills, multi-tasking and time management skills. Ability to provide care that is thorough, compassionate, and non-judgmental. 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 $65.65 Maximum: USD $90.27

Nursing Supervisor (Night Shift, Part Time, 24 hrs per week)

Sonoma Valley Hospital Sonoma, CA

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