Hours
Shift Start Time:
Shift End Time:
Additional Shift Information:
Weekend Requirements:
On-Call Required: No
Hourly Pay Range (Minimum - Midpoint - Maximum): $52.560 - $65.190 - $77.810
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.
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 employee may be eligible for a $2500 Employee Referral Bonus.
Hours
Full-time; 12-hour shift; 7:00 PM - 7:30 AM; including every other weekend.
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
ACLS Certification (Advanced Cardiac Life Support) - American Heart Association - REQUIRED
NIH Stroke Scale (NIHSS) - Various - Employee provides certificate - REQUIRED
Pediatric Advanced Life Support (PALS) - American Heart Association - 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.
Summary
Sharp Grossmont Hospital's Emergency Room department is one of the most technologically advanced of its kind. We are the busiest community emergency department in San Diego County seeing approximately 110,000 patients a year treating a diverse population. We have been designated by the county as a STEMI center, due to implementation of new cardiac protocols meeting county and national guidelines for treating acute MI patients. Additionally, we have achieved Joint Commission Comprehensive Stroke Center status due to our focus on providing expeditious diagnosis and treatment of stroke patients. We are a level 1, gold accredited Geriatric ED. We have a helipad that receives patients with medical emergencies, such as snake bites, heat stroke, and heart attacks, from our rural cachement area. Currently, we run 43 acute care beds 24 hours a day, plus 21 minor care and observation beds that are open during high volume hours. In addition, we have a designated area of our emergency department focused on psychiatric care in partnership with our behavioral health unit. Opportunities for growth include MICN, advanced clinician and clinical lead.
New Hire Incentive Eligibility Requirements:
The following are not eligible for hiring incentives:
To remain eligible for your sign on incentive the following criteria must be met:
Must remain in original hired FTE status and shift (if specified in offer letter)
Must remain in original department/specialty.
Must remain in original Job Title
Transfers to a non-bonus eligible department or position may result in forfeiting remaining incentive bonus.
Employee Referral Incentive Eligibility:
Referral must list the name of the Sharp employee that referred them on the job application.
External referrals only
If referring a former Sharp employee – must be more than 12 months since last date of employment with Sharp Healthcare at the time of referral.
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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