Registered Nurse-ICU-NICU

Job Overview Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, we offer state‑of‑the‑art medicine and high‑quality preventive services across our eight‑campus district, which includes 613 beds. Department: Neonatal ICU / NICU Shift: Night, 12‑hour shift Pay Range: $46.44 – $69.66 per hour Responsibilities The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co‑workers. Displays our values; treats everyone respectfully. Identifies high‑risk patients and initiates intervention in the ancillary department. Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a non‑judgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes the nursing process – assessment, diagnosis, planning, intervention, evaluation – as assessed via direct observation, peer reviews, audits, documentation. The nurse uses the results of quality‑of‑care/performance improvement activities to initiate changes in nursing practice: collects clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes. Assists in the development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care. Participates in QI studies, involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies problematic areas and recommends problem solving. Shares findings of studies and audits with others. Seeks improvement independently. Collaborates and communicates with the patient/resident, family, and other health‑care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals: formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. Makes referrals, including provisions for continuity of care, as needed. Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem‑solving and decision making. Supports nurse preceptors and new employees during orientation. Provides input on employee evaluations. Assures float staff receive orientation to the floor and feel welcome. Manages staff and patient flow: makes and adjusts staff assignments based on the abilities of staff and needs of the patient population. Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor, and/or Bed Coordinator. Assures that shift report starts on time. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the staff facilitator or nursing supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temperatures, red books and narcotic counts. Coordinates care in high‑risk/emergent situations and keeps the Nurse Manager, Director, or Nursing Supervisor aware of critical patients and any unit issues. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on the unit. Keeps lines of communication open. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Understands and utilizes the chain of command of Medical Staff and Kaweah Health. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed. Makes fiscally responsible decisions regarding staffing and use of patient supplies. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family - cultural, linguistic, spiritual, gender, and age‑specific needs. Can communicate effectively and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Qualifications CA Registered Nurse license. Basic Life Support (BLS). Neonatal Resuscitation Program (NRP) certification within six months of hire/transfer. Preferred: specialty experience or nationally recognized certificate or proof of specialty training program completion. Education preferred: BSN, MSN, or current enrollment in an RN‑BSN program. #J-18808-Ljbffr