Clinical Nurse RN - Medical Intensive Care Unit (MICU) - Sharp Memorial Hospital - Night - Full-time - Eligible for up to $10K in New Hire Incentives

Medical Intensive Care Unit (MICU) Opportunity

The Medical Intensive Care Unit (MICU) is a dynamic, high acuity 24 bed medical intensive care unit that provides patient-focused, family-centered care and promotes quality of life to all of its customers. Our interdisciplinary team delivers compassionate, individualized care using state-the-art and evidenced-based patient management techniques. The primary patient populations include Mechanical Assist Devices (i.e. LVAD, IABP), multisystem organ failure, acute MI/interventional cardiology patients, cardiac emergencies/arrhythmia, respiratory failure/ventilator management, sepsis and shock, renal failure/continuous renal replacement therapy (CRRT). The MICU achieved "Silver Beacon" status which is a designation conferred by the AACN to ICUs demonstrating clinical excellence. If you desire an atmosphere of continual learning that is challenging and stimulating, this is the place for you!

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

Other Qualification Requirements

• NIHSS is required within 90 days of hire.

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.

Bonus

Qualified external candidates may be eligible for a $5K Sign-on Bonus and $5K Relocation Assistance

Sharp employees may be eligible for a $2500 Employee Referral Bonus

New Hire Incentive Eligibility Requirements:

• One year of related experience for all hires

The following are not eligible for hiring incentives:

• Current Sharp employees
• Rehires/Reinstates that are rejoining the organization less than 12 months from last date of employment with Sharp Healthcare

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.