SNF - Staff Nurse

• Location 300 Canal Street,King City, CA, 93930,United States
• Base Pay $58.84 - $78.89 / Hour
• Job Category Nursing
• Employee Type Full-Time Regular
• Required Degree 2 Year Degree
• Manage Others No

JOB SUMMARY:

Performs the nursing process through assessment, planning, intervention and evaluation of safe therapeutic care for
patient’s overt and covert needs and/or complications of treatment during assigned shift. Employee will individualize patient care
based upon age appropriate and developmental needs. Should be able to demonstrate the knowledge and skills necessary to provide
care appropriate to the age of the patients on the employee’s unit. Provides direction to ancillary members of the healthcare team.
A Staff Nurse I has less than one year of experience in an acute care facility in the last five years. Employee will successfully complete
Staff Nurse I orientation within 6 months and be promoted to Staff Nurse II, unless otherwise noted in the Collective Bargaining
Agreement.
PERFORMANCE DIMENSIONS AND TASKS
Essential Function
1. Collects and documents data about patients through the following methods:
a. Interviews the patient or other significant source and completes appropriate history/assessment information on patient’s
clinical record within 24 hours of admission
b. Legibly documents symptoms that indicate risk on clinical record in a legible manner
c. Incorporates nursing diagnostic data into written assessment.
d. Documents information from family, other nurses and physicians in the written assessment.
2. Documents patient problems requiring nursing interaction.
a. Documents identified problems using nursing diagnosis including patient teaching needs and discharge planning on
patient’s clinical record.
3. Develops and contributes to a plan of nursing action based on existing problems and obtainable patient response.
a. Develops and contributes to the nursing care plan using nursing process.
b. Records patient response on care plan and clinical record
c. Incorporates medical plan of care when developing nursing care plan
4. Utilizes resources (patient, family, nurses, physicians, and written material) to formulate the written plan of care
a. Uses resources when formulating a written plan of care and involves patient and family in care plan formation.
5. Communicates the plan of care by using methods that include action plans, goals and time frames.
a. Updates care plans using nursing diagnosis and outcome criteria.
b. Aware of time frames when carrying out medical/nursing plan of care
c. Uses shift report to communicate changes and response to care.
d. Documents patient responses in patient records
6. Implements safe therapeutic care for patients.
a. Documents and sets priorities for care of patients based on acuity, need, or patient preference.
b. Safely performs and documents nursing interventions required by the patient assignment consistent with research-based
principles and MMHS policy
c. Carries out and documents the medical and nursing care plans for said patients and coordinates patient care activities
with nurses and physicians and other healthcare team members
d. In response to information/data indicative of acute risk and documents the action.
e. Seeks out appropriate resources.
New 3.14.2025
f. Explains tests, procedures, and disease process to patient/family. Follows through with teaching plan about information
by instructing patient/family and skills essential to understanding and coping with illness and for the promotion of optimal
health and as it applies to the discharge process.
g. Assesses patient/family level of understanding and documents on clinical records.
h. Participates effectively in Code procedures.
i. Ensures that patient is reassessed, as status requires.
7. Participates in the evaluation and review of patient care.
a. Evaluates the effectiveness of nursing interventions in relation to intended goal.
b. Participates in patient care conferences.
c. Documents patient response to care in nurses notes
d. Revises patient care plans based on evaluation of effectiveness of interventions.
8. Participates in staff teaching and development
a. Provides both formal and informal teaching activities to promote…