Registered Nurse- Medical​/Sugical-N Night Shifts

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California.

• License/Certification
  
  Required:
  
  CA RN license, BLS.
• Preferred Education:
  
  BSN, MSN, or currently enrolled in RN-BSN program.

• Day:
• Night:

• The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers.
• Displays values; treats everyone respectfully.
• Identifies high risk patients and initiates intervention of 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 nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights.
• Utilizes nursing process – assessed via direct observation, peer reviews, audits, and documentation.
• Assessment – successful completion of Physical Assessment validation.
• Diagnosis, Planning, Outcome identification, Implementation, Evaluation.
• Uses 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 important for quality monitoring and formulates recommendations.
• Assists in development and implementation of policies, procedures, and practice guidelines.
• Participates on interdisciplinary teams that evaluate clinical practice or health services.
• 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, audits with others.
• Seeks improvement independently.
• Collaborates and communicates with patient/resident, family, and other healthcare providers.
• Utilizes peer review and observation.
• Monitors documentation for appropriate referrals.
• Formulates plan of care and involves patient/residents in decisions related to care and delivery services.
• Makes referrals, including provisions for continuity of care, as needed.

• Primary clinical resource for staff on assigned unit.
• Role model and mentor for staff.
• Acts as Nurse Manager Representative in absence.
• Provides leadership and support for staff through problem solving and decision making.
• Supports nurse preceptors and new employees during orientation.
• Provides input on employee evaluations.
• Ensures float staff receive orientation to the floor and feel welcome.
• Manages Staff and Patient flow: assigns staff based on abilities and patient needs.
• Assigns admissions and arranges transfers in coordination with Nurse Manager, House Supervisor and/or Bed Coordinator.
• Ensures shift report starts on time.
• Monitors breaks to provide adequate staffing.
• Determines staffing needs for next shift and communicates those needs.
• Assigns staff to ensure equipment checks completed.
• Coordinates care in high-risk/emergent situations and keeps Manager aware of critical patients.
• Ensures collaboration between staff, physicians, other providers and departments.
• Keeps lines of communication open.
• Ensures patient care issues are documented and reported.
• Ensures appropriate nurse completes a Statement of Concern.
• 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.

• Assigns patients to infusion chairs and initiates nursing intake.
• Educates patients on upcoming medications and therapies.
• Starts peripheral IVs or central venous access devices (PICC, Port-a-Cath) and administers infusions per physician orders.
• Monitors vital signs and patient status throughout treatment.
• Performs medication reconciliation and obtains patient history.
• Administers medications via IV, IM, SQ, PO; IV hydration, blood transfusions, dressing changes.
• Completes all infusion documentation, discontinues IVs, and provides discharge instructions.
• Maintains competency in IV therapy, infusion pumps, and emergency response procedures.
• Provides telephone triage and patient education on side effects, symptom management, and resources.

• Full-Time Benefit Eligible
• Work Shift Variable - 12 Hour Shift (United States of America)

$46.44 - $69.66 per hour.