Registered Nurse-Cardiovascular ICU-CVICU-part time

Position

Team Leader – Cardiovascular ICU (CVICU) – 6030 – Variable 12‑Hour Shift (United States of America)

• The nurse's practice is guided by the Code of Ethics.
• Professional behavior including interactions with co‑workers.
• Displays values and treats everyone respectfully.
• Identifies high‑risk patients and initiates intervention with ancillary departments; makes ethical decisions on behalf of patients/residents.
• Maintains patient confidentiality within legal and regulatory parameters.
• Acts as patient/resident advocate and assists patients/residents in developing self‑advocacy skills.
• Delivers care in a non‑judgmental and nondiscriminatory manner that preserves patient autonomy, dignity, and rights.
• Utilizes nursing process – assessment, diagnosis, planning, implementation, evaluation – as assessed by direct observation, peer reviews, audits, and documentation.
• Uses quality‑of‑care and performance‑improvement data to initiate changes in nursing practice: collects clinical data to monitor quality and effectiveness of care.
• Identifies aspects of care 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 related to patient/resident care.
• Participates in QI studies as part of task forces or committees.
• Implements suggestions for improving outcomes based on unit study results.
• Independently identifies problematic areas and recommends problem‑solving strategies.
• Shares findings of studies and audits with others.
• Seeks improvement independently.
• Collaborates and communicates with patients/residents, families, and other health‑care providers.
• Utilizes peer review and observation.
• Monitors documentation for appropriate referrals; formulates the plan of care and involves patients/residents in care decisions.
• Makes referrals, including provisions for continuity of care, as needed.

• Primary clinical resource for staff on the unit.
• Role model and mentor for staff.
• Acts as the Nurse Manager representative in absence.
• Provides leadership and support for staff through effective problem solving and decision making.
• Provides guidance and support for nurse preceptors and new employees during orientation; contributes to employee evaluations.
• Assures float staff receive orientation to the floor and feel welcome.
• Manages staff and patient flow: creates and adjusts staff assignments based on staff abilities and patient needs.
• Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor, and/or Bed Coordinator.
• Ensures shift report starts on time and monitors breaks to maintain 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, narcotic counts).
• Coordinates care in high‑risk or emergent situations and keeps leadership aware of critical patients and unit issues.
• Ensures collaboration among staff, physicians, other providers, and departments involved in patient care.
• Maintains open lines of communication and documents patient‑care issues for reporting.
• Assures the appropriate nurse completes a Statement of Concern.
• Understands and utilizes the medical staff and Kaweah Health chain of command.
• 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 knowledge and skills to provide appropriate care for the unit’s population, including cultural, linguistic, spiritual, gender, and age‑specific needs.
• Effectively communicates and cares for patients and families as reflected in the Plan for Provision of Care.
• Performs other duties as assigned.

• CA Registered Nurse license.
• BLS and ACLS certification within one year of hire or transfer.
• Preferred education:
  
  Bachelor of Science in Nursing (BSN), Master of Science in Nursing (MSN), or enrollment in an RN‑BSN program.

$46.44 – $69.66 per hour.