RN II – Intensive Care Unit *Up to $20,000 Hiring Bonus*

We are looking for a Registered Nurse II for the Intensive Care Unit Department at Mission Hospital Regional Medical Center.

Up to $20,000 Hiring Bonus for eligible external candidates who meet all conditions for payment.

Location: Laguna Beach, CA

Work Schedule: Full Time
– 72 Biweekly Hours

Shift: 12-hour, Nights

Job Summary:

The RN independently uses the nursing process to safely, therapeutically and efficiently care for a group of patients.

Uses information from a variety of sources to assess, plan, implement, identify outcomes and evaluate patient’s plan of care.

The Clinical Nurse II oversees the duties and competencies of the healthcare team; these include the performance of nursing assistant duties, and in specified departments basic respiratory, phlebotomy, cardiology, clerical, food service, and environmental services duties as applicable.

The Clinical Nurse II will practice in accordance with all regulatory, professional, legal, and hospital policies.

Essential Functions

CLINICAL PRACTICE: The practitioner is accountable to recognize the health and quality of life needs of patients, family, and community and to collaborate with them to achieve mutually agreed upon goals.

The practitioner utilizes his/her specialized skills and scientific knowledge to design collaborative and integrated care that binds together all resources in a goal oriented movement toward health.

Components of clinical practice are competence, evidenced based practice/continuous quality improvement, advanced practice nursing, and practice standards.

Provides a safe environment specific to age and development of the patient.

Provides safe environment specific to age and development of patient population served.

Adheres to all safety policies and procedures.

Identifies safety issues or hazards in the work environment and communicates deficiencies appropriately.

Develops ongoing plan for self-development.

Demonstrates knowledge of standards of care for patients in daily practice including knowledge of procedures for high-risk patients.

In addition can verbalize knowledge that standards of care/procedures are research based.

Develops and completes annual plan with nurse manager/designee including time frame for obtaining necessary skills/education.

Verbalizes current knowledge of the standard of practice in their nursing specialty.

Seeks opportunities to be taught, coached and mentored.

Seeks information regarding specialty certification (Verbalizes knowledge that the opportunity exists in specialty).

Assists in creating an environment that promotes educational growth opportunities for peers.

Assesses team members, students, and orientee’s use of newly learned skills in the work setting per established standards of care and standards of practice (Looking at competencies, skills in accordance with standards of practice).

Designs learning opportunities for team members, students, and orientees in acquisition of skills (Seeks information from staff on educational needs, participate with educator, advanced practice, Clin III or Clin IV in filling the needs).

Assures quality through application of policy, procedure, standards of care, clinical pathways and protocol changes.

Demonstrates awareness of literature in the area of evidence-based practice (Ability to verbalize names of relevant journals and is able to access them).

Acts as a resource to other team members when clarification is needed (Brings in articles that are of interest to share with peers – especially important for unusual or high risk patients).

Questions orders that deviate from usual standard of practice.

Incorporates performance improvement recommendations into clinical practice (Ability and willingness to carry our recommendations
– for example from implementation of new product or technology, new practice from literature review recommendations).

Participates in data collection for research/studies as directed (Collects pt data for research, chart review).

Maintains clinical competence.

Maintains knowledge of nurse practice act (Knowledge of RN, LVN and CNA scope).

Demonstrates and maintains competence in required hospital wide and service specific competency programs (Participation in skills day, specialty competencies i.e.

fetal monitoring, oncology certification, TBI competency).

Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served including knowledge of the principles of growth and development, psychosocial characteristics, and interventions for age-specific requirements of the assigned unit (Evaluation of staff members nursing care plans).

Utilizes nursing process to perform a comprehensive, age-specific assessment of patient and family needs.

Performs a comprehensive patient/family physical assessment on assigned patients demonstrating the ability to integrate cultural, psychosocial and spiritual needs of the specific population served.

Identifies trends in patients’ clinical course, assesses proactively, when necessary.

Utilizes an interdisciplinary approach to assessment.

Serves as a clinical resource in the development of basic assessment skills interventions.

Identifies formal teaching needs for specific patients/ families and communities.

Includes ability to go beyond items on the pre-printed teaching record when needed by patient.

Identifies teaching goals with patient/family and utilizes resources to develop complex, interdisciplinary teaching plans.

Identifies ongoing needs and makes referrals utilizing community resources.

Assures that patients/families have acquired all necessary skills and referrals for post-hospitalization.

Utilizes nursing process to develop and revise plan of care.

Obtains resources and collaborates with other departments regarding teaching needs (audit of teaching record).

Identifies and selects appropriate patients for patient care conferences (Number of patients ID for pt conferences).

Initiates discharge planning upon admission and facilitates the discharge plan based upon the patient’s continuing care needs.

Plans for interventions that minimize complications and life-threatening situations.

Participates in interdisciplinary conferences (Number of conferences attended).

Implements safe and therapeutic care for patients.

Implements plan of care for patients of moderate complexity.

Re-prioritizes as necessary to adapt to changing patient condition, work environment and patient assignments.

Responds to individual/cultural differences in patient/family care.

Evaluates patient assessment, planning and implementation in relation to intended goals and progress toward expected outcomes.

Involves the interdisciplinary team in evaluating the patient’s/family’s progress toward attaining expected outcomes.

Utilizes ongoing assessment data to revise the diagnoses, outcomes, and plan of care as needed.

Evaluates the effectiveness of interventions and the patient’s response in relation to outcomes.

COLLABORATION: The process whereby the health care team plan and practice together as colleagues working interdependently within the boundaries of their scope of practices using shared values and mutual respect for each others’ contribution to care for individuals, their families and communities.

Major elements include non-hierarchical relationships and intra-inter professional collegiality.

Facilitates patient care through effective communication.

Communicates patient condition/care changes to charge nurse, supervisor, medical staff and other team members.

Completes shift report and documentation in a timely manner.

Anticipates and is prepared to present information to patients and families regarding plan of care.

Responsible for accurate, complete, and individualized documentation of patient assessment, goals, plan of care, interventions and care provided, as well as patient’s progress toward discharge goals.

Develops and maintains therapeutic and effective relationships with patient/family and the health care team.

Demonstrates team spirit and readily offers assistance to team members.

Establishes effective working relationships with colleagues, physicians and healthcare team (Demonstrates good communication and collaboration skills that promote positive outcomes for patients).

Demonstrates involvement of with patients and families in care (Appropriate use of referrals as demonstrated on the Multidisciplinary Teaching Record).

Demonstrates honest and direct review of peers with an effort to influence change positively (Is feedback constructive and positive?).

Tactfully handles difficult situations, resolving differences in a constructive manner.

Demonstrates and reinforces professional behavior in self and colleagues (i.e.

being on time, available to cosign waste, encourages others growth, encourages private handling of issues wit