Clinical Nurse II - Surgery - Sharp Tri-City - Variable Shift - Full Time

Sharp HealthCare; Oceanside (CA); On-site; USD 87,000 - 114,000; Full time

Job summary

Sharp HealthCare's Operating Room Registered Nurse (CN II) role supports the surgical team with expert perioperative care. The position requires CA RN licensure, BSN, BLS, and experience in a high-acuity OR or CVOR environment, with evidence-based practice and patient advocacy.

The CN II will coordinate with surgeons, anesthesia providers and staff, manage instruments and supplies, and mentor new grads while maintaining safety, infection control, and regulatory standards in a demanding surgical

Qualifications

• BSN required; CA RN license required.
• Two years CVOR/OR RN experience in high-acuity setting.
• AHA BLS Healthcare Provider certification required; CNOR preferred or equivalent.

Responsibilities

• Coordinate interprofessional team to deliver safe perioperative care.
• Perform preoperative assessments and perioperative care planning.
• Administer moderate sedation for Endoscopy procedures.
• Maintain aseptic technique and infection control; ensure patient safety.
• Mentor New Graduates and participate in quality improvement.

Skills

Perioperative care

Autonomous practice

Interdisciplinary teamwork

Patient advocacy

Education

Bachelor's Degree in Nursing

Associate's Degree in Nursing

CA RN license

AHA BLS Healthcare Provider

Job description

Hours

• Shift Start Time: Variable
• Shift End Time: Variable
• AWS Hours Requirement: 12/36 - 12 Hour Shift
• Additional Shift Information:
• Weekend Requirements: As Needed
• On-Call Required: Yes
• Hourly Pay Range (Minimum - Midpoint - Maximum): $63.000 - $73.060 - $83.130

This position is covered by a Collective Bargaining Agreement (CBA) with CNA.

What You Will Do

The Operating Room Registered Nurse (OR RN) at the Clinical Nurse II (CN II) level is a vital part of the surgical team, responsible for delivering high-quality, patient-centered care during the perioperative period. This role requires advanced competencies, specialized certifications, and a strong ability to function autonomously while collaborating with interdisciplinary team members to ensure patient safety and optimal surgical outcomes.

Required Qualifications

• Bachelor's Degree in Nursing
• Associate's Degree in Nursing with five years’ experience as a Registered Nurse in a high-acuity operating room in lieu of BSN.
• Experienced OR RN: Two (2) years of experience as a Registered Nurse in a high-acuity operating room.Or
• Experienced CVOR RN: Two (2) years of experience as a CVOR RN (CVOR RN position only).Or
• Transitional RN Program (Main OR only): Five (5) years of experience as a Registered Nurse in an ICU, ED or PACU setting.
• California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED
• AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED

Preferred Qualifications

• Scrub experience.

Other Qualification Requirements

• Current ACLS; American Heart Association Healthcare Provider certification. Current incumbents must obtain certification within 90 days of accepting position of Surgery CN II. - REQUIRED Certified Perioperative Nurse (CNOR) or equivalent certification. - PREFERRED

Essential Functions

• The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. Maintains a safe, clean working environment, including unit based safety and infection control requirements. Patient Care: Coordinate the interprofessional health care team to deliver safe, efficient, patient-centered, timely and equitable care to surgical patients. Conduct comprehensive preoperative assessments to identify patient-specific needs. Develop and implement individualized perioperative care plans. Monitor and evaluate patient responses intraoperatively, ensuring swift intervention as needed. Act as patient advocate and protect patient dignity and confidentiality. Administer moderate sedation for patients undergoing Endoscopy procedures. Evaluates effectiveness of care provided by all health care team members, including oneself, and contribution of systems, environment and instrumentation in progressing patients toward desired outcomes. Advocate for evidence-based practices in perioperative care. Serves as a liaison to the cardiac surgeons, anesthesia providers and department leadership. (CVOR RN position only) Surgical Support: Ensure proper handling of surgical instruments, equipment, and sterile supplies. Handle and document surgical specimens according to facility policy and physician orders. Anticipate the needs of the surgical team and maintain a seamless workflow. Responsible for inventory management, including, but not limited to, storage and distribution of all cardiac related items, notifying the CVOR RN Specialty Coordinator when supplies are low for reordering purposes. (CVOR RN position only) Safety and Compliance: Maintain a safe, clean working environment, adhering to infection control and hospital policies. Maintain strict adherence to aseptic techniques and infection control protocols. Comply with hospital and regulatory standards, including The Joint Commission, OSHA, and AORN guidelines. Adhere to facility policies to ensure safe surgical care, including, but not limited to, patient identification, pre-procedure verification, Universal Protocol, and prevention of unintended retained surgical items. Identify and report safety concerns; demonstrate willingness to address pervasive systemic issues. Documentation: Accurately document perioperative care, patient progress, and any intraoperative incidents in the electronic medical record (EMR). Professional Development and Leadership: Provide preceptorship and mentorship to New Graduate Nurses, New Hires, and students, fostering their professional development. Participate in professional development activities, including continuing education, certifications, workshops and quality improvement initiatives. Serve as a resource and advocate for best practices within the surgical services department. Function in the charge nurse or service line coordinator role as needed. Emergency Preparedness: Act decisively in critical situations, such as cardiac arrest or massive hemorrhage, demonstrating advanced clinical skills and composure under pressure.

Knowledge, Skills, And Abilities

• Demonstrated proficiency in handling complex cases across various surgical specialties. Must be able to circulate a variety of specialties (including, but not limited to: Neuro, Spine, HEENT, General, GYN, Vascular, Thoracic, Minimally Invasive, Robotic, Orthopedics).
• Proficient in operating advanced surgical equipment and technology.
• Strong understanding of surgical anatomy, physiology, and pharmacology.
• Expertise in managing sterile fields and ensuring adherence to surgical protocols.
• Rapid decision-making skills in high-pressure environments.
• Ability to prioritize tasks and adapt to dynamic surgical cases.
• Effective verbal and written communication with the surgical team, patients, and families.
• Strong interpersonal skills to support a collaborative team environment.

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