Registered Nurse-Per Diem

kaweahhealth; Visalia (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

Kaweah Health in Visalia, CA seeks an experienced registered nurse for night shift on the Medical/Surgical unit. You will provide direct patient care, perform assessments, administer medications, and coordinate with the interdisciplinary team to ensure safe, high-quality outcomes.

The role emphasizes ethical practice, patient advocacy, confidentiality, and continuous improvement. A CA RN license and BLS are required; BSN or MSN are preferred.

Qualifications

• CA RN license
• BLS certification
• BSN/MSN preferred or RN-BSN in progress

Responsibilities

• Provide nursing care guided by the Code of Ethics and professional standards.
• Lead interdisciplinary care to optimize patient outcomes on the unit.
• Maintain patient confidentiality within legal and regulatory parameters.
• Advocate for patients and families and coordinate care across teams.
• Perform comprehensive physical assessments and document findings accurately.
• Collaborate with physicians, therapists and support staff on care plans.
• Supervise on-unit staff and coordinate patient flow and assignments.

Skills

Nursing assessment

Patient advocacy

Interdisciplinary collaboration

Education

BSN preferred

MSN preferred

RN-BSN in progress

Job description

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do - in the health of our patients, our loved ones, and our community.

Benefits Eligible

Not Benefits Eligible

Work Shift

Night - 12 Hour Shift (United States of America)

Department

6172 Medical/Surgical-3N

The purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates leadership in the professional practice setting through oversight of the interdisciplinary health care team to provide holistic care and advocate for patients and families served.

QUALIFICATIONS

License /Certification

Required:

• CA RN license
• BLS

Education

Preferred: BSN, MSN, or currently enrolled in RN-BSN program.

Job Responsibilities

Essential

• The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers. Displays our 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
• The nurse uses the 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 that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes.
• Assists in 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 relating to patient/resident care.
• 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 the patient/resident, family, and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals.
• Formulates the plan of care and involves patient/residents in decisions related to care and the delivery services.
• Makes referrals, including provisions for continuity of care, as needed.

Addendum (essential for specific dept)

TEAM LEADER:

• Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem solving and decision making.

Is a resource for staff:

• Is a clinical resource
• Is a role model
• Provides leadership and support for staff
• Supports nurse preceptors and new employees during orientation
• Provides input on employee evaluations
• Assures float staff receive orientation to the floor and feel welcome.

Manages Staff and Patient flow:

• Makes and adjusts staff assignments based on the abilities of staff and needs of the patient population.
• Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor and/or Bed Coordinator.
• Assures that shift report starts on time.
• Monitors breaks to provide 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 temps, red books and narcotic counts.

Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit