RN STAFF 1(MED/SURG - DAYS)

American Advanced Management; Stockton (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

American Advanced Management in California is seeking a registered nurse (RN I) to provide comprehensive nursing care across assigned units, with leadership on the care team and adherence to safety and infection control standards.

Responsibilities include assessments, planning and implementing patient care, documenting findings, coordinating with physicians and staff, and participating in professional growth and quality improvement while maintaining patient safety and compliance with hospital

Qualifications

• Current California Registered Nurse License is required
• BLS Certification through AHA required
• ACLS Certification through AHA required
• NIHSS Certification required
• BSN preferred as education

Responsibilities

• Performs comprehensive assessments on assigned patients
• Develops an individualized plan of care with outcome criteria
• Delivers safe nursing care and administers medications per policy
• Documents patient history, assessments and observations
• Communicates findings and care plans using SBAR format
• Leads and coordinates care within the unit
• Participates in safety, infection control, and quality improvement activities
• Adapts to different shifts and maintains readiness of the department

Skills

Clinical assessment

Patient care

Documentation

SBAR communication

Infection control

Education

RN licensure (CA)

BSN preferred

Job description

Position Summary

Responsibilities include but are not limited to: the assessment, planning, implementation and evaluation of nursing care for patients and their families in a safe environment. Functions as an advance beginner nurse within the competency checklist of the assigned unit. Accountable for effective leadership and direction to the nursing care team ensuring patients' comfort, safety and personal care. Must be able to perform jobs in all patient care and operational areas subject to reasonable accommodations, also be able to employ all mandatory safety devices and procedures. Must participate in the Respiratory Protection Program, which may include the wearing of a respirator requiring a clean‑shaven face. This is a union position.

Essential Job Functions

1. Clinical Practice
   1. Assessments
      • Performs comprehensive assessment on assigned patients.
      • Assesses patient condition thoroughly, utilizing information obtained from physician, health team members, family and diagnostic measures.
      • Identifies patient and family level of knowledge and understanding of illness and managing health, and identifies language and learning barriers.
      • Identifies discharge planning needs.
   2. Develops a comprehensive documented plan of care
      • Accurately identifies patient needs based on interpretation of observations and clinical knowledge and judgment.
      • Sets priorities and makes decisions in a timely manner.
      • Develops an individual plan of care with realistic outcome criteria and adjusts this plan on a continuing basis.
      • Knows physician’s plan for patient, expected length of stay, outcome criteria and discharge goals. Communicates them to patient, significant others and other members of the healthcare team.
   3. Implements patient care
      • Demonstrates competency in performing safe nursing care for patient population based on unit standards.
      • Logically sequences nursing care to meet patient needs within defined time frames.
      • Displays understanding of standard pharmacological agents used in treating patient conditions in assigned unit. Safely administers medication according to policy.
      • Includes ongoing patient education within care delivery, including wellness strategies, and keeps patient informed of treatment modalities.
      • Recognizes, reports and corrects unsafe practice.
      • Demonstrates primary concern for infection control and for patient safety including utilization of “time outs” prior to procedures.
      • Independently utilizes complex equipment and supplies.
      • OR, Endoscopy: Assists in patient preparation according to routine of the procedure.
      • OR only: Circulates for general cases; able to scrub for minor procedures.
   4. Evaluates patient response to nursing care and medical regimen
      • Monitors each patient’s response to treatment and consults with other health team members in the modification and re‑assessment of the plan of care.
      • Promptly recognizes and interprets changes in patient’s physiological and psychosocial status and reports timely to shift management and physician, activating emergency response system as needed.
   5. Communicates patient care concisely and completely
      • Documents completely, per unit standards, patient history, physical assessment findings and ongoing observations.
      • Documents concurrently per unit standards.
      • Communicates pertinent findings to appropriate health personnel.
      • Oral communication is professional, respectful, using the SBAR format.
2. Leadership and Coordination
   • Contributes to administrative functions of nursing unit, including practicing within and promoting awareness of legal responsibilities.
   • Demonstrates understanding of organizational structure by utilizing chain of command appropriately.
   • Promotes communication and cooperation within physicians, coworkers and other health team members.
   • Reflects values of the hospital.
   • Demonstrates leadership, integrity, fiscal responsibility, teamwork, and service excellence.
   • Utilizes organizational skills and effective cost containment methods in completing daily assignments.
   • Attends and engages in staff meetings with 80% attendance expectation; exceeding 80% is above expectation.
   • Might be required to work other shifts, weekends or be on‑call.
   • Maintains departmental readiness at all times (e.g., restocking, equipment checks, room preparation).
   • Maintains a clean, organized work environment.
   • OR only: Using physician preference cards, ensures OR room is ready prior to case start time.
3. Supports hospital‑wide quality improvement program
   • Reports unusual circumstances in a timely manner.
4. Professional Growth
   • Demonstrates role of professional registered nurse to other health team members, patients and public.
   • Attends didactic educational offerings and entry‑into‑practice as assigned.
   • Responds to float assignments in a professional manner performing core nursing tasks.
   • Completes assigned duties in a timely manner and independently performs assigned tasks.
   • Recognizes own knowledge level and limitations, seeks assistance, resources and references.
   • Maintains professional discretionary standards and confidentiality within hospital and community.

Qualifications

Education: Education required to qualify for license as a registered nurse. B.S.N. preferred.

Experience: An RN I has less than 6 months acute care experience. Academic clinical experience must enable the applicant to pass required clinical competencies, including demonstrating EKG rhythms by exam, within probationary period.

Licenses/Certificates:

• Current California Registered Nurse License
• Current Basic Life Support (BLS) Certification through American Heart Association (AHA) required
• Current Advanced Cardiac Life Support (ACLS) Certification through AHA required
• Current National Institutes of Health Stroke Scale (NIHSS) Certification required

Other: FTE 0.9 – DAYS – Full Time.