RN, Surgery
Fresno, CA, US
Overview: The perfect blend of exceptional care and comfortable accommodations, Clovis Community Medical Center remains a top choice for women's services, labor and delivery, advanced minimally invasive surgeries, sports medicine, and weight-loss surgery. Home to the Marjorie E. Radin Breast Care Center, California's premier breast care center, we offer screening, diagnostics, and treatments using the most cutting-edge technology available. We're a family-oriented, suburban hospital at the base of the Sierra Nevada Mountains that's part of the Community Medical Centers healthcare network. Expanded in 2012, Clovis Community has 208 all-private rooms - making Clovis Community the only comprehensive hospital in the area with all-private rooms. Whether for inpatient or outpatient care, we're here to provide the best possible experience and the highest quality care for the people we serve. That means we are able to offer a variety of ways for you to grow - both in the way you do your job as a healthcare professional and in the way you live your personal life. If you share our passion for providing the best possible care for each and every patient, you should consider a career with our team at Clovis Community Medical Center. Responsibilities: The role of the clinical nurse is to deliver patient care through assessment, planning, implementation, and evaluation of patient needs with the highest professional standard while promoting nursing excellence through continued education and research, based on the Title 22 and Title 16, the ANA Scope \& Standards of Practice, the Code of Ethics. Accountabilities 1. SECTION 1: Initial Assessment and Nursing Diagnosis: RN will collect and analyze comprehensive data pertinent to the patient’s health or the situation to determine the diagnoses. 2. Collects and prioritizes data in a systematic and ongoing process based on the patient’s immediate condition or anticipated needs. 3. Completes a timely comprehensive patient assessment. 4. Uses appropriate evidenced based assessment techniques in collecting and analyzing data. 5. Involves the patient, family, significant other, and other health care providers in validating the data. Determine nursing diagnosis based on patient clinical data and information obtained in patient admission history. 6. SECTION 2: Planning, Implementation and Patient Education: RN develops, implements, and coordinates a plan in a timely manner that prescribes strategies and alternatives to attain expected outcomes in a safe environment. Provides appropriate health education to patients and others as appropriate. 7. Using the patient assessment and nursing diagnosis, develops and updates an individualized plan of care in collaboration with patient/family/significant other and other members of the medical team to meet the patients individualized needs, taking into consideration language preference and culture. 8. Includes strategies within the plan that address each of the identified diagnoses or issues, as well as expected outcomes. 9. Initiates and updates the patient plan of care, using the role based decision making process by considering the stability of the patient and incorporating data collection, patient assessment, implementation, evaluation, patient/family teaching and care coordination. 10. Utilizing both dependent and independent RN functions, organizes both direct and indirect patient care efficiently and prioritizes appropriately to create a collaborative and communicative environment for all the members of the healthcare team. 11. Clearly communicates the plan, as well as the associated goals of the plan, which include implementation pathways, timeline, methods to measure progress, and patient education. 12. Initiates patient and family teaching plan at the time of admission and evaluates the effectiveness and documents their understanding on an ongoing basis. 13. Uses health promotion and teaching methods appropriate to the situation and the patient’s developmental level, learning needs, readiness, ability to learn, language preference, and culture. 14. SECTION 3: Evaluation, Quality of Practice and Patient Safety: RN evaluates progress toward attainment of outcomes which systematically enhances the quality and effectiveness of nursing practice and patient Safety. 15. Evaluates the effectiveness of the patient’s plan of care in an ongoing, systematic and criterion based process including patient responses and the attainment of expected outcomes. 16. Uses the results of quality improvement and evidence based research to initiate changes in nursing practice. 17. Maintains consistent approach to “hand off” communications, including the use of SBAR, asking and responding to questions, ensuring the communication is accurate and pertinent to patient care, and reflects the stability of the patient. 18. Participates in unit and hospital based quality improvement activities. 19. Demonstrates an ongoing evaluation of the patient condition and environment and initiates strategies to optimize patient safety and reduce risk. 20. SECTION 4: Education and Professional Practice Evaluation: RN attains knowledge and competencies that reflect current nursing practice and evaluates own nursing practice in -relation to professional practice standards and guidelines. 21. Participates in ongoing hospital and unit specific educational activities. 22. Demonstrates a commitment to lifelong learning by maintaining professional records that provide evidence of continued education and competency. 23. Seeks both formal and independent learning experiences to maintain and develop clinical and professional skills and knowledge that reflect current specialty practice. 24. Engages in self evaluation of practice, identifying areas of strength as well as areas in which professional development would be beneficial. 25. Acknowledges informal feedback regarding one’s own practice from patients, peers, professional colleagues, and others and takes action to improve performance. 26. SECTION 5: Collegiality, Leadership and Research: RN interacts with and contributes to the professional development of peers and colleagues and provides leadership in the professional practice setting. RN integrates research findings into practice. 27. Shares knowledge and skills with peers and provides feedback regarding their practice and/or role performance. 28. Communicates in a professional, caring manner at all times to support a healthy work environment. 29. Embraces teamwork to meet organizational goals through direct participation or supporting active team participants. 30. Teaches others to succeed by mentoring and /or preceptor ship. 31. Utilizes evidenced based practice to guide clinical practice. 32. Responsible for content and application of all staff communications that has been distributed e.g. newsletter, emails, staff meetings, minutes, and bulletin boards. 33. SECTION 6: Ethics: RN integrates ethical provisions in all areas of practice. 34. Uses the Code of Ethics for Nurses with Interpretive Statements (ANA, 2009) and Patient Bill of Rights to guide practice and deliver care in a manner that preserves and protects patient autonomy, dignity, and rights. 35. Acts as a patient advocate by initiating action to improve healthcare or to change decisions or activities which are against the interests or wishes of the patient, and by giving the patient the opportunity to make informed decisions about healthcare before it is provided. 36. Participates in resolving ethical issues of patients, colleagues, or systems via chain of command and Ethics Committee referral as appropriate. Complies with reporting of illegal, incompetent, or impaired practices. 37. SECTION 7: Competence in Skills: RN demonstrates competence in skills required for their functional and positional work assignment. 38. Demonstrated competence in all required nursing skills required based on functional (RN) and positional (unit/department) work assignment. 39. Demonstrates competence in using function-specific and position-specific computer applications and other technology (e.g. office equipment, medical equipment, inventory management devices, etc.) and successfully utilizes them to perform all required duties. Qualifications: Education High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required Bachelor's Degree in Nursing preferred Experience Consistent demonstration of Novice / Advance Beginner clinical nursing practice proficiency required Licenses and Certifications RN - Current and valid Registered Nurse license to work within the state of California required BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required CHS HealthStream Course ALS-OB - Advanced Life Support OB Program required within 180 days of hire or transfer into position o For the following departments: 01-74000 Labor \& Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor \& Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage. BAC - Basic Arrhythmia Course required within 180 days of hire or transfer into position o For the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-61100 Burn Center, 01-61701 Med Surg 2 Central, 01-61702 Med Surg 5 Central, 01-61703 Med Surg 7 West, 01-61730 Med Surg Oncology, 01-61770 Orthopedics 5 West, 01-61790 CPCU, 01-61791 CVS Progressive 8W, 01-74270 PACU-Recovery, 01-74276 FH PACU, 01-74300 Short Stay Surgery, 01-74306 FH Short Stay Surgery, 01-87300 Nurse Float-PR Only. Clovis: 02-61792 Surgical CPCU, 02-74270 PACU-Recovery, 02-74300 Short Stay Surgery, 02-87300 Nurse Float-PR Only. NIHSS - National Institutes of Health Stroke Scale Exam required within 180 days of hire or transfer into position o For the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-60100 ICU 4th Floor, 01-60101 ICU 5th Floor, 01-60102 Neuroscience ICU, 01-60103 Neuroscience ICU-4 North, 01-61704 Neuroscience 9W, 01-61780 ICU Stepdown, 01-70100 Emergency, 01-87300 Nurse Float-PR Only. Clovis: 02-60100 ICU, 02-70100 Emergency, 02-87300 Nurse Float-PR Only. Other Qualifications / Notes Refer to the department’s specific requirements, orientation skills checklists and competencies Additional Certification Requirements Adult Cardiac Life Support (ACLS) certification required within 3 months of hire or transfer into job for the following departments: 01-60300 CVU, 01-74230 Cardiac Surgery, 01-75700 Cath Lab, 01-75706 FH Cath Lab, 01-75900 Cardiology, 01-75931 Cardiac Pulmonary Rehab, 01-78700 Interventional Pre Proc PICA. Clovis: 02-60300 ICU 2 North, 02-75701 Cath Lab, 02-75720 Post Interventional Cardiac Area PICA, 02-76400 Interventional Radiology. Adult Cardiac Life Support (ACLS) certification must be obtained within 6 months of hire or transfer into job for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-60102 Neuroscience ICU, 01-60103 Neuroscience ICU-4 North, 01-60306 FH CVU, 01-61705 FH CPCU, 01-61780 ICU Stepdown, 01-70701 Clinic-OMFS, 01-70710 FH ES Cardiac Treatment Ctr, 01-74000 Labor \& Delivery, 01-74003 Antepartum, 01-74004 OB Triage, 01-87206 FH Nursing Admin, 01-87300 Nurse Float-PR Only. Clovis: 02-61780 ICU Stepdown, 02-61792 Surgical CPCU, 02-74000 Labor \& Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage, 02-87300 Nurse Float-PR Only. Adult Cardiac Life Support (ACLS) certification must be obtained within 1 year of hire or transfer into job for the following departments: 01-60100 ICU 4th Floor, 01-60101 ICU 5th Floor, 01-61100 Burn Center, 01-61701 Med Surg 2 Central, 01-61702 Med Surg 5 Central, 01-61703 Med Surg 7 West, 01-61704 Neuroscience 9W, 01-61730 Med Surg Oncology, 01-61770 Orthopedics 5 West, 01-61790 CPCU, 01-61791 CVS Progressive 8W, 01-70100 Emergency, 01-72000 FH ADTC-Advanced Diag Test Ctr, 01-73900 Burn Therapy, 01-74206 FH Surgery, 01-74240 Neurosurgery, 01-74270 PACU-Recovery, 01-74276 FH PACU, 01-74300 Short Stay Surgery, 01-74306 FH Short Stay Surgery, 01-76306 FH Radiology Diagnostic, 01-76400 Radiography Therapeutic, 01-77401 Renal Dialysis-IP, 01-77610 Endoscopy. Clovis: 02-60100 ICU, 02-61790 Med Surg CPCU, 02-70100 Emergency, 02-74270 PACU-Recovery, 02-74300 Short Stay Surgery, 02-77401 Renal Dialysis-IP, 02-77610 Endoscopy. Pediatric Advanced Life Support (PALS) certification must be obtained within 6 months of hire or transfer into job for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-87300 Nurse Float-PR Only. Clovis: 02-87300 Nurse Float-PR Only. Pediatric Advanced Life Support (PALS) certification must be obtained within 1 year of hire or transfer into job for the following departments: 01-60500 Pediatric ICU, 01-61100 Burn Center, 01-62900 Pediatrics, 01-70100 Emergency, 01-70701 Clinic-OMFS, 01-73900 Burn Therapy, 01-74270 PACU-Recovery, 01-74300 Short Stay Surgery, 01-76400 Radiography Therapeutic, 01-77610 Endoscopy (except for nurses in pre-admission testing). Clovis: 02-70100 Emergency, 02-74270 PACU-Recovery. Electronic Fetal Monitoring (EFM) Course must be obtained within 6 months of date of hire or transfer into job for the following departments (exceptions may apply, refer to Policy #10925): 01-74000 Labor \& Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor \& Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage. Neonatal Resuscitation Program (NRP) certification must be obtained within 6 months of hire or transfer into job for the following departments: 01-60500 Pediatric ICU, 01-60700 NICU, 01-62900 Pediatrics, 01-63800 Obstetrics, 01-65320 Newborn Nursery, 01-74000 Labor \& Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-60700 Neonatal ICU, 02-63800 Obstetrics, 02-74000 Labor \& Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage. Oncology Nursing Society Chemotherapy/Biotherapy (ONSCHEMO) certification must be obtained within 6 months of hire or transfer into job for the following departments: 01-61730 Med Surg Oncology, 01-73911 Ambulatory Infusion Ctr-EMP, 01-73913 Ambulatory Infusion Ctr-Clovis. Clovis: 02-73917 CCI-Infusion Services. Certified Electronic Fetal Monitoring (C-EFM) by the National Certification Corporation (NCC) must be obtained within 1 year of hire or transfer into job for the following departments (exceptions may apply, refer to Policy #10925): 01-74000 Labor \& Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor \& Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage. Disclaimers: Pay ranges listed are an estimate and subject to change. If any bonuses are noted, they are only applicable to external hires meeting criteria.
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