Staff Nurse I, Stepdown Intensive Care Unit

We are so glad you are interested in joining Sutter Health! 

Organization:

MPHS-Mills-Peninsula Medical Center

Position Overview:

The Registered Nurse, following the scope and standards of professional nursing practice, provides comprehensive patient-family centered care addressing potential and actual health and illness problems for patients and families.

A Registered Nurse, who, under the supervision of the Nurse Manager, has continual opportunity to exercise initiative and independent professional judgment, uses the nursing process to provide comprehensive patient centered nursing care for assigned patients; and as a primary member of a nursing care team, guides and monitors work of paraprofessional and other team members. This care is performed as a part of a customer focused, service oriented team that incorporates the values of Mills Peninsula Health Services in a confidential environment. The Registered Nurse integrates the ANA Code of Ethics for Nurses and the Patients' Bill of Rights, Professional Scope and Standards of Practice and pertinent Specialty Standards into his or her nursing practice.

Job Description:

These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the current job.

Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development).

JOB ACCOUNTABILITIES

• Utilizes the nursing process and standards of nursing practice to deliver care for assigned patients.

Assessment

• Obtains data from patient and/or significant others with particular consideration of biophysical, psychosocial, environmental, self-care, educational and discharge planning factors.

• Demonstrates the use of nursing and psychiatric/mental health theoretical base in conclusions about assessment data, as evidenced by utilizing nursing diagnoses.

• Documents assessment according to established protocol.

Planning

• Develops a realistic (prioritizing needs to be addressed in length of stay), timely comprehensive care plan which includes measurable goals, delineating nursing actions unique to each client's needs, along with teaching/learning and discharge plans.

• Collaborates with peers, multidisciplinary personnel, medical staff and community resources in developing the multidisciplinary treatment plan.

Intervention

• Implements nursing interventions based on nursing care plan, adjusting priorities based on observable relationships between patient’s behavioral changes and the milieu.

• Uses an empathic, caring approach with patients.

• Serves as patient advocate in delivery of patient care.

• Uses the activities of daily living in a goal directed way to foster adequate self-care.

• Takes, records, and reviews vital signs.

• Uses knowledge of current psychopharmacology to guide nursing actions.

• Observes pertinent responses to somatic therapies in terms of underlying principles of each therapy.

• Identifies actual and/or potential emergency situations and intervenes taking action to minimize or prevent occurrence.

• Assists in creating, maintaining and managing a therapeutic milieu.

• Educates patient/family toward understanding of health/illness and plans for discharge.

• Communicates to health care team specific observations and information which indicate patient condition.

• Documents clear, concise, comprehensive nursing notes that reflect implementation of and patient's response to plan of care.

• Records teaching approaches and behavioral outcomes of the patient throughout the teaching/learning process.

• Acts as primary clinician working with patient to coordinate treatment team efforts.

Evaluation

• Reassesses and evaluates patient/family/significant others response to care on a regular basis as defined by unit policies.

• Determines whether expected outcomes were met.

• Collaborates with multidisciplinary team members to revise plan if necessary.

• Documents evaluation in progress note and on care plans.

Leadership/Professional Growth

• Demonstrates organizational skills in caring for assigned group of patients.

• Acts as a role model for paraprofessional staff and peers.

• Participates in educational opportunities to increase clinical competence/professional awareness and update practice.

• Participates in nursing department/unit committees and/or projects.

• Identifies own areas of strength/limitations and actively participates in ongoing self-evaluation.

EDUCATION

-HS Diploma

-Other: Graduation from accredit