Registered Nurse - Night, Per Diem

apartment ScionHealth location_onPerris, CA 92571, US

Description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation. Develops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary. Communicates changes in patient’s clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate. Participates in discharge planning process.

Essential Functions

Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department.
Directs, supervises, provides and evaluates nursing care provided to patients.
Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated.
Assigns nursing care team members in accordance with patient needs, team member’s capabilities and qualifications.
Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient’s medical record according to nursing standards and policies.
Performs assessment on all patients on admission and reassessments as per policy. Makes referrals to other disciplines based on assessment.
Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team.
Assesses and reassesses pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management.
Revises the plan of care as indicated by the patient’s response to treatment and evaluates overall plan daily for effectiveness.
Performs patient care responsibilities considering needs specific to the standard of care for patient’s age.
Receives physician’s orders, ensures transcription is accurate and documents completion.
Administers medication utilizing the five rights of medication administration reducing the potential for medication errors.
Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate.
Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice.
Performs treatments and provides services to level of licensure.
Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians, and other healthcare providers.
Interacts professionally with patient/family and involves patient/family in the formation of the plan of care.
Interprets data about the patient’s status to identify each patient’s age specific needs and provide care needed by the patient group.
Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
Initiates or assists with emergency measures for sudden adverse developments in patients’ condition.
Answers telephone, paging system, patients’ call lights, anticipates patients’ needs, and makes rounds of assigned patients and responds as appropriate.
Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs.
Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off.
Communicates appropriately and clearly to management, co-workers, and physicians.
Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs.
Participates in orientation, instruction/training of new personnel.
Manages and operates equipment safely and correctly.

Knowledge/Skills/Abilities/Expectations

Knowledge of medications and their correct administration based on age of the patient and their clinical condition.
Basic computer knowledge.
Able to organize tasks, develop action plans, set priorities and function under stressful situations.
Ability to maintain a good working relationship both within the department and with other departments.
Approximate percent of time required to travel: 0%
Must read, write and speak fluent English.
Must have good and regular attendance.
Performs other related duties as assigned.

Pay Range: $43.92-$55.70/hr.

ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness.

Qualifications

Education

Graduation from an accredited Bachelor of Science in Nursing,
Associate Degree in Nursing or Nursing Diploma program.

Licenses/Certification

Current state licensure as Registered Nurse.
BCLS certification required.
ACLS certifications preferred.

Experience

Minimum six months’ Medical/Surgical experience in an acute care setting preferred.

Share this job

Related Jobs

Home Health

Per Diem

Home Health RN

apartment Pathwell Health location_onFontana, CA

The RN is responsible for assessing patient health problems and needs, developing and implementing nursing care plans, and maintaining medical records. May advise patients on health maintenance and disease prevention or provide case management. Licensing or registration is required. We are looking for either Full Time of PRN role. ESSENTIAL DUTIES AND RESPONSIBILITIES The essential functions include, but are not limited to the following: Provide skilled nursing treatments as ordered by the client’s doctor Complete evaluation tasks, including vital signs and medication reviews Coordinate with physicians, therapists, and other individuals in the client’s care plan Assess and chart observations of the client’s condition at each visit Maintain complete and accurate documentation of nursing care Work collaboratively with all members of the healthcare team Provide education to clients and families on proper home health care procedures and strategies Record patients' medical information and vital signs Monitor, record, and report symptoms or changes in patient's conditions Administer local, inhalation, intravenous, or other anesthetic Prepare patients for and assist with examinations or treatments Modify patient treatment plans as indicated by patients' responses and conditions Order, interpret, and evaluate diagnostic tests to identify and assess patient's condition Monitor all aspects of patient care, including diet and physical activity Engage in research activities and participation in formal educational training activities related to nursing Perform other duties as assigned MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES) Associate degree required; Graduate of an accredited state-approved, Bachelor’s Degree from the school of nursing preferred Current and valid California Registered Nurse License Prior nursing experience, specifically in home health (preferred) Current CPR certification (required), Driver’s License, Car Insurance, Car Registration Strong interpersonal skills that build personal rapport and establish trust with the client Computer literate, Strong organizational skills Excellent written and communication skills Ability to meet physical demands of the job (ex: lifting 50 pounds for transfers) Home health care experience Bilingual (Spanish) preferred PHYSICAL DEMANDS AND WORK ENVIRONMENT The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is usually low to moderate.

Manager/Supervisor

Per Diem

RN Charge Nurse Sub Acute

apartment Dignity Health location_onSan Bernardino, CA

$74.05 / HOUR

Job Summary and Responsibilities As a Charge Nurse, you'll oversee a department of frontline nurses caring for patients. Your previous experience in acute care, LTC, or nursing homes adds tremendous value to our nursing team. Every day you will advocate for your fellow nurses as you support them in reaching their full potential, which aligns with your department's operational goals and objectives. To thrive in this role, you need to be accountable and confident. You're an excellent communicator in 1:1 interactions and in front of groups. It's also important for you to be comfortable holding tough conversations, as you are responsible for the performance of your people and your unit. Review staff documentation for appropriate and measurable patient goals, interventions and outcomes and provides feedback to staff and Nurse Manager. Provide colleagues with consistent, constructive, positive and negative feedback. Provides feedback on a consistent basis to Ns Mgr. regarding staff nurses performance. Effectively utilizes the Ns Mgr. in situations where resolution of issue exceeds authority. Proactively identifies and addresses issues by initiating interactions with the affected Health Team Member (s) as evidenced by resolution of the issues and/or communication to the Ns Mgr. Complete evaluations for personnel on assigned shift. Complete all assessments, admissions, transfers, shift assessments and discharge assessments within the time frames established by hospital policy. Reassesses patient status as indicated. Identify psycho-social, spiritual, cultural, learning needs and discharge planning. Identifies predictable patient problems, life threatening situations, low volume/high risk patient problems, and anticipates less predictable patient problems and initiates appropriate interventions. Recognizes the relationship between physiological and environmental factors and their affect on the patient/family. Identifies current patient/family coping mechanisms, support systems and their effectiveness. Identifies need for other resources to assist in the assessment of needs. Incorporates advanced and/or specialized nursing path physiology and assessment skills into clinical practice. Demonstrates ability to assess multisystem failure and/or instability during complicated intervention and therapy. Identifies the inter-relationship between data, patient behavior and symptoms. Initiates patient's plan of care using assessment data. Determines and prioritizes nursing diagnosis, expected outcomes and discharge planning. Plan of care demonstrates knowledge of age specific needs, conditions, and measurable interventions including diagnostic process and expected diagnostic values for high volume cases. Updates the plan of care, which includes input from patient/family and/or significant other. Integrates the medical plan of care in the patient's plan of care. Utilizes existing standards of care in formulating plans. Plan of care includes collaboration and/or consultation with other members of the health care team. Effectively communicates plan of care to other staff members. Anticipates potential problems for high risk, problem prone or low volume cases and documents plan of care. Provides basic patient care reflective of age specific needs and implements physician's orders for high-volume diagnosis. Administers and controls narcotics and medications including parenterals and blood components consistent with established plan of care and implemented in a safe appropriate and documented manner. Utilizes appropriate resources. Identifies drug interactions. Demonstrates knowledge of antidotes/treatments for medication overdose and infiltrations. Maintains current knowledge of new and infrequently used medications related to area of practice. Takes charge of emergency, life threatening situations. Documents nursing interventions, patient response, treatment modalities, effectiveness in approved documentation format and communicates information to physicians and coworkers in a timely manner. Responds appropriately to usual and abnormal diagnostic data and documents interventions. Implements and instructs patients, families, or significant others about the illness, management of the illness and care after discharge using resources and referrals as necessary. Identifies and implements alternative interventions to achieve expected outcomes. Involves and solicits feedback from patient and/or significant other. Coordinates discharge process, actively follows-up referrals and documents. Recognizes subtle changes and trends and identifies abnormal deviations in vital signs. Interprets these with respect to the patient's condition and takes appropriate action. Functions independently and acts as a resource person. Suggests appropriate interventions for abnormal vital signs or other clinical problems, utilizing clinical assessment of the patient. Makes recommendations to improve patients response to treatment modalities, e.g., medication changes, ventilation changes, line placement, skin care, wound management, nutritional needs, activity level, Etc. Independently assesses patient learning needs and seeks assistance in identifying/meeting complex learning needs of patients and families. Identifies complex learning needs of patients and families. Incorporates teaching into the plan of care and performs the teaching for routine patient problems. Functions as a resource in assisting others to identify learning needs and teaching strategies for patient, family and/or significant other and teaches others involved in the care of the patient and family with complex problems. Evaluates the teaching plan, revises in relation to patient and/or family response and patient outcomes and documents appropriately. Evaluates the effectiveness of interventions based on the plan of care and expected outcomes. Makes patient rounds and directly observes and evaluates patient care. Evaluates the effectiveness of interventions based on psychosocial, cultural, religious and educational influences. Seeks assistance when necessary. Functions as a resource for unit personnel and other health care professionals in evaluating the effectiveness of interventions based on psychosocial, cultural, religious and educational influences. Evaluates patients, families and/or significant others understanding of care. Seeks feedback and changes or modifies instruction based on the evaluation process. Communicates the rationale for nursing interventions to staff. Teaches staff using a variety of teaching strategies. Acts as an educational resource to other units in addition to assigned unit at least annually. Job Requirements Required Graduate of accredited Registered Nurse (RN) program and Two (2) years experience performing acute care duties, upon hire Registered Nurse: CA, upon hire and Basic Life Support - CPR, upon hire Where You'll Work Founded in 1910, Dignity Health - Community Hospital of San Bernardino is a 347-bed, acute care, nonprofit, community hospital located in San Bernardino, California. Known for its programs in maternity care and pediatrics, behavioral health and long-term subacute care for adults and children, the hospital also includes inpatient and outpatient surgery. The hospital shares a legacy of humankindness with Dignity Health, one of the nation’s five largest health care systems. Visit here https://www.dignityhealth.org/socal/locations/san-bernardino for more information. One Community. One Mission. One California

Manager/Supervisor

Per Diem

RN Charge Nurse Sub Acute

apartment Dignity St. Mary's Medical Center San Francisco location_onSan Bernardino, CA

$74.05 / HOUR

Manager/Supervisor

Per Diem

RN Charge Nurse Sub Acute

apartment Dignity Health location_onSan Bernardino, CA

$74.05 / HOUR

Job Summary and Responsibilities As a Charge Nurse, you'll oversee a department of frontline nurses caring for patients. Your previous experience in acute care, LTC, or nursing homes adds tremendous value to our nursing team. Every day you will advocate for your fellow nurses as you support them in reaching their full potential, which aligns with your department's operational goals and objectives. To thrive in this role, you need to be accountable and confident. You're an excellent communicator in 1:1 interactions and in front of groups. It's also important for you to be comfortable holding tough conversations, as you are responsible for the performance of your people and your unit. Review staff documentation for appropriate and measurable patient goals, interventions and outcomes and provides feedback to staff and Nurse Manager. Provide colleagues with consistent, constructive, positive and negative feedback. Provides feedback on a consistent basis to Ns Mgr. regarding staff nurses performance. Effectively utilizes the Ns Mgr. in situations where resolution of issue exceeds authority. Proactively identifies and addresses issues by initiating interactions with the affected Health Team Member (s) as evidenced by resolution of the issues and/or communication to the Ns Mgr. Complete evaluations for personnel on assigned shift. Complete all assessments, admissions, transfers, shift assessments and discharge assessments within the time frames established by hospital policy. Reassesses patient status as indicated. Identify psycho-social, spiritual, cultural, learning needs and discharge planning. Identifies predictable patient problems, life threatening situations, low volume/high risk patient problems, and anticipates less predictable patient problems and initiates appropriate interventions. Recognizes the relationship between physiological and environmental factors and their affect on the patient/family. Identifies current patient/family coping mechanisms, support systems and their effectiveness. Identifies need for other resources to assist in the assessment of needs. Incorporates advanced and/or specialized nursing path physiology and assessment skills into clinical practice. Demonstrates ability to assess multisystem failure and/or instability during complicated intervention and therapy. Identifies the inter-relationship between data, patient behavior and symptoms. Initiates patient's plan of care using assessment data. Determines and prioritizes nursing diagnosis, expected outcomes and discharge planning. Plan of care demonstrates knowledge of age specific needs, conditions, and measurable interventions including diagnostic process and expected diagnostic values for high volume cases. Updates the plan of care, which includes input from patient/family and/or significant other. Integrates the medical plan of care in the patient's plan of care. Utilizes existing standards of care in formulating plans. Plan of care includes collaboration and/or consultation with other members of the health care team. Effectively communicates plan of care to other staff members. Anticipates potential problems for high risk, problem prone or low volume cases and documents plan of care. Provides basic patient care reflective of age specific needs and implements physician's orders for high-volume diagnosis. Administers and controls narcotics and medications including parenterals and blood components consistent with established plan of care and implemented in a safe appropriate and documented manner. Utilizes appropriate resources. Identifies drug interactions. Demonstrates knowledge of antidotes/treatments for medication overdose and infiltrations. Maintains current knowledge of new and infrequently used medications related to area of practice. Takes charge of emergency, life threatening situations. Documents nursing interventions, patient response, treatment modalities, effectiveness in approved documentation format and communicates information to physicians and coworkers in a timely manner. Responds appropriately to usual and abnormal diagnostic data and documents interventions. Implements and instructs patients, families, or significant others about the illness, management of the illness and care after discharge using resources and referrals as necessary. Identifies and implements alternative interventions to achieve expected outcomes. Involves and solicits feedback from patient and/or significant other. Coordinates discharge process, actively follows-up referrals and documents. Recognizes subtle changes and trends and identifies abnormal deviations in vital signs. Interprets these with respect to the patient's condition and takes appropriate action. Functions independently and acts as a resource person. Suggests appropriate interventions for abnormal vital signs or other clinical problems, utilizing clinical assessment of the patient. Makes recommendations to improve patients response to treatment modalities, e.g., medication changes, ventilation changes, line placement, skin care, wound management, nutritional needs, activity level, Etc. Independently assesses patient learning needs and seeks assistance in identifying/meeting complex learning needs of patients and families. Identifies complex learning needs of patients and families. Incorporates teaching into the plan of care and performs the teaching for routine patient problems. Functions as a resource in assisting others to identify learning needs and teaching strategies for patient, family and/or significant other and teaches others involved in the care of the patient and family with complex problems. Evaluates the teaching plan, revises in relation to patient and/or family response and patient outcomes and documents appropriately. Evaluates the effectiveness of interventions based on the plan of care and expected outcomes. Makes patient rounds and directly observes and evaluates patient care. Evaluates the effectiveness of interventions based on psychosocial, cultural, religious and educational influences. Seeks assistance when necessary. Functions as a resource for unit personnel and other health care professionals in evaluating the effectiveness of interventions based on psychosocial, cultural, religious and educational influences. Evaluates patients, families and/or significant others understanding of care. Seeks feedback and changes or modifies instruction based on the evaluation process. Communicates the rationale for nursing interventions to staff. Teaches staff using a variety of teaching strategies. Acts as an educational resource to other units in addition to assigned unit at least annual Job Requirements Required Graduate of accredited Registered Nurse (RN) program and Two (2) years experience performing acute care duties, upon hire Registered Nurse: CA, upon hire and Basic Life Support - CPR, upon hire Where You'll Work Founded in 1910, Dignity Health - Community Hospital of San Bernardino is a 347-bed, acute care, nonprofit, community hospital located in San Bernardino, California. Known for its programs in maternity care and pediatrics, behavioral health and long-term subacute care for adults and children, the hospital also includes inpatient and outpatient surgery. The hospital shares a legacy of humankindness with Dignity Health, one of the nation’s five largest health care systems. Visit here https://www.dignityhealth.org/socal/locations/san-bernardino for more information. One Community. One Mission. One California

Per Diem

Dialysis Registered Nurse PRN

apartment Vibra Healthcare location_onSan Bernardino, CA

Overview COME BUILD YOUR CAREER WITH VIBRA HEALTHCARE! We are seeking a Dialysis Registered Nurse to join our team! New Clinical Career Ladder for Full Time Employees! *Grow your career with Vibra* Participants in the Clinical Career Ladder are eligible for pay increases after successful completion of the Novice, Intermediate, Advanced, and Expert Level Hospital Details Ballard Rehab Hospital, located in San Bernardino, CA is a 60 bed rehab facility providing rehabilitative services to people recovering from disabilities caused by injuries or illnesses. We help our patients regain their physical or cognitive abilities so they can return home at their highest level of independence. As a smaller, specialized hospital, we offer an opportunity to work in a fast-paced and friendly work environment where you really get to know your patients and their families. Responsibilities Develops, implements, evaluates and revises a plan of care of assigned patients and families while promoting the mission and values of Vibra Healthcare. Reviews all patients receiving dialysis therapy and assesses clinical status throughout treatment. Consistently assists team members in the delivery of acute hemodialysis utilizing the established standards of care. Areas of practice are diverse, including, but not limited to, the fields of hemodialysis and peritoneal dialysis. The provision of care includes direct care along with the delegation and supervision of all nursing care in accordance with the applicable Nurse Practice Act. Specific components of the Registered Nurse role include demonstrating clinical competence; managing patient care; improving quality of care; establishing professional relationships and utilizing professional skills; fulfilling responsibilities of the role of the hospital; and developing clinical expertise per specialty. Required Skills: Current, valid, and active license to practice as a Registered Nurse in the state of employment required. Current BLS certification from a Vibra-approved vendor required. Current ACLS certification from a Vibra-approved vendor required within six (6) months of hire. Dialysis experience preferred, but not required One (1) year of experience in Medical-Surgical nursing, critical care or dialysis preferred. Will except nurse residency program as experience. Must be able to accurately interpret color test strips. Additional Qualifications/Skills : Previous acute care experience is strongly preferred. Current ACLS certification from a Vibra-approved vendor preferred Ability to project a professional image. Knowledge of regulatory standards and compliance requirements. Strong organizational, prioritizing and analytical skills. Ability to make independent decisions when circumstances warrant. Working knowledge of computer and software applications used in job functions. Freedom from illegal use of and effects of use of drugs and alcohol in the workplace Benefits At Vibra Healthcare, employees are our priority. We are passionate about patient care and consider it a privilege to be able to provide services to patients and their family members. Below is a brief summary of our benefits. • Medical PPO high and low deductible plans / HSA options as well as HMO options in some markets • FREE prescription plans • Dental and Vision coverage • Life insurance • Disability Benefits • Employee Assistance Plan • Flex Spending plans, 401K matching • Additional Critical Illness, Accident, and Hospital plans • Company discounts for mobile phone service, electronics, cell phones, clothing, etc • Pet Insurance • Group legal – provides legal assistance with personal legal matters • Tuition and continuing education reimbursement • Work life balance At Vibra Healthcare, our patients are family. Healthcare is constantly evolving, our growing organization is devoted to ensuring that each person in our care feels safe. Our world-class team of driven, passionate healthcare professionals are always focused on service excellence and providing top quality care at the bedside. Our culture fosters engagement, diversity and advocacy. Our goal is to empower our employees and support them in their professional growth while leading them on a path to success within our organization. Location Details San Bernardino, CA, is a vibrant city nestled in the heart of Southern California, offering a unique mix of urban energy and natural beauty. Surrounded by the stunning San Bernardino Mountains, it’s an ideal spot for outdoor lovers, with plenty of hiking, camping, and sightseeing opportunities. With its rich history, including the iconic Route 66, plus a variety of local dining, shopping, and cultural attractions, San Bernardino offers something for everyone. Whether you're exploring the great outdoors or enjoying the city's thriving community, San Bernardino is a place full of potential and adventure. Posted Total Compensation The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skill sets, experience, education and training, licensure and certifications, and other business and organizational needs. It’s not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.