RN II - Progressive Care and Stroke Unit *Sign-On Bonus $20,000*
Company: St. Joseph Health / Covenant Health
Location: Mission Viejo
Posted on: November 22, 2021
We are looking for a Registered Nurse II for the Progressive
Care and Stroke Unit at Mission Hospital Regional Medical Center
$20,000 Sign-On Bonus .
Location: Mission Viejo, CA
Work Schedule: Full Time - 72 Biweekly Hours
Shift: 12-hour, Nights
The RN independently uses the nursing process to safely,
therapeutically and efficiently care for a group of patients. Uses
information from a variety of sources to assess, plan, implement,
identify outcomes and evaluate patient's plan of care. The Clinical
Nurse II oversees the duties and competencies of the healthcare
team; these include the performance of nursing assistant duties,
and in specified departments basic respiratory, phlebotomy,
cardiology, clerical, food service, and environmental services
duties as applicable. The Clinical Nurse II will practice in
accordance with all regulatory, professional, legal, and hospital
CLINICAL PRACTICE: The practitioner is accountable to recognize the
health and quality of life needs of patients, family, and community
and to collaborate with them to achieve mutually agreed upon goals.
The practitioner utilizes his/her specialized skills and scientific
knowledge to design collaborative and integrated care that binds
together all resources in a goal oriented movement toward health.
Components of clinical practice are competence, evidenced based
practice/continuous quality improvement, advanced practice nursing,
and practice standards.
Provides a safe environment specific to age and development of the
Provides safe environment specific to age and development of
patient population served.
Adheres to all safety policies and procedures.
Identifies safety issues or hazards in the work environment and
communicates deficiencies appropriately.
Develops ongoing plan for self-development.
Demonstrates knowledge of standards of care for patients in daily
practice including knowledge of procedures for high-risk patients.
In addition can verbalize knowledge that standards of
care/procedures are research based.
Develops and completes annual plan with nurse manager/designee
including time frame for obtaining necessary skills/education.
Verbalizes current knowledge of the standard of practice in their
Seeks opportunities to be taught, coached and mentored.
Seeks information regarding specialty certification (Verbalizes
knowledge that the opportunity exists in specialty).
Assists in creating an environment that promotes educational growth
opportunities for peers.
Assesses team members, students, and orientees use of newly learned
skills in the work setting per established standards of care and
standards of practice (Looking at competencies, skills in
accordance with standards of practice).
Designs learning opportunities for team members, students, and
orientees in acquisition of skills (Seeks information from staff on
educational needs, participate with educator, advanced practice,
Clin III or Clin IV in filling the needs).
Assures quality through application of policy, procedure, standards
of care, clinical pathways and protocol changes.
Demonstrates awareness of literature in the area of evidence-based
practice (Ability to verbalize names of relevant journals and is
able to access them).
Acts as a resource to other team members when clarification is
needed (Brings in articles that are of interest to share with peers
especially important for unusual or high risk patients).
Questions orders that deviate from usual standard of practice.
Incorporates performance improvement recommendations into clinical
practice (Ability and willingness to carry our recommendations -
for example from implementation of new product or technology, new
practice from literature review recommendations).
Participates in data collection for research/studies as directed
(Collects pt data for research, chart review).
Maintains clinical competence.
Maintains knowledge of nurse practice act (Knowledge of RN, LVN and
Demonstrates and maintains competence in required hospital wide and
service specific competency programs (Participation in skills day,
specialty competencies i.e. fetal monitoring, oncology
certification, TBI competency).
Demonstrates the knowledge and skills necessary to provide care
appropriate to the age of the patients served including knowledge
of the principles of growth and development, psychosocial
characteristics, and interventions for age-specific requirements of
the assigned unit (Evaluation of staff members nursing care
Utilizes nursing process to perform a comprehensive, age-specific
assessment of patient and family needs.
Performs a comprehensive patient/family physical assessment on
assigned patients demonstrating the ability to integrate cultural,
psychosocial and spiritual needs of the specific population
Identifies trends in patients clinical course, assesses
proactively, when necessary.
Utilizes an interdisciplinary approach to assessment.
Serves as a clinical resource in the development of basic
assessment skills interventions.
Identifies formal teaching needs for specific patients/ families
Includes ability to go beyond items on the pre-printed teaching
record when needed by patient.
Identifies teaching goals with patient/family and utilizes
resources to develop complex, interdisciplinary teaching plans.
Identifies ongoing needs and makes referrals utilizing community
Assures that patients/families have acquired all necessary skills
and referrals for post-hospitalization.
Utilizes nursing process to develop and revise plan of care.
Obtains resources and collaborates with other departments regarding
teaching needs (audit of teaching record).
Identifies and selects appropriate patients for patient care
conferences (Number of patients ID for pt conferences).
Initiates discharge planning upon admission and facilitates the
discharge plan based upon the patients continuing care needs.
Plans for interventions that minimize complications and
Participates in interdisciplinary conferences (Number of
Implements safe and therapeutic care for patients.
Implements plan of care for patients of moderate complexity.
Re-prioritizes as necessary to adapt to changing patient condition,
work environment and patient assignments.
Responds to individual/cultural differences in patient/family
Evaluates patient assessment, planning and implementation in
relation to intended goals and progress toward expected
Involves the interdisciplinary team in evaluating the
patients/familys progress toward attaining expected outcomes.
Utilizes ongoing assessment data to revise the diagnoses, outcomes,
and plan of care as needed.
Evaluates the effectiveness of interventions and the patients
response in relation to outcomes.
COLLABORATION: The process whereby the health care team plan and
practice together as colleagues working interdependently within the
boundaries of their scope of practices using shared values and
mutual respect for each others contribution to care for
individuals, their families and communities. Major elements include
non-hierarchical relationships and intra-inter professional
Facilitates patient care through effective communication.
Communicates patient condition/care changes to charge nurse,
supervisor, medical staff and other team members.
Completes shift report and documentation in a timely manner.
Anticipates and is prepared to present information to patients and
families regarding plan of care.
Responsible for accurate, complete, and individualized
documentation of patient assessment, goals, plan of care,
interventions and care provided, as well as patients progress
toward discharge goals.
Develops and maintains therapeutic and effective relationships with
patient/family and the health care team.
Demonstrates team spirit and readily offers assistance to team
Establishes effective working relationships with colleagues,
physicians and healthcare team (Demonstrates good communication and
collaboration skills that promote positive outcomes for
Demonstrates involvement of with patients and families in care
(Appropriate use of referrals as demonstrated on the
Multidisciplinary Teaching Record).
Demonstrates honest and direct review of peers with an effort to
influence change positively (Is feedback constructive and
Tactfully handles difficult situations, resolving differences in a
Demonstrates and reinforces professional behavior in self and
colleagues (i.e. being on time, available to cosign waste,
encourages others growth, encourages private handling of issues
with people involved).
Delegates care appropriately.
Adapts to changing clinical situations and delegates to team
members appropriately and ensures completion of those tasks
(Effective, appropriate delegation to clinical partners, techs, NCS
aids and other ancillary staff).
Determines work priorities and makes assignments according to
patient acuity, staff knowledge of age group and competency
Participates in Shared Governance/ Participative Leadership.
Actively participates in unit/service level committee/task
Participates with unit manager and fellow associates in defining,
implementing, and evaluating unit goals.
Promotes change to meet unit needs.
Demonstrates awareness of unit/ service budget.
Actively participates in cost effectiveness initiatives, seeks
opportunities to eliminate inappropriate and wasteful use of
resources (Demonstrates effective resource utilization in care of
individual patients, makes suggestions on effective supply and
equipment management in patient care on the unit).
Articulates fundamental unit budgetary principals, such as
equipment charges and staffing ratios.
Demonstrates awareness of unit and service guidelines related to
staffing and scheduling.
Follows scheduling guidelines and demonstrates flexibility in order
to meet unit and patient needs.
CULTURE AND CARING: The central theme of the SJHS practice model is
the caring relationship that exists between the patient/family and
nurse. Caring practices are activities that are responsive to the
uniqueness of the patient/family and that create a compassionate
and therapeutic environment. Holistic practice addresses physical,
emotional, spiritual, cognitive and developmental needs of patients
and families across the life span. Care for the body, mind and
spirit from birth to final stage of life is a desired
characteristic of professional practice. Culture is a collection of
traditions, beliefs, values and behaviors that make up the context
for how care is delivered. Culture forms and develops over time.
The desired culture supports and values are: Innovative and
improvement, openness, risk taking, integrity, trust, and mutual
respect; A nursing code of ethics, which is securely integrated
into day-to-day activities; Interdisciplinary collaboration;
Advancement of nursing practice; Reward and recognition for
Demonstrates behavior that supports a culture based on innovation,
openness, integrity, trust and mutual respect.
Acknowledges the unique contributions of each individual.
Thinks broadly when seeking new ways to improve performance,
processes, and service.
Creates an environment of continuous improvement.
Tries new approaches and takes appropriate risks.
Seeks out and utilizes best practices.
Strives to be open, flexible, supportive and adaptable to
Seeks opportunities to facilitate change and encourages others to
do the same.
Responds resourcefully to new demands and challenges.
Maintains a constructive, positive outlook amidst change and
Contributes positively to create and maintain a healing, healthy
Demonstrates commitment toward customer satisfaction and patient
Participates in performance improvement plans with nurse
manager/customer satisfaction enhancement activities.
Individualizes the healthcare environment to meet the diverse needs
of the patient and family (Family centered care, method of
welcoming pt and family to unit, meets culturally diverse
Utilizes existing reporting channels of communication to initiate
steps to promote patient advocacy (Knowledge of appropriate
Demonstrates commitment to customer satisfaction through active
participation in satisfaction enhancement activities.
Promotes healing by helping the patient/family cope and providing
appropriate referrals, as needed.
Follows through on customer dissatisfaction issues in a timely
manner (Knowledge of resources).
Maintains ethical standards.
Knowledge of resources and method to access.
Requests consultation from expert resources as needed for problem
Intervenes with the team members regarding
incompetent/unsafe/unethical care practices, and informs nurse
manager of situation.
Excellent verbal, written, and interpersonal skills with patients,
patients' families, and ancillary departments.
Good math skills and basic computer data entry skills.
Current clinical skills of unit specific type patients.
Analytical skills necessary in order to organize and prepare
nursing care plans, implement effective nursing care, and develop
solutions to patient care problems.
Ability to concentrate and pay close attention to detail when
performing professional nursing care and dealing with patients and
families often under intense situations.
Proficient in required competencies upon completion of orientation,
as listed on the unit specific orientation and competency
assessment form, and may also be listed on performance criteria
Ability to coordinate and delegate team activities.
Minimum Position Requirements:
Associate's Degree in Nursing (must be enrolled in program before
March 2014), and enrolled in Bachelor's Degree Nursing program at
time of transfer into RN role (hired before March 2014)
Bachelor's Degree in Nursing or obtain within 2 years of hire; must
be enrolled in program at time of hire (effective March 1,
Experience : Effective March: 1, 2018, experienced RNs must have 1
year of experience.
California RN License.
BLS for Health Care Provider American Heart Association.
ACLS within 6 months of hire (will only be assigned to patient care
when another ACLS/PALS nurse is present).
At Mission Hospital with locations in Mission Viejo and Laguna
Beach, CA our core values of Compassion, Dignity, Justice,
Excellence and Integrity translate into an environment where the
welfare of our patients always comes before the bottom line. As a
member of Providence Health System, we serve all of south Orange
Mission Hospital Mission Viejo is a Level II Trauma Center and is
the area's designated regional trauma center. We have Centers of
Excellence in heart, maternity, trauma, breast care, spine,
vascular, stroke and brain injury.
Mission Hospital Laguna Beach provides local coastal communities
with 24-hour emergency department services, medical/surgical
services, behavioral health programs including inpatient and
outpatient psychiatric and chemical dependency services and an
outpatient eating disorder program.
Mission Surgery Center performs approximately 4,500 annual
surgeries and provides a safe and convenient outpatient setting. It
is accredited by the Accreditation Association of Ambulatory Health
We've received two Beacon Awards for clinical excellence and in
2012 we received Magnet Designation which recognizes hospitals for
top patient care, quality nursing and innovations in nursing and
healthcare. We offer a collegial work environment with competitive
salaries and benefits.
Mission Hospital provides equal employment opportunities (EEO) to
all employees and applicants for employment without regard to race,
color, religion, sex, national origin, age, disability or genetics.
In addition to federal law requirements, Mission Hospital complies
with applicable state and local laws governing nondiscrimination in
employment in every location in which the company has facilities.
This policy applies to all terms and conditions of employment,
including recruiting, hiring, placement, promotion, termination,
layoff, recall, transfer, leaves of absence, compensation and
Positions specified as on call/per diem refers to employment
consisting of shifts scheduled on as as needed basis to fill in for
Company: Mission Hospital Regional Medical Center
Category: Medical/Surgical Nursing
Req ID: R340088
Keywords: St. Joseph Health / Covenant Health, Mission Viejo , RN II - Progressive Care and Stroke Unit *Sign-On Bonus $20,000*, Healthcare , Mission Viejo, California
Didn't find what you're looking for? Search again!