RN II - Neuroscience and Spine Institute *Up to $20,000 Hiring Bonus*
Company: St. Joseph Health
Location: Mission Viejo
Posted on: May 10, 2022
We are looking for a Registered Nurse II for the Neuroscience
and Spine Institute at Mission Hospital Regional Medical
Location: Mission Viejo, CA
Work Schedule: Full Time - 72 Biweekly Hours
Shift: 12-hour, Days
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
* 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 orientee's 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
* 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
* 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 CNA scope).
* 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 patient's 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
patient's/family's 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 patient's
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 patient's 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 constructive manner.
* 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 professional achievements.
* 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
* 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 RN's must have 1
year of experience.
* California RN License.
* BLS, ACLS, PALS or NRP per unit need must be American Heart
Apply Today! Applicants that meet qualifications will receive an
email or text message with some additional questions from our
Modern Hire system.
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 staff vacancies.
Keywords: St. Joseph Health, Mission Viejo , RN II - Neuroscience and Spine Institute *Up to $20,000 Hiring Bonus*, Healthcare , Mission Viejo, California
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