Job Description

A Career Float RN III (CF III), is a proficient and experienced clinician who provides nursing efficiently and effectively using a high level of technical and organizational skills as well as critical thinking ability. A CN III possesses an in depth knowledge in all aspects of nursing care for a specific unit patient population and consistently applies specialized knowledge and skills in the management of nursing care for individual or groups of patients and their families. A CN III is regarded as a resource for staff on patient care issues.

The scope of responsibility, duties and accountability at the facility department and position levels including knowledge and practice of the clinical/technical skills necessary to the position consistent with the Nurse Practice Act. Nursing job duties are to meet the Nurse Practice Act (state law that protects patients by promoting safe, competent nursing practices), Title 22 (Health and Safety codes), The Joint Commission (develops performance standards and accredits programs for hospitals and other healthcare-related organizations) and the Plan for Provision of Nursing Care and the Plan for Provision of Care to Patients, and other regulatory requirements. The Career Float RN is expected to float within their competencies where they are needed in the organization.

Promotion to CN III is accomplished through application to the Nurse Manager. Applicants must be a CN II at CSMC for at least twelve (12) months or new hires with at least three (3) years' experience in their specialty. Additionally, the applicant must have a nursing certification. Participation in the Taking Charge Workshop is mandatory.
Responsibilities

• Provides and precisely documents nursing process components and relevant interventions for direct and indirect patient care services that ensures the safety, comfort, personal hygiene, and protection of patients in a timely manner.
• Provides experienced care and patient education on disease prevention and restorative measures. Consistently provides direct and indirect comprehensive care services to complex patients, including, but not limited to, the administration of medications and therapeutic agents necessary to implement treatment, disease prevention, or rehabilitative plan of care.
• Performs skin tests, immunizations, phlebotomy and the initiation of peripheral venous access.
• Observes, evaluates and expeditiously alters plan of care based on signs and symptoms of illness, reactions to medications/treatments, general behavior, and/or general physical condition.
• Demonstrates advanced assessment skills, integrating appropriate data sources to assess the signs, symptoms, reactions, behaviors, or general appearance to determine normal versus abnormal characteristics.
• Plans and implements individualized patient care in collaboration with interdisciplinary teams based on observations. Implements appropriate reporting, referrals and care in accordance with standardized procedures. Initiates emergency procedures when indicated.
• Provides care to special patient populations and patients with diverse cultural backgrounds. Identifies patient's readiness for learning and ability to follow directions/instructions and give consent.
• Demonstrates knowledge and is able to identify and make special adjustments as required to the specific populations needs, including cultural, spiritual, age, psychosocial, communication, gender, sexual orientation, economic, education, family and condition needs.
• Identifies and assesses patient safety concerns with respect to age and developmental considerations. Intervenes to provide a safe environment and evaluates effectiveness of intervention for patient
• Demonstrates leadership and/or actively participates and supports one or more of the following activities areas: Shared Governance-Chair, MD/RN Collaborative-Chair, Preceptor, Mentor, TCAB, Committee, Project, participation in community service activities or other related.
• Provides assistance to co-workers, new staff, temporary staff and students.
• When assigned charge nurse responsibility, coordinates unit activity throughout the shift, including the authorization of incidental overtime, initiates chain of command as appropriate.
• Participates in at least 50% of unit meetings and provides constructive input to assist in unit direction.
• Functions as a change champion and agent and participates in departmental quality improvement activities.
• Participates in the completion of required skills and competencies and performs all other job duties as assigned.

Qualifications

Education

• Bachelor's Degree Science in Nursing - state accredited program - preferred

Experience

• 3 years Acute care experience in their specialty area(s) - minimum
• 1 year Must be a Clinical Nurse II at CSMC for at least one (1) year, to be promoted within the clinical ladder. - minimum

Licenses and Certifications

• RN State License - Upon Hire minimum California State RN License
• Basic Life Support (BLS) - Upon Hire minimum Require BCLS unless a higher level of certification is required
• - 1 Year minimum Other Competencies, as required by your specialty unit (ex. ACLS, PALS, fetal heart monitoring)