Clinical Nurse II - Med Surg

About City of Hope City of Hope, an innovative biomedical research, treatment and educational institution with over 6000 employees, is dedicated to the prevention and cure of cancer and other life-threatening diseases and guided by a compassionate, patient-centered philosophy. Founded in 1913 and headquartered in Duarte, California, City of Hope is a remarkable non-profit institution, where compassion and advanced care go hand-in-hand with excellence in clinical and scientific research. City of Hope is a National Cancer Institute designated Comprehensive Cancer Center and a founding member of the National Comprehensive Cancer Network, an alliance of the nation’s leading cancer centers that develops and institutes standards of care for cancer treatment. Position Summary The registered professional nurse integrates and practices according to the City of Hope Professional Practice Model to deliver care service excellence. In alignment with City of Hope mission and values, the Division of Nursing and Patient Care Services vision and mission, and with continuous focus on the patient, family and community, carries out the nursing process, coordinates interdisciplinary care planning, documents according to standards, including validation of the patient and caregiver’s understanding of the plan of care and expected outcomes. The nurse is a change agent, committed to lifelong learning, professional development and embodiment of City of Hope organizational mission and values, and the values and ethos of the profession of nursing. Key Responsibilities Include:

Understands and applies the City of Hope Code of Conduct, Code of Organizational Ethics, policies, procedures, performance and quality improvement objectives, promotion of a culture of service excellence, attendance, safety, environmental and infection control guidelines. Maintains integrity and confidentiality.

Accepts the tenets of professional nursing practice and maintaining healthy interpersonal relationships (Manthey, 1969, 2014; Kouloroutis 2004, 2009; O’Rourke, 2013)

Responsibility, Authority and Accountability

Commitment to my Coworkers©

Role Based Practice

Demonstrates advanced beginner understanding of and application of

The Swanson Model of Caring and Healing© (Kristen Swanson, 2013 [used with permission])

The City of Hope Quality of Life Model (Ferrell prc.coh.org)

Demonstrates advanced beginner competency in the application of the nursing process according to the Role Based Practice model:

Assessment

Diagnosis / condition

Plan of care

Intervention

Evaluation

Teach / Inform

Dynamic interaction (circularity) among steps a – f

Assess patient level of stability and interrelatedness of direct and indirect RN provided care / dose of care

Care Coordination

Demonstrates professional practice which supports the delivery of care excellence, extraordinary outcomes for our patients, families and communities, and fosters collaboration and teamwork to achieve positive working relationships with all nurses, advanced practice providers, physicians, allied health and support staff members, with attention to self-care and healthy work / life balance.

Demonstrates advanced beginner understanding of the overall plan of care and coordinates the nursing plan of care

Consults and collaborates with other disciplines to modify the plan of care as necessary and to ensure optimal patient care and outcomes

Assists members of the health care team with examinations, procedures and other processes related to direct patient care.

Administers and controls medications and infusions, including narcotics, chemotherapy and biologic therapies, blood component transfusions, etc.

The professional registered nurse maintains a safe, comfortable and therapeutic environment for patients and families.

Education / Patient, family, community and self

Demonstrates advanced beginner level assessment of patient and family, including a basic assessment of healthcare literacy and identification of factors within the domains of City of Hope Quality of Life model, which may impact the patient’s ability to comprehend and internalize patient education. The professional registered nurse intervenes to facilitate understanding, address and minimize or eliminate barriers and to provide patient – centered education which is accessible and meaningful to the patient.

The professional registered nurse

Employs the teach back method to validate the patient’s understanding of education.

Includes the designated caregiver in the patient / family education.

Is encouraged to recognize that we are part of many communities and, as a professional role responsibility, to participate in the education of our communities about health, wellness, prevention and continuum of care issues relevant to the communities.

Uses evidence-based practice and best available research to inform practice

Enhances professional growth and development

Participates in unit based projects and activities, staff meetings, councils, work teams

Reviews current literature, attends educational programs, workshops and in-services

Actively participates in shared decision-making / participative leadership through councils, committees, work teams, task forces, and unit-based practice councils.

The professional registered nurse is committed to lifelong learning, and as such, is encouraged to continually pursue education, both formal and informal, to achieve and exceed the minimum expected level of education for the professional registered nurse (the Bachelor’s degree). The registered professional nurse is also required by California state law to attend continuing professional education to maintain licensure and City of Hope encourages nurses to pursue all venues of nursing and other intellectual enrichment.

Leadership

May precept new RNs and nursing students in exemplary professional practice

Mentors and coaches new and existing RN staff and ancillary support staff

May functions in Charge RN role

Strives to provide excellence in patient and staff experience

Documentation

Uses systems, electronic and other documentation according to standards and organizational policy and procedure to ensure and maintain an accurate record of nursing care.

Effectively uses and applies information technology to give and receive information (e.g. email, basic Microsoft Office applications, LMS (learning management systems) access, information on Share point or other web-based applications).

Maintains professional portfolio, per clinical ladder requirements.

QualificationsBasic education, experience and skills required for consideration:

One – two years related experience or after successful completion of role of CN I (typically for 12 months).

Bachelor’s Degree in Nursing

Required Certification/Licensure:

Current California RN license

Basic Life Support (BLS) CPR Card through American Heart Association

Additional Information:

Full-time

Nights

12 hours

City of Hope is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.