Definitive Observation Unit (DOU), Day & Night shift

California DOU Nurses! Join us and make a real impact! We are hiring experienced DOU Registered Nurses for opportunities at Arrowhead Regional Medical Center in San Bernardino, CA. Earn $65–$70/hour while providing high-quality care to patients requiring close monitoring in a fast-paced hospital environment.

(Due to CA state laws; 4 hours of each 12 hour shift is paid 1.5x your hourly rate)

Summary of the role:

• Provide high-quality nursing care to patients in the DOU (Definitive Observation/Step-Down) Unit.
• Closely monitor patients with complex medical and cardiac conditions.
• Assess patient needs, develop care plans, and administer medications and treatments.
• Recognize changes in patient condition and respond appropriately.
• Work collaboratively with physicians and other healthcare professionals.
• Maintain patient safety and comfort in a high-acuity environment.

Job Details:

• Specialty: DOU RN
• Facility: Arrowhead Regional Medical Center
• Location: San Bernardino, CA
• Start Date: Flexible
• Duration: Full-Time Contract Positions Available
• Shift: Day & Night Shifts Available
• Schedule: Flexible Scheduling Options Considered
• Employment Type: Contract
• Pay: $65–$70/hour

Responsibilities:

• Performs comprehensive assessments and continuously monitors patients for changes in condition.
• Monitors vital signs, cardiac rhythms, oxygen saturation, laboratory results, and other clinical indicators.
• Identifies and promptly communicates changes in patient status to physicians and the healthcare team.
• Develops, implements, evaluates, and revises individualized plans of care.
• Administers medications, IV therapy, and treatments safely and accurately.
• Provides care to patients requiring increased monitoring and nursing interventions.
• Prioritizes nursing interventions based on patient acuity and clinical needs.
• Collaborates with physicians and multidisciplinary healthcare professionals to achieve optimal patient outcomes.
• Responds appropriately to changes in patient condition and clinical emergencies.
• Provides patient and family education regarding medications, treatments, and ongoing care.
• Accurately documents assessments, interventions, medications, and patient responses in the electronic medical record.
• Participates in discharge planning and coordinates appropriate referrals to promote continuity of care.
• Maintains patient safety and follows hospital policies, infection-control standards, and nursing protocols.
• Shares knowledge and acts as a professional resource to other members of the healthcare team.

Requirements & Qualifications:

• ACLS, BLS, Active California RN License.
• Minimum 1 year of recent DOU, Step-Down, Progressive Care, Telemetry, or comparable acute-care RN experience.
• Strong cardiac monitoring and patient assessment skills.
• Excellent critical thinking, clinical judgment, and problem-solving abilities.
• Strong communication, collaboration, and teamwork skills.
• Ability to work effectively in a fast-paced, high-acuity hospital environment.

Perks & Benefits:

• Competitive pay: $65–$70/hour
• Day and night shift opportunities.
• Flexible scheduling options.
• Work at Arrowhead Regional Medical Center.
• Health Benefits.
• 401(k).
• 30,000+ exclusive benefits.
• Dedicated staffing and onboarding support.
• Opportunity for contract extension based on facility needs and performance.