Position title
Registered Nurse (RN)

Reporting to the Director of Nursing the Registered Nurse will assist in providing direct patient care in a safe manner within the framework of the GMCH Mission and the philosophy of pediatric palliative care. This is an hourly, non-exempt, per diem position that includes weekend, evening and night hours.


Essential Functions:  Clinical/Technical

  • At the direction of the patient’s primary care physician, the Medical Director and the Director of Nursing, provide and coordinate quality palliative care to patients/families, including nursing services, medication administration, treatments, diagnostic and preventative procedures
  • In coordination with IDT (Inter-disciplinary Team) develop, implement, evaluate and update plan of care for each patient/family
  • Assess patients and report to the managing physician reactions to treatments and medications, as well as changes in the patient’s physical or emotional condition
  • Assess and respond to clinical and psychosocial needs of patients and families
  • Perform nursing procedures such as central line dressing changes, mediport access, tracheotomy care
  • Calculate medications and fluids with 100% accuracy
  • Assess pain and manage symptoms associated with pediatric patients requiring end-of-life care.
  • Coordinate patients’ orders
  • Coordinate patient nursing care with other team members including other nursing staff, psychosocial staff, Pharmacist, Medical Director, attending physicians and various community agencies and resources
  • Supervise LVNs, CNAs, and volunteers
  • Participate in intakes, admissions, transfers and discharges
  • Protect patients and employees by adhering to infection-control policies and protocols, medication storage procedures and controlled substance regulations
  • Ensure proper operation of DME and other equipment by following manufacturers’ instructions; performs routine maintenance and acts as liaison with equipment providers
  • Maintain current clinical knowledge of pediatric palliative care practices through ongoing education and attendance of in-service training sessions

Essential Functions:  Patient Interaction

  • Actively participate in the provision of medical, psychosocial and spiritual care for GMCH children-patients and their families
  • Meet with patients and families as needed to anticipate changes in medical, psychosocial and spiritual care needs
  • Teach, supervise and counsel the patient and family regarding pain and symptom management
  • Communicate with patient/family any changes in patient condition or plan of care

Essential Functions:  Team Communication

  • Document medical interventions and maintain accurate clinical records in the Medical Record System (NetSmart)
  • Attend scheduled Inter-disciplinary Team (IDT) meetings when possible and document discussion and any changes to plan of care in the medical record
  • Maintain communication with patient, family and hospital staff when patient is transferred and/or hospitalized
  • Maintain patient confidence and protects GMCH operations by keeping all patient information confidential and following HIPAA at all times
  • Check GMCH email in order to be apprised of House business and professional tasks and responsibilities

Essential Functions:  Additional

  • Demonstrate the basic skills and core competencies of a Registered Nurse, including managing multiple, competing and varied tasks, time management, listening skills, problem solving (clinical and interpersonal), decision making (clinical and interpersonal), delegation of duties and successfully managing work-flow
  • Perform tasks in a culturally sensitive manner without regard to any protected category as defined by federal, state or local law
  • Provide House tours as requested
  • Utilize GMCH resources in a cost effective manner
  • Maintain a clean and organized work area to reduce likelihood of health and safety hazards
  • Effectively deal with personal psychosocial and bereavement issues related to job duties
  • Maintain professional boundaries within Scope of Practice
  • Attend in-service training and staff meetings
  • Adhere to all state regulations regarding professional license
  • Report to work on time for your scheduled hours, ready for work
  • Understand and adhere to GMCH compliance standards as they appear in the GMCH Employee Manual, GMCH Policies and Procedures Manuals , GMCH IIPP and Departmental memos
  • Ability to communicate accurately and concisely using both written and verbal skills
  • Ability to work independently to manage a caseload of patients
  • Ability to access, input, and retrieve information from a computer
  • Knowledge of office procedures and office machines
  • Possess fluency in English
  • Possess fluency in Spanish or other language (preferred)
  • Perform other duties, as assigned


  • Current California Registered Nurse License without limiations is required
  • Current BLS/CPR certification


  • Current California Registered Nurse license without limitations is required
  • Current BLS/CPR certification


  • A minimum of 1 year RN experience required
  • A minimum of 2 years of pediatric and/or end-of-life care experience preferred


Job Benefits

Employees regularly working a minimum of 24 hours per week are eligible to participate in the benefits program. The cost for employees’ health, dental and vision are paid in full by GMCH.

Position: Registered Nurse (RN)

Thank you for submitting your application. We will contact you shortly!

Employment Type
Per Diem
Job Location
San Leandro, CA
Working Hours
Day Shift (7:00 a.m. - 3:30 p.m.); Evening Shift (3:00 p.m. - 11:30 p.m.) ; or NOC Shift (11:00 p.m. - 7:30 a.m.)
Base Salary
$ 46.00/hr
Date posted
January 4, 2019
PDF Export