RN II-ICU-CVICU, Per Diem, Variable Shift (CNA)

Nestled on the Central California Coast, Adventist Health Sierra Vista has been providing care to our community since 1959. Our 162-bed acute care facility includes a Level III Neonatal Intensive Care Unit and county designated trauma center. San Luis Obispo offers the excitement of a lively community while being a fifteen-minute drive from the serenity of Avila Beach, known for their natural hot springs, and Pismo Beach, known for their sand dunes and eucalyptus trees. Featuring a charming downtown, comfortable coastal weather, idyllic views, and an active lifestyle San Luis Obispo offers much to be had.

Job Summary

Responsible for the planning, coordination, and provision of nursing care to patients on the critical care setting. Supervises and delegates care responsibilities to ancillary personnel commensurate with their scope of practice. Responsible for critical care nursing knowledge and skills applicable to but not limited to the care of patients with multi system failure requiring ventilation, neuro / trauma, respiratory failure, and hemodynamic monitoring. This position is represented by CNA. Job

Requirements

Education and Work

Experience

• High School Education/GED or equivalent: Required
• Associate Degree(A. A. or A. S.): Required
• Bachelor's Degree in Nursing: Preferred
• Passing completion of a Critical Care Nursing course: Required
• Six months previous critical care

experience

Preferred Licenses/

Certifications

Current RN license in state of practice: Required Basic Life Support (BLS) certification from approved vendor per AH policy: Required Advanced Cardiovascular Life Support (ACLS) certification from approved vendor per AH policy: Required Trauma Nursing Core Course (TNCC): Required within 1 year of hire or transfer into the department.(Current employees as of 06.30.2021 have 2 years to complete) Registered Nurse (RN) license in state of practice: Required Facility Specific License/

Certifications

Basic Life Support (BLS) certification from approved vendor per AH policy: Required AHA-ACLS or ARC-ALS: Required

Essential Functions

Provides appropriate nursing interventions in stable and emergent patient situations. Is competent in all routine nursing skills including: (1) medication administration, (2) intravenous therapy including blood products, (3) care & maintenance of indwelling catheters & drains and, (4) safe use of any medical equipment used in the critical care setting, (5) Understands and follows chain of command per policy. Accurately interprets ECG rhythm and manages care of patients during life threatening emergencies in populations served.

Verifies alarm settings with Monitor Technician according to policy. Demonstrates knowledge of lead functions and application, able to make recommendations for best monitoring based on patient presentation. Demonstrates knowledge/skill regarding the care and management of patients requiring ICP and ventriculostomy monitoring.

Is proficient in assessment and intervention in changes in neurological symptoms. Demonstrates knowledge/skill regarding the care and management of patients requiring Pulmonary Artery Monitoring Catheters and patients requiring Arterial Pressure Monitoring Catheters. Demonstrates knowledge/skill regarding the care and management of patients requiring mechanical ventilation and other ventilatory support devises I.e.

C-pap mask; Nasal bi-pap mask; High Flow O2 mask. Demonstrates knowledge regarding the principles of multisystem alteration and its impact on physiological functions, developmental tasks and alteration in mental processing of the adult and elder population. Initiates a multidisciplinary, goal oriented care plan for each patient in collaboration with members of the health care team and provides care based on that plan.

Educates patients and/or their families regarding care. Uses teaching methods appropriate to the age, condition, culture, and assessed learning-readiness of the patient. Completes legible, accurate and timely documentation of all nursing care provided, including evaluation of patient's response to medications, treatments & procedures.

Consistently performs necessary unit specific safety & quality control checks (i.e. Shift and 24hr MD order checks, VO/TO Read Back, crash cart checks, urine QC, refrig logs & outdate checks). Performs other job-related duties as assigned.

Organizational

Requirements

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.