RN - Float Pool Critical Care *Full Time, Night Shift*

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 in ICU, Step Down Unit, Med Surg, Day Stay Unit, PACU and ER. Responsible for maintaining competencies required for each of these units. Supervises and delegates care responsibilities to ancillary personnel commensurate with their scope of practice. This position is represented by CNA.

Job Requirements:

Education and Work Experience:

• Associate Degree (A.S.) or equivalent: Required
• Bachelors Degree in Nursing: Preferred
• One year ICU or Step-Down/Progressive Care, High Risk Labor and Delivery or ER experience in the last 5 years: Required
• Completion of Critical Care Course (or equivalent experience): Preferred

Licenses/Certifications:

• Current RN license in state of practice: Required
• Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required
• ACLS (Advanced Cardiovascular Life Support): Required
• Pediatric Advanced Life Support (PALS OR HS-PALS OR RQIPALS) certification: Required within 60 days of hire or transfer
• Trauma Nursing Core Course (TNCC) or enrolled in upcoming TNCC classes: Required
• Registered Nurse (RN) license in state of practice: 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
  4. Safe use of any medical equipment used in the critical care setting
  5. Understands and follows chain of command per policy
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  7. Accurately interprets ECG rhythm and manages care of patients during life threatening emergencies in population served.
  8. Demonstrates knowledge of lead functions and application, able to make recommendations for best monitoring based on patient presentation.
  9. Demonstrates knowledge & skills in the care and management of patients post coronary intervention requiring femoral sheath removal with use of Femostop Device.
  10. Demonstrates knowledge & skills in the care and management of patients post permanent pacemaker placement; post AICD placement, and patients admitted with stable acute coronary syndrome.
  11. Demonstrates appropriate clinical judgment in managing cardiac step-down /telemetry patients in the integration of clinical data with clinical assessment.
  12. Initiates a multidisciplinary, goal oriented care plan for each pt in collaboration with members of the health care team and documents education provided to patients and/or families using teaching methods appropriate to population served.
  13. Delegates patient care tasks to ancillary personnel based on individual competency and scope of practice.
  14. Evaluates effectiveness of care performed.
  15. Completes legible, accurate and timely documentation of all nursing care provided, including evaluation of patients response to medications, treatments & procedures.
  16. Identifies and communicates opportunities to improve care, services, and unit operation.
  17. Tries new approaches to problem solving, is open to change and reaching new goals for the unit.
  18. Performs other job-related duties as assigned.

  19. 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.

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