Registered Nurse, Step Down Unit, Full Time, Night Shift-12Hr

Adventist Health

About The Position

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: Orients to the planning and provision of nursing care to patients in the step down unit. Accurately interprets ECG rhythm and manages care of patients during life threatening emergencies in populations served. Orientates to the supervision and delegation of care responsibilities to ancillary personnel commensurate with their scope of practice. This position is represented by CNA.

Requirements

Associate Degree(A.S.) or equivalent: Required
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 within 6 months of hire
NIHSS certification: Required within 6 months of hire
Registered Nurse (RN) license in state of practice: Required
Advanced Cardiac Life Support (ACLS) or Advanced Cardiac Life Support (ACLS) or RQIACLS: Required
NIH Stroke Scale (NIHSS): Required

Nice To Haves

Bachelor's Degree in Nursing: Preferred
Successful completion of Basic Dysrhythmia Course: Preferred
Completion of Critical Care Course: Preferred

Responsibilities

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 step down care setting.
Accurately interprets ECG rhythm and manages care of patients during life threatening emergencies in population served.
Demonstrates knowledge & skills in the care and management of patients post coronary intervention requiring femoral sheath removal with use of Femostop Device.
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.
Demonstrates appropriate clinical judgment in managing cardiac step-down /telemetry patients in the integration of clinical data with clinical assessment.
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.
Delegates patient care tasks to ancillary personnel based on individual competency and scope of practice.
Evaluates effectiveness of care performed.
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).
Identifies and communicates opportunities to improve care, services, and unit operation.
Tries new approaches to problem solving, is open to change and reaching new goals for the unit.
Performs other job-related duties as assigned.