RN Emergency Department - Full Time, Night Shift

Adventist Health•Marysville, CA

3d•$71 - $93

About The Position

Adventist Health and Rideout is hiring a Registered Nurse for its Emergency Department. The RN assumes responsibility and accountability for a group of patients during a designated shift, prescribes nursing care consistent with the medical plan and input from patients and significant others, and coordinates care with physicians and other members of the healthcare team. The role may involve patients of any age, depending on the assigned unit. It incorporates patient teaching and discharge planning, and delegates appropriate care activities to nursing staff according to their competence and legal scope of practice. This is a union-represented position governed by the applicable collective bargaining agreement. The RN assesses patients, develops and implements individualized plans of care, evaluates outcomes, and modifies care as needed. The role includes patient and family education, responding to emergencies, ensuring continuity of care, advocating for patient rights, documenting care, administering medications and IV therapy, and performing technical and emergency procedures. The RN uses patient-care equipment safely and follows established policies, procedures, and the California Nurse Practice Act.

Requirements

Current Registered Nurse (RN) licensure in the state of practice.
Basic Life Support (BLS) certification from an approved vendor per Adventist Health policy.
Advanced Cardiac Life Support (ACLS) certification at hire and demonstrated dysrhythmia competency during orientation, except for Obstetrics and NICU departments.
For Emergency Department: Pediatric Advanced Life Support (PALS) certification at hire, Trauma Nursing Core Course (TNCC) certification within one year of hire, and demonstrated IV sedation competency within six months of hire.
Facility-specific ACLS certification from an approved vendor per Adventist Health policy.
Department-specific PALS certification from an approved vendor per Adventist Health policy and TNCC.

Nice To Haves

Bachelor’s Degree in Nursing (BSN).
Acute care facility experience.
MICN and CEN certifications for the Emergency Department.

Responsibilities

Assess assigned patients and design, implement, evaluate, and modify individualized plans of care using the nursing process.
Consider patients’ age-specific, cultural, and spiritual needs and collaborate with other disciplines in planning care.
Apply knowledge of illnesses, injuries, diseases, developmental stages, and pharmacology when providing care and administering medications and IV therapy.
Educate patients and families throughout care, assess learning needs, select appropriate teaching activities and materials, and evaluate learning effectiveness.
Respond to patient emergencies and disasters according to established protocols, and notify appropriate personnel.
Oversee care delivery and address errors to support patient safety and wellbeing.
Report patient observations, reactions, and problems to appropriate personnel in a timely manner.
Make clinical decisions and solve problems during the assigned shift; prioritize care and respond to changes in workload.
Process and follow through on physician orders and treatment plans to ensure continuity of care.
Advocate for patients and protect their rights.
Delegate appropriately to CNAs and student nurses based on competence and scope of practice; accept responsibility for own actions and decisions.
Practice according to the California Nurse Practice Act and applicable professional responsibilities and legal scope of practice.
Communicate effectively with patients, families, staff, physicians, and coworkers using appropriate resources.
Document assessments, interventions, and care provided to assigned patients.
Perform technical aspects of patient care according to policies and procedures, adapting techniques to patients’ needs and comfort.
Prepare and administer medications and IVs with consideration of age-specific needs; perform emergency procedures such as CPR and assess patient response.
Use patient-care equipment safely, including electric beds, infusion pumps, mechanical lifts, suction devices, physiologic monitors, and traction equipment.
Perform other job-related duties as assigned.