RN ICU - Full Time, Night Shift

Adventist Health•Marysville, CA

2d•$71 - $93

About The Position

Adventist Health and Rideout is seeking a registered professional nurse to assume responsibility and accountability for a group of patients during a designated shift. The nurse prescribes care using the nursing process, consistent with the medical plan of care and informed by the patient and significant others. The role collaborates with physicians and other healthcare team members and coordinates care for patients of any age, depending on the assigned unit. It incorporates teaching and discharge planning into the overall plan of care and delegates appropriate aspects of care to nursing staff according to their clinical competence and legal scope of practice. This position is union-represented, with terms and conditions governed by the applicable collective bargaining agreement. The RN assesses patients, develops and implements individualized care plans, evaluates responses and progress toward goals, and modifies plans as needed. The nurse provides patient and family education, responds to emergencies, supports patient rights and safety, documents care, administers medications and IV therapy, performs technical and emergency procedures, and uses patient-care equipment safely. The position follows the California Nurse Practice Act and applicable policies and procedures. All associates are required to receive required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply.

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.
For critical care units: complete a Critical Care Course within one year of hire and demonstrate IV Sedation competency within six months of hire.
For Labor and Delivery: Neonatal Resuscitation within six months of hire, Intermediate Fetal Monitoring within six months of hire, and Advanced Fetal Monitoring within one year of hire.
For Obstetrics and NICU: Neonatal Resuscitation within six months of hire.
For PACU/SDS: PALS within one year of hire and IV Sedation within six months of hire.
For the Emergency Department: PALS at hire, TNCC within one year of hire, and demonstrated IV Sedation competency within six months of hire.
For Procedures Nurse Interventional Radiology RNs: IV Sedation within six months of hire.
Facility-specific BLS and ACLS certifications from approved vendors per Adventist Health policy.
Practice registered nursing according to the California Nurse Practice Act and maintain awareness of professional responsibilities and legal scope of practice.
Receive required vaccinations as a condition of employment and annually thereafter where applicable, subject to medical and religious exemptions.

Nice To Haves

Bachelor's Degree in Nursing (BSN).
Acute care facility experience.
MICN and CEN certifications for Emergency Department roles.
PICC competence for Procedures Nurse Interventional Radiology RNs.

Responsibilities

Assess patients and use the nursing process to develop, implement, evaluate, and modify individualized plans of care.
Collaborate with physicians and other disciplines to coordinate patient care and formulate care plans.
Apply knowledge of illnesses, injuries, diseases, developmental stages, pharmacology, and age-specific, cultural, and spiritual needs in delivering care.
Provide patient and family education throughout care, assess learning needs, select appropriate teaching activities and materials, and evaluate their effectiveness.
Respond to emergency patient situations and internal or external disasters according to established protocols; report relevant observations, reactions, and problems promptly.
Oversee patient-care delivery and challenge or correct errors to promote patient safety and wellbeing.
Use clinical judgment and problem-solving on the assigned shift, prioritize care, respond to workload changes, and ensure continuity by following through on physician orders and treatment plans.
Advocate for patients and protect their rights.
Delegate care appropriately to CNAs and student nurses based on competence and scope of practice; accept responsibility for own actions and decisions.
Communicate effectively with patients, families, staff, physicians, and coworkers using appropriate resources.
Document assessments, nursing interventions, and care provided.
Perform technical aspects of patient care according to policies and procedures, adapting techniques to patient needs and comfort.
Prepare and administer medications and IV therapy 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.