RN ICU - Full Time, Night Shift

Adventist Health•Marysville, CA

2d•$71 - $93

About The Position

The RN ICU is a registered professional nurse who assumes 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 plan of care and delegates appropriate aspects of care to nursing staff according to their clinical competence and legal scope of practice. This is a union-represented position governed by the applicable collective bargaining agreement. The nurse assesses patients, develops and implements individualized care plans, evaluates patient responses and progress, and modifies plans as needed. The role includes patient and family education, emergency response, clinical decision-making, documentation, medication and IV administration, patient advocacy, coordination of care, and safe use of patient-care equipment. Critical Care Unit requirements include completion of a Critical Care Course within one year of hire and demonstrated IV Sedation competency within six months of hire.

Requirements

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 time of hire; facility-specific ACLS certification must be from an approved vendor per Adventist Health policy.
For Critical Care Units: complete a Critical Care Course within one year of hire and demonstrate competency in IV Sedation within six months of hire.
For applicable departments, demonstrate competency in dysrhythmia during orientation; this requirement excludes Obstetrics and NICU.
Practice registered nursing according to the California Nurse Practice Act and within the legal scope of practice.

Nice To Haves

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

Responsibilities

Assess patients and develop, 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 on care plans.
Apply knowledge of illnesses, injuries, diseases, developmental stages, and pharmacology in delivering patient care and administering medications and IV therapy.
Provide patient and family education throughout care, assess learning needs, plan and adapt learning activities, and evaluate their effectiveness.
Respond to patient emergencies and internal or external disasters according to established protocols, and notify appropriate persons.
Oversee patient-care delivery and address errors by others to support patient safety and wellbeing.
Report patient observations, reactions, and problems to appropriate persons in a timely manner.
Make clinical decisions and solve problems during 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 intervene as needed to preserve patient rights.
Delegate appropriately to CNAs and student nurses based on competence and scope of practice, and accept accountability for personal actions and decisions.
Practice according to the California Nurse Practice Act and maintain awareness of professional responsibilities and legal scope of practice.
Communicate effectively with patients, families, staff, physicians, and coworkers using appropriate resources.
Document patient 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 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.