RN II-ICU-CVICU, Part-Time, Day Shift (CNA)

Adventist Health

About The Position

Adventist Health Sierra Vista is a 162-bed acute care facility on California’s Central Coast, with a Level III Neonatal Intensive Care Unit and a county-designated trauma center. The RN II-ICU-CVICU plans, coordinates, and provides nursing care for patients in a critical care setting, and supervises and delegates care to ancillary personnel according to their scope of practice. The role requires critical care knowledge and skills for patients with multisystem failure requiring ventilation, neuro/trauma care, respiratory failure management, and hemodynamic monitoring. This position is represented by CNA. The nurse provides routine and emergency nursing interventions, interprets ECG rhythms, supports patients during life-threatening emergencies, and manages complex monitoring and ventilatory support. The role also includes developing multidisciplinary, goal-oriented care plans; educating patients and families; documenting care; and completing unit-specific safety and quality checks. Adventist Health requires associates to receive applicable required vaccinations as a condition of employment and annually thereafter; medical and religious exemptions may apply. The organization participates in E-Verify.

Requirements

High school education, GED, or equivalent.
Associate degree (A.A. or A.S.).
Completion of a Critical Care Nursing course.
Current RN license in the state of practice.
Basic Life Support (BLS) certification from an approved vendor per Adventist Health policy.
Advanced Cardiovascular Life Support (ACLS) certification from an approved vendor per Adventist Health policy.
Trauma Nursing Core Course (TNCC) certification within one year of hire or transfer into the department; current employees as of June 30, 2021, have two years to complete it.
Facility-specific BLS certification from an approved vendor per Adventist Health policy.
AHA-ACLS or ARC-ALS certification.

Nice To Haves

Bachelor's degree in Nursing.
Six months of previous critical care experience.

Responsibilities

Plan, coordinate, and provide nursing care to patients in a critical care setting.
Supervise and delegate care responsibilities to ancillary personnel in accordance with their scope of practice.
Provide appropriate nursing interventions in stable and emergent patient situations.
Perform routine nursing skills, including medication administration, intravenous therapy including blood products, care and maintenance of indwelling catheters and drains, and safe use of critical care medical equipment.
Follow the chain of command according to policy.
Interpret ECG rhythms accurately and manage patient care during life-threatening emergencies.
Verify alarm settings with the Monitor Technician according to policy, apply leads appropriately, and recommend monitoring based on patient presentation.
Provide care for patients requiring intracranial pressure and ventriculostomy monitoring, pulmonary artery monitoring catheters, and arterial pressure monitoring catheters.
Assess and intervene when patients experience changes in neurological symptoms.
Manage patients requiring mechanical ventilation and other ventilatory support devices, including CPAP masks, nasal BiPAP masks, and high-flow oxygen masks.
Apply knowledge of multisystem alterations and their effects on physiological functions, developmental tasks, and mental processing in adult and older adult patients.
Initiate a multidisciplinary, goal-oriented care plan in collaboration with the health care team and provide care based on the plan.
Educate patients and/or families using methods appropriate to age, condition, culture, and assessed learning readiness.
Complete legible, accurate, and timely documentation of nursing care, including evaluations of responses to medications, treatments, and procedures.
Perform unit-specific safety and quality-control checks, including shift and 24-hour physician order checks, verbal/telephone order read-backs, crash cart checks, urine quality-control checks, refrigerator logs, and expiration-date checks.
Perform other job-related duties as assigned.