RN II-ICU-CVICU, Full-Time, Day Shift

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 to patients in a critical care setting, and supervises and delegates care responsibilities to ancillary personnel within their scope of practice. The role requires critical care knowledge and skills applicable to patients with multisystem failure requiring ventilation, neuro/trauma care, respiratory failure, and hemodynamic monitoring. This position is represented by CNA. The nurse provides interventions in stable and emergent situations; performs routine nursing skills; monitors and responds to patient conditions, including life-threatening emergencies; and manages specialized monitoring and ventilatory support. The nurse develops multidisciplinary, goal-oriented care plans, educates patients and families, and documents care accurately and promptly. Associates must receive required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply. Adventist Health 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; 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.
Receive required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply.

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 the critical care setting.
Supervise and delegate care responsibilities to ancillary personnel commensurate 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 medical equipment used in critical care.
Follow the chain of command according to policy.
Interpret ECG rhythms and manage care during life-threatening emergencies in the populations served.
Verify monitor alarm settings with the Monitor Technician according to policy; understand lead functions and recommend monitoring based on patient presentation.
Care for patients requiring ICP and ventriculostomy monitoring, and assess and intervene when neurological symptoms change.
Care for patients requiring pulmonary artery and arterial pressure monitoring catheters.
Care for patients requiring mechanical ventilation and other ventilatory support, including CPAP masks, nasal BiPAP masks, and high-flow oxygen masks.
Apply knowledge of multisystem alteration and its effects on physiological functions, developmental tasks, and mental processing in adults and older adults.
Initiate a multidisciplinary, goal-oriented care plan for each patient with the healthcare 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 patients’ 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-back, crash cart checks, urine quality control, refrigerator logs, and outdate checks.
Perform other job-related duties as assigned.