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

Adventist Health•San Luis Obispo, CA

4d•$52 - $84

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 the critical care setting, and supervises and delegates care responsibilities to ancillary personnel within their scope of practice. The role requires critical care nursing knowledge and skills for patients with multisystem failure requiring ventilation, neuro/trauma care, respiratory failure treatment, and hemodynamic monitoring. This position is represented by CNA. The nurse provides care for adult and elder patients, including those requiring mechanical ventilation, ventilatory support, intracranial pressure and ventriculostomy monitoring, pulmonary artery monitoring catheters, and arterial pressure monitoring catheters. The position includes responding to stable and emergent situations, interpreting ECG rhythms, creating care plans with the healthcare team, educating patients and families, documenting care, and completing unit-specific safety and quality checks. Adventist Health requires associates to receive required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply.

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 Basic Life Support (BLS) certification from an approved vendor per Adventist Health policy.
AHA-ACLS or ARC-ALS certification.
Registered Nurse (RN) license in the state of practice.

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, including medication administration, intravenous therapy and blood products, catheter and drain care, and safe use of critical care medical equipment.
Follow the chain of command according to policy.
Interpret ECG rhythms, manage patient care during life-threatening emergencies, verify alarm settings with the Monitor Technician, and recommend monitoring based on patient presentation.
Care for patients requiring intracranial pressure and ventriculostomy monitoring, and assess and intervene when neurological symptoms change.
Manage patients requiring pulmonary artery and arterial pressure monitoring catheters.
Care for patients requiring mechanical ventilation and other ventilatory support devices, 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 adult and elder populations.
Initiate a multidisciplinary, goal-oriented care plan with the healthcare team and provide care based on the plan.
Educate patients and families using methods appropriate to the patient’s 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, refrigerator logs, and expiration-date checks.
Perform other job-related duties as assigned.