RN II - Step Down Unit (CNA), Full Time, Day Shift

Adventist Health•San Luis Obispo, CA

2d•$52 - $84•Onsite

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 is responsible for planning and providing nursing care to patients in the step down unit. The role interprets ECG rhythms, manages care during life-threatening emergencies, and supervises and delegates care responsibilities to ancillary personnel according to their scope of practice. This position is represented by CNA. The nurse provides care for stable and emergent patients, including medication administration, intravenous therapy and blood products, care and maintenance of catheters and drains, and safe use of medical equipment in the critical care setting. The role also provides cardiac step-down and telemetry care, collaborates with the health care team on patient care plans, documents care and patient education, evaluates care effectiveness, and performs unit-specific safety and quality checks. 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

Associate degree (A.S.) or equivalent.
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.
NIHSS certification required within 6 months of hire.
Registered Nurse (RN) license in the state of practice.
National Institutes of Health Stroke Scale certification.
Facility-specific: Basic Life Support (BLS) certification from an approved vendor per Adventist Health policy.
Facility-specific: AHA-ACLS or ARC-ALS certification.

Nice To Haves

Bachelor's degree in Nursing.
Successful completion of a Basic Dysrhythmia Course.
Completion of a Critical Care Course.
Six months of cardiac step-down or telemetry experience within the last two years.

Responsibilities

Plan and provide nursing care to patients in the step down unit.
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.
Interpret ECG rhythms accurately, manage patient care during life-threatening emergencies, verify monitor alarm settings with the Monitor Technician, and recommend appropriate monitoring based on patient presentation.
Care for patients following coronary intervention requiring femoral sheath removal with a Femostop Device, following permanent pacemaker or AICD placement, and those admitted with stable acute coronary syndrome.
Use clinical judgment to integrate clinical data with assessment when managing cardiac step-down and telemetry patients.
Develop multidisciplinary, goal-oriented care plans in collaboration with the health care team and document education provided to patients and families using appropriate teaching methods.
Delegate patient care tasks to ancillary personnel based on individual competency and scope of practice, and evaluate the effectiveness of care performed.
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, and refrigerator logs and expiration-date checks.
Identify and communicate opportunities to improve care, services, and unit operations; apply problem-solving approaches and adapt to change and new unit goals.
Follow the chain of command according to policy.
Perform other job-related duties as assigned.