RN Med Surg 3 Main - Full Time, Day Shift

Adventist Health•Marysville, WA

About The Position

Adventist Health and Rideout is a healthcare provider serving Yuba-Sutter County, with a 221-bed hospital, physician clinics, home care services, cancer care and other services in and around Marysville. The RN Med Surg 3 Main is a registered professional nurse accountable for a group of patients during an assigned shift. The nurse plans and delivers care using the nursing process in accordance with the medical plan of care and input from patients and significant others, and coordinates care with physicians and other healthcare team members. Patient populations depend on the assigned unit and may include neonatal, infant, child, adolescent, adult and geriatric patients. The role incorporates patient education and discharge planning and delegates appropriate care activities to nursing staff according to their competence and legal scope of practice. This is a union-represented position governed by the applicable collective bargaining agreement.

Requirements

Current Registered Nurse (RN) licensure in the state of practice is required.
Basic Life Support (BLS) certification from an approved vendor per Adventist Health policy is required.
Advanced Cardiovascular Life Support (ACLS) certification from an approved vendor per Adventist Health policy is required.
For all departments except Obstetrics and NICU: ACLS at hire and demonstrated dysrhythmia competency during orientation are required.
For Critical Care Units: completion of a Critical Care Course within one year of hire and demonstrated IV Sedation competency within six months of hire are required.
For Labor & Delivery: Neonatal Resuscitation within six months of hire, Intermediate Fetal Monitoring within six months of hire, and Advanced Fetal Monitoring within one year of hire are required.
For Obstetrics and NICU: Neonatal Resuscitation within six months of hire is required.
For PACU/SDS: PALS within one year of hire and IV Sedation within six months of hire are required.
For the Emergency Department: PALS at hire, TNCC within one year of hire, and demonstrated IV Sedation competency within six months of hire are required.
For Procedures Nurse and Interventional Radiology RN roles: IV Sedation within six months of hire is required.
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 (BSN).
Acute care facility experience.
MICN and CEN certifications for the Emergency Department.
PICC competence for Procedures Nurse and Interventional Radiology RNs.

Responsibilities

Assess assigned patients, develop and implement individualized plans of care, evaluate patient responses and progress toward goals, and modify plans as needed.
Account for patients' age-specific, cultural and spiritual needs when planning and providing care.
Collaborate with other disciplines to formulate plans of care.
Apply knowledge of illnesses, injuries, diseases and developmental stages to patient care.
Use pharmacology knowledge, including medication actions, routes, side effects and contraindications, when preparing and administering medications and IV therapy.
Educate patients and families throughout care, assess learning needs, plan suitable learning activities, use appropriate techniques and materials, 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 or correct errors by others to protect patient safety and wellbeing.
Report patient observations, reactions and problems to appropriate persons in a timely manner.
Exercise problem-solving and clinical decision-making responsibility during the assigned shift, and prioritize care in response to changes in workload.
Ensure continuity of care by promptly processing and following through on physician orders and treatment plans.
Advocate for patients, protect their rights and intervene when necessary.
Delegate appropriately to CNAs and student nurses based on their clinical competence and job descriptions.
Accept responsibility for personal actions and decisions and practice according to the California Nurse Practice Act 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 patient-care procedures according to policies and procedures, adapting techniques to patients' age and needs while maintaining accuracy and comfort.
Prepare and administer medications and IVs with consideration for 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.