RN Surgery - Per Diem, Variable Shift

Adventist Health•Marysville, CA

2d•$81 - $107

About The Position

Adventist Health and Rideout is seeking a registered professional nurse to assume responsibility and accountability for a group of patients during a designated shift. The RN prescribes nursing care using the nursing process, consistent with the medical plan of care and informed by patients and their significant others. The position collaborates with physicians and other healthcare team members and coordinates care for patients of any age, depending on the assigned unit. It incorporates teaching and discharge planning into the overall plan of care and delegates appropriate care tasks to nursing staff according to their clinical competence and legal scope of practice. This is a union-represented position governed by the applicable collective bargaining agreement. The RN assesses patients, develops and implements individualized plans of care, evaluates responses and progress, and modifies plans as needed. The role includes patient and family education, medication and IV administration, emergency response, care coordination, documentation, patient advocacy, and oversight of safe care delivery. The nurse follows the California Nurse Practice Act and applicable policies and procedures.

Requirements

Current Registered Nurse (RN) licensure in the state of practice.
Basic Life Support (BLS) certification from an approved vendor per Adventist Health policy.
Advanced Cardiac Life Support (ACLS) certification at hire and demonstrated dysrhythmia competency during orientation, except in Obstetrics and NICU departments.
For Critical Care Units: complete a Critical Care Course within one year of hire and demonstrate IV Sedation competency within six months of hire.
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.
For Obstetrics and NICU: Neonatal Resuscitation within six months of hire.
For PACU/SDS: PALS certification within one year of hire and IV Sedation competency within six months of hire.
For Emergency Department: PALS certification at hire, TNCC certification within one year of hire, and demonstrated IV Sedation competency within six months of hire.
For Procedures Nurse Interventional Radiology RNs: IV Sedation competency within six months of hire.
Practice registered nursing according to the California Nurse Practice Act and maintain awareness of professional responsibilities and legal scope of practice.
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 Emergency Department nurses.
PICC competence for Procedures Nurse Interventional Radiology RNs.

Responsibilities

Assess patients and develop, implement, evaluate, and modify individualized plans of care using the nursing process.
Consider patients' age-specific, cultural, and spiritual needs and collaborate with other disciplines in care planning.
Apply knowledge of illnesses, injuries, diseases, developmental stages, and pharmacology in delivering patient care and administering medications and IV therapy.
Provide patient and family education throughout care, assess learning needs, select appropriate teaching methods, and evaluate understanding.
Respond to emergencies and disasters according to established protocols and report observations, reactions, and patient problems promptly.
Oversee patient care and address or correct others' errors to protect patient safety and wellbeing.
Make clinical decisions and solve problems during the assigned shift; prioritize care and respond to workload changes.
Process and follow through on physician orders and treatment plans to ensure continuity of care.
Advocate for patients and protect their rights.
Delegate tasks appropriately to CNAs and student nurses based on competence and scope of practice.
Communicate effectively with patients, families, staff, physicians, and coworkers.
Document assessments, interventions, and care provided.
Perform technical patient-care procedures according to policies and procedures, adapting techniques to patients' age and 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.