RN Surgery - Per Diem, Variable Shift

Adventist Health•Marysville, WA

About The Position

Adventist Health and Rideout is a healthcare provider serving Yuba-Sutter County and surrounding areas. The RN Surgery position is a registered professional nursing role in which the nurse assumes responsibility and accountability for a group of patients during a designated shift. The nurse prescribes care through the nursing process, consistent with the medical plan of care and informed by patients and their significant others. The nurse collaborates with physicians and other healthcare team members, coordinating care for patients of any age as appropriate to the assigned unit. The role incorporates patient teaching and discharge planning and delegates aspects of care to nursing staff according to their clinical competence and legal scope of practice. The position is represented by CNA, with terms and conditions governed by the applicable collective bargaining agreement. 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

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 for all departments except Obstetrics and NICU.
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: obtain Neonatal Resuscitation and Intermediate Fetal Monitoring within six months of hire, and Advanced Fetal Monitoring within one year of hire.
For Obstetrics and NICU: obtain Neonatal Resuscitation within six months of hire.
For PACU/SDS: obtain PALS certification within one year of hire and IV Sedation competency within six months of hire.
For the Emergency Department: hold PALS certification at hire, obtain TNCC certification within one year of hire, and demonstrate IV Sedation competency within six months of hire.
For Procedures Nurse and Interventional Radiology RN roles: demonstrate IV Sedation competency within six months of hire.
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 patients, design and implement individualized plans of care, evaluate effectiveness and progress toward goals, and modify plans as necessary.
Consider patients' age-specific, cultural, and spiritual needs and collaborate with other disciplines on plans of care.
Apply knowledge of illnesses, injuries, diseases, developmental stages, and pharmacology when providing care and administering medications and IV therapy.
Educate patients and families throughout care, assess learning needs, tailor teaching to individual needs, and evaluate its effectiveness.
Respond to patient emergencies and internal or external disasters according to established protocols.
Oversee delivery of patient care and address errors by others to help ensure patient safety and wellbeing.
Report patient observations, reactions, and problems to appropriate persons in a timely manner.
Make clinical decisions and solve problems during the assigned shift; prioritize care and respond to workload changes.
Advocate for patients and protect their rights.
Delegate appropriately to CNAs and student nurses based on their competence and scope of practice.
Ensure continuity of care by processing and following through on physicians' orders and treatment plans.
Communicate effectively with patients, families, staff, physicians, and coworkers.
Document assessments, nursing interventions, and care provided.
Perform technical aspects of patient care according to established policies and procedures, adapting techniques to patient needs.
Prepare and administer medications and IVs with consideration of 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.
Practice according to the California Nurse Practice Act and maintain awareness of professional responsibilities and legal scope of practice.
Perform other job-related duties as assigned.