RN Telemetry - 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. The Registered Nurse assumes responsibility and accountability for a group of patients during an assigned shift. The RN prescribes nursing care using the nursing process, consistent with the medical plan of care and informed by the patient and significant others. The role collaborates with physicians and other healthcare team members to coordinate care for patients of any age, depending on the assigned unit, and incorporates teaching and discharge planning into the plan of care. The RN delegates appropriate aspects of care 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.

Requirements

  • Registered Nurse (RN) licensure 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.
  • ACLS certification at hire and demonstrated dysrhythmia competency during orientation, except for 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: obtain Neonatal Resuscitation within six months, Intermediate Fetal Monitoring within six months, 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 within one year and IV sedation competency within six months of hire.
  • For the Emergency Department: hold PALS at hire, obtain TNCC within one year, and demonstrate IV sedation competency within six months of hire.
  • For Procedures Nurse/Interventional Radiology RN: demonstrate IV sedation competency within six months of hire.

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/Interventional Radiology RNs.

Responsibilities

  • Assess assigned patients, develop and implement individualized plans of care, evaluate responses and progress toward goals, and modify plans as needed.
  • Consider patients' age-specific, cultural, and spiritual needs and collaborate with other disciplines to formulate 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 delivery, assess learning needs, tailor teaching methods, and evaluate understanding and effectiveness.
  • Respond to patient emergencies and internal or external disasters according to established protocols.
  • Oversee patient care delivery and address or correct errors to support patient safety and wellbeing.
  • Report patient observations, reactions, and problems to appropriate personnel in a timely manner.
  • Use clinical judgment and problem-solving, set appropriate care priorities, and respond to changes in workload.
  • Advocate for patients, protect their rights, and intervene when necessary.
  • Delegate appropriately to CNAs and student nurses based on their competence, and practice within the California Nurse Practice Act and legal scope of practice.
  • Communicate effectively with patients, families, staff, physicians, and coworkers using appropriate resources.
  • Document assessments, nursing interventions, and care provided.
  • Perform technical aspects of patient care according to policies and procedures, adapting techniques to patients' ages and 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.
  • Perform other job-related duties as assigned.
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