Registered Nurse (RN) - ED - Emergency Department
Adventist Health
Marysville, CA

Centered in the heart of Yuba-Sutter County, Adventist Health and Rideout has been one of the area's leading healthcare providers since 1907. We are comprised of a 221-bed hospital, 21 physician clinics, home care services, comprehensive cancer care and a vast scope of award-winning services located throughout Marysville and the surrounding areas. The allure of Marysville's community is complimented by its proximity to major metropolitan cities in the Bay Area and Sacramento, as well as just a quick drive to Lake Tahoe.

Job Summary:

Registered professional nurse who assumes responsibility and accountability for a group of patients for a designated shift. Prescribes nursing care based on the nursing process that is consistent with the medical plan of care and is based on input from the patient and significant others. Collaborates with the physicians and other members of the health care team and coordinates the delivery of patient care to patients of any age (depending on assigned unit) including neonatal, infant, child, adolescent, adult and geriatric. Incorporates teaching and discharge planning needs in the overall plan of care. Delegates certain aspects of patient care delivery to other nursing staff based on their current clinical competence and legal scope of practice.

Job Requirements:

Education and Work Experience:

• Bachelor's Degree in Nursing (BSN): Preferred
• Acute care facility experience: Preferred

Licenses/Certifications:

• Registered Nurse (RN) licensure in the state of practice: Required
• Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required
• ALL Units Admitting Telemetry Patients: Dysrhythmia recognition course or demonstrated competency and ACLS: Required: Preferred
• Critical Care Units: Dysrhythmia recognition course or demonstrated competency and ACLS: Required ICU completion of Critical Care Course within 1 year of hire: Required Demonstrated competency in IV Sedation within 6 months: Required: Preferred
• Perinatal: Neonatal Resuscitation within 6 months of hire for Nursery / NICU and Labor and Delivery: Required Intermediate Fetal Monitoring within 6 months of hire for L&D: Required L&D – If Basic Fetal Monitoring acquired within 3 months of hire, Advanced Fetal Monitoring within 1 year of hire and ACLS within 6 months of hire: Required: Preferred
• PACU/SDS: PALS certification within 1 year of hire: Required ACLS: Required IV Sedation within 6 months of hire: Required: Preferred
• ER: ACLS and PALS: Required TNCC within 1 year of hire: Required Demonstrated competency in IV sedation within 6 months: Required MICN and CEN: Preferred: Preferred
• Procedures Nurse Interventional Radiology RN: Dysrhythmia recognition: Required ACLS and IV Sedation within 6 months: Required PICC competence: Preferred : Preferred
• Cancer Center: Chemotherapy Certification: Required OCN Certification with 2 years of hire: Required PICC certification: Preferred: Preferred
• Advanced Cardiac Life Support (ACLS) or Healthstream Advanced Cardiac Life Support (HS-ACLS) or RQIACLS: Required

Department Specific License/Certifications:

• Pediatric Advanced Life Support (PALS) or Healthstream Pediatric Advanced Life Support (HS-PALS) or RQIPALS: Required
• Trauma Nursing Core Course (TNCC): Required

Essential Functions:

• Utilizes the nursing process to assess patients, design and implement an individualized plan of care for assigned patients and to evaluate the effectiveness of the plan, patient's response to care and the patient's progress towards established goals. Modifies plan as necessary. Considers age specific, cultural and spiritual needs of patients. Collaborates with other disciplines to formulate the plan of care for assigned patients. Applies knowledge of illnesses, injuries, diseases, and developmental stages to the delivery of patient care. Utilizes knowledge of pharmacology (action, route of administration, side effects and contraindications) when preparing and administering medications and IV therapy.
• Provides patient / family education in all phases of care delivery to gain cooperation, allay apprehension and promote compliance. Assesses knowledge, plans appropriate learning activities, varies techniques and materials to patients' age and unique needs and evaluates effectiveness by seeking feedback from patients and families. Responds to emergency patient situations or internal / external disasters following established protocols, remaining calm and informing appropriate persons. Oversees the delivery of patient care and challenges or corrects errors of others to ensure patient safety and wellbeing. Reports observations, reactions and problems regarding patients to the appropriate persons in a timely manner.
• Demonstrates responsibility and accountability for problem solving and clinical decision-making on assigned shift. Ensures continuity of care by promptly processing and following through on physician's orders and all aspects of the treatment plan. Demonstrates an ability to set appropriate priorities in providing patient care and ability to respond to changes in workload. Acts as the patient's advocate, ensuring patient rights and intervening when necessary to assure those rights are preserved.
• Demonstrates knowledge of job descriptions and appropriately delegates to CNA's and student nurses based on their current clinical competence. Accepts responsibility for own actions and decisions. Practices registered nursing according to the California Nurse Practice Act. Maintains awareness of professional responsibilities and legal scope of practice. Utilizes communication skills and appropriate resources to assure effective communication with patients, families, staff, physicians and coworkers.
• Documents assessments, nursing interventions and care provided to all assigned patients. Performs technical aspects of patient care according to established policies / procedures; adapts techniques to patients' age and unique needs with attention to detail, accuracy and patient comfort. Prepares and administers medications and IV's to patients with consideration of age specific needs. Performs emergency procedures, such as CPR, and assesses patient response. Demonstrates safe use of equipment, including but not limited to electric beds, infusion pumps, mechanical lifts, suction devices, physiologic monitors, traction equipment and other patient care devices.
• Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.