Adventist Health·San Luis Obispo, California
Responsible for planning and providing nursing care to patients in the step-down unit, including ECG rhythm interpretation and emergency management. The role involves supervising ancillary personnel and implementing multidisciplinary care plans.
Nestled on the Central California Coast, Adventist Health Sierra Vista has been providing care to our community since 1959. Our 162-bed acute care facility includes a Level III Neonatal Intensive Care Unit and county designated trauma center. San Luis Obispo offers the excitement of a lively community while being a fifteen-minute drive from the serenity of Avila Beach, known for their natural hot springs, and Pismo Beach, known for their sand dunes and eucalyptus trees. Featuring a charming downtown, comfortable coastal weather, idyllic views, and an active lifestyle San Luis Obispo offers much to be had.
Responsible for the planning and provision of nursing care to patients in the step down unit. Accurately interprets ECG rhythm and manages care of patients during life threatening emergencies in populations served. Supervises and delegates care responsibilities to ancillary personnel commensurate with their scope of practice. This position is represented by CNA.
Provides appropriate nursing interventions in stable and emergent patient situations.
Is competent in all routine nursing skills including: (1) medication administration, (2) intravenous therapy including blood products, (3) care & maintenance of indwelling catheters & drains and, (4) safe use of any medical equipment used in the critical care setting, (5) Understands and follows chain of command per policy.
Accurately interprets ECG rhythm and manages care of patients during life threatening emergencies in populations served. Verifies alarm settings with Monitor Technician according to policy. Demonstrates knowledge of lead functions and application, able to make recommendations for best monitoring based on patient presentation.
Demonstrates knowledge & skills in the care and management of patients post coronary intervention requiring femoral sheath removal with use of Femostop Device. Demonstrates knowledge & skills in the care and management of patients post permanent pacemaker placement; post AICD placement, and patients admitted with stable acute coronary syndrome. Demonstrates appropriate clinical judgment in managing cardiac step-down /telemetry patients in the integration of clinical data with clinical assessment.
Initiates a multidisciplinary, goal oriented care plan for each pt in collaboration with members of the health care team and documents education provided to patients and/or families using teaching methods appropriate to population served. Delegates patient care tasks to ancillary personnel based on individual competency and scope of practice. Evaluates effectiveness of care performed.
Completes legible, accurate and timely documentation of all nursing care provided, including evaluation of patient's response to medications, treatments & procedures. Consistently performs necessary unit specific safety & quality control checks (i.e. Shift and 24hr MD order checks, VO/TO Read Back, crash cart checks, urine QC, refrig logs & outdate checks). Identifies and communicates opportunities to improve care, services, and unit operation. Tries new approaches to problem solving, is open to change and reaching new goals for the unit.
Performs other job-related duties as assigned.
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
Market context
California nursing roles often draw steady demand, especially for experienced RNs in procedural and critical care settings. Competition is strongest for candidates who already hold a California RN license, current BLS and ACLS, and recent ICU, ER, or PACU experience. Review the AI-summarized requirements and benefits on this platform to save research time, then confirm your certifications and highlight relevant bedside and procedural experience in your application.
