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RN II - ICU

Company: St. Joseph Health
Location: Santa Rosa
Posted on: June 7, 2021

Job Description:

We are looking for a Staff RN II - SNA (Staff Nurses Association) with the ICU-CCU Department at Santa Rosa Memorial Hospital.

Location: Santa Rosa, CA

Schedule: Full Time - 72 biweekly hours

Shift: 12-hour Nights

Job Summary:

Under the direction of the Department Manager, the Staff Nurse II independently uses the nursing process to safely, therapeutically and efficiently care for a group of patients. Uses information from a variety of sources to assess, plan implement and evaluate the results of patient care.

Age-Related Competencies:

  • Demonstrates the basic knowledge and skills necessary to provide age-specific care to patients served, including knowledge of the principles of growth and development and psychosocial characteristics and interventions for the populations served in the department. Demonstrates competence in assessing and interpreting age appropriate data about the patients' status in order to provide the care needed.
  • Demonstrates appropriate communication skills for the patient population served.
  • Demonstrates knowledge of age-specific community resources.

Essential Functions:

Demonstrates the ability to use all components of the nursing process including assessment, planning, implementing and evaluating care to meet the patient needs.

Assessment:

  • Assesses patients according to department standards and anticipates changes in patients' status.
  • Identifies obvious as well as subtle patient problems and/or abnormal assessments and appropriately reports and resolves.
  • PRN (Procedure and Resources Nurse) Admit Nurse:
  • Reviews past medical history.
  • Assesses vital signs, respiratory status and EKGs during transport.
  • Completes ongoing assessments during transports.
  • Completes medication reconciliation on admission.
  • SPRN (Special Procedure Resource Nurse):
  • Assess vital signs, respiratory status and EKGs during transport.
  • Completes ongoing assessments during transports.

Planning:

  • Develops plan of care based on age specific assessment.
  • Involves patient and family and interdisciplinary resource to develop and revise plan of care.
  • Uses action plans, goals and time frames to produce desired patient outcomes.
  • PRN (Procedure and Resources Nurse) Admit Nurse:
  • Triages requests and responds to most critical request first.
  • Plans for transport of patient through collaboration with other departments (MRI, CT, RT).
  • SPRN (Special Procedure Resource Nurse):
  • Plan for transport of staff by contacting other departments to plan for transport (Respiratory, CT, MRI, ED etc.).
  • Triages requests and responds to most critical request first.

Implementing Care:

  • Demonstrates knowledge and skills necessary to provide care appropriate to the age specific patient's needs, including teaching and discharge planning. Documents care appropriately.
  • Provides assistance to others in implementing complex care.
  • Administers medications and treatments according to hospital policy and procedure and accepted standards of age specific care and department standards.
  • Communicates effectively with physicians, patients and families within their age specific categories, providing necessary information from the patient, family, other nurses, physicians and allied health care professionals.
  • Promotes a climate in which patients/families may act in their own interest and intervenes when they are unable to do so.
  • PICC/PRN (Peripherally Inserted Central Catheter, Procedure and Resources Nurse):
  • Evaluates and inserts PICC lines.
  • PRN (Procedure and Resources Nurse) Admit Nurse:
  • Evaluates vascular access function, care and maintenance.
  • Provides IV insertion using ultrasound technology.
  • Rounds frequently on units to assist with patient care.
  • Completed ongoing documentation on extended transports.
  • Resource, troubleshoots and accesses portacaths.
  • Completes admission documentation.
  • SPRN (Special Procedure Resource Nurse):
  • Adjusts and titrates medications per order.
  • Monitors patients during procedures and provides critical care needs as needed.
  • Resource, troubleshoots and accesses portacaths.
  • Provides IV insertion using ultrasound technology.
  • Rounds frequently on units to assist with patient care.
  • Completed ongoing documentation on extended transports.

Evaluating Care:

  • Assesses, reassesses and evaluates patient response to care.
  • Participates with patient/family and other healthcare provided in evaluation of patient outcomes.

Demonstrates leadership in handling daily activities on the unit:

  • Promotes and enhances collaborative/caring relationships.
  • Acts as a resource to team members.
  • Maintains a safe work environment by adhering to JCAHO, Title 22, hospital, departmental policies and procedures and other regulatory requirements.
  • Demonstrates efficient use of time and resources by working within established budget parameters.
  • Participates in identification and implementation of cost saving strategies.
  • Demonstrates commitment to department objectives and standards.
  • PRN (Procedure and Resources Nurse) Admit Nurse:
  • Acts as resource to staff nurses regarding access devices and provides education and guidance to maintain appropriate care for access devices.
  • Provided the highest quality of customer service to stakeholders.
  • Performs as an independent practitioner and is autonomous in day to day work.
  • SPRN (Special Procedure Resource Nurse):
  • Acts as resource to staff nurses regarding access devices and provides education and guidance to maintain appropriate care for access devices.
  • Provided the highest quality of customer service to stakeholders.
  • Performs as an independent practitioner and is autonomous in day to day work.

Participates in professional development:

  • Maintains clinical competencies according to departmental standards.
  • Demonstrates a commitment for self-growth and competency.
  • Participates in the review process by identifying, developing and implementing goals and action plan with nurse manager.
  • Demonstrates accountability for apprising self of hospital and department communications/information and changes in practice.
  • Recognizes the importance of practice trends in nursing and participates in research/quality data collection.
  • Assists in modifying/improving practice based on clinical findings and literature.
  • Participates with the nurse manager in the development and implementation of department goals.
  • PICC/PRN (Peripherally Inserted Central Catheter, Procedure and Resources Nurse):
  • Assists with PICC line education for staff.
  • PRN (Procedure and Resources Nurse) Admit Nurse:
  • Recognizes the importance of practice trends in nursing and participates in research/quality data collection including auditing of lines and other performance improvement activities.
  • Assists in modifying/improving practice based on evidenced based practices, clinical findings and literature.
  • Participates with the nurse manager in the development and implementation of department goals and policy review.
  • Assists with PICC line education for staff.
  • SPRN (Special Procedure Resource Nurse):
  • Recognizes the importance of practice trends in nursing and participates in research/quality data collection including auditing of lines and other performance improvement activities.
  • Assists in modifying/improving practice based on evidenced based practices, on clinical findings and literature.

Critical Care:

  • Proficiency with problem solving.
  • Above average assessment skills.
  • Ability to prioritize and organize care of a complex patient population.
  • Ability to function with minimal direct supervision.
  • Evaluates and manages complex patient care problems including:
  • Ventilation adjuncts.
  • Monitoring and maintenance of specialty invasive lines and devices (i.e. Swan-Ganz catheters, arterial lines, ICP monitoring equipment).
  • Vasoactive drug titration including weight specific dose calculations.
  • Interpretation and management of complex cardiac arrhythmias.

Skills:

  • Able to communicate effectively in English (verbal and written).
  • Effective skills in communication, problem solving, interpersonal relationships, and prioritization.
  • Has the flexibility to adapt to new and changing situations.
  • Has the ability to think critically.
  • Able to give and receive constructive feedback.
  • Basic computer skills.
  • Participates as a collaborative member of the Patient Care Team.

Position Requirements:

Experience:

  • 6 months experience as an RN in a health care setting.

License/Certification:

  • Current California RN licensure.
  • BLS within 60 days of hire.
  • ACLS is required for all staff in critical care department.

Preferred Position Qualifications:

Education: Bachelor's Degree in Nursing

Providence St. Joseph Health (Providence) has worked for decades to improve health and quality of life in California's North Bay region, starting in Sonoma County, where the Sisters of St. Joseph of Orange opened the doors of Santa Rosa Memorial Hospital in 1950. Today, we continue the mission begun by the Sisters to those we serve through an integrated spectrum of primary, urgent, acute, outpatient, palliative care and regional referral services. Sonoma County facilities aligned with Providence include the 278-bed Santa Rosa Memorial Hospital, the region's only Level II trauma center. In addition, the 80-bed Petaluma Valley Hospital and 43-bed Healdsburg Hospital are secular (non-religious) affiliates of Providence. Our services also encompass three Urgent Care centers, Hospice of Petaluma, Memorial Hospice and North County Hospice, the Annadel Medical Group doing business as St. Joseph Health Medical Group, as well as the St. Joseph Home Care Network (post-acute care services). We act as a regional referral hub for outlying hospitals, while also providing outpatient behavioral health care, education to promote health and prevent chronic disease, rehabilitation, oral health care, community benefit programs, and more, all fostering health and quality of life throughout the area.

Providence provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Providence complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Positions specified as "on call/per diem" refers to employment consisting of shifts scheduled on as "as needed basis" to fill in for staff vacancies.

Keywords: St. Joseph Health, Santa Rosa , RN II - ICU, Other , Santa Rosa, California

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