RN-ER; CNA Nights

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Nestled on the Central California Coast, Adventist Health Sierra Vista has been providing care to our community since 1959. The 162‑bed acute care facility includes a Level III Neonatal Intensive Care Unit and a county‑designated trauma center. San Luis Obispo offers a lively community, a short drive to Avila Beach’s hot springs and to the sand dunes of Pismo Beach, and an active lifestyle with comfortable coastal weather and idyllic views.

Provides nursing care, including triage, treatment and discharge care for the Emergency Department patients, from newborns to geriatrics. This position is represented by CNA.

• Associate Degree (A.S.) or equivalent:
  Required
• Bachelor's Degree in Nursing:
  Preferred
• One year in acute care experience:
  Required

• Current RN license in state of practice:
  Required
• Basic Life Support (BLS OR HS‑BLS OR RQIBLS) certification:
  Required
• Advanced Cardiovascular Life Support (ACLS):
  Required
• Pediatric Advanced Life Support (PALS OR HS‑PALS OR RQIPALS) certification:
  Required
• Trauma Nursing Core Course (TNCC):
  Required within 6 months of hire or transfer
• Advanced Cardiac Life Support (ACLS) or Healthstream Advanced Cardiac Life Support (HS‑ACLS) or RQIACLS:
  Required

• Completes accurate triage assessment on all patients and notifies the Emergency MD of all abnormal signs, symptoms and vital signs 100% of the time. Reviews and completes patient orders in a timely manner. Provides medication side‑effects teaching to all patients who receive medication in the ED and always includes this teaching in discharge instructions.
• Recognizes the symptoms of cardiac or respiratory distress and other impending emergencies 100% of the time. Provides appropriate nursing interventions in stable and emergent patient situations. Is competent in all routine nursing skills including medication administration, intravenous therapy including blood products, care & maintenance of indwelling catheters & drains, and safe use of any medical equipment used in the critical care setting.
  
  Understands and follows chain of command per policy.
• Accurately interprets ECG rhythm and manages care of patients during life‑threatening emergencies. Demonstrates knowledge of lead functions and application, and is able to make recommendations for best monitoring based on patient presentation.
• Demonstrates appropriate knowledge and skill in providing care during Code Blue, Code Stroke, Sepsis, and Trauma activations.
• 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 (e.g., crash cart checks, urine QC, difficult airway, Broselow cart, refrigeration logs & out‑date checks). Facilitates safe and timely coordination and collaboration with inpatient units when admitting patients from the ED.
• 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.

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