RN - NICU

Auto-offer EPIC backfill, Night Shift, 36 or 48 hours, 12 hr shift; must have EPIC experience

Centered in the heart of Yuba-Sutter County, 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.

This position is represented by CNA.

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 and Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required

Advanced Cardiac Life Support (ACLS OR HS-ACLS OR RQIACLS) certification at time of hire and Demonstrated competency in Dysrhythmia during Orientation for all depts except for Obstetrics and NICU: Required

Perinatal: Neonatal Resuscitation within 6 months of hire and Intermediate Fetal Monitoring within 6 months of hire ; Required

Perinatal: Neonatal Resuscitation within 6 months of hire required for the Obstetrics & NICU depts: Required

Facility Specific License/Certifications: Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required

ACLS (Advanced Cardiovascular Life Support): 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

Our facility 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.

\"Total Bed Count: 6 Bed Types: 5 open NICU pods and 1 private airborne isolation room Staffing Ratios: 1:2, up to1:3 Specialty Care Newborns Schedule Requirements: Call Required: Yes, if in contract, with a 30 minute response time Float Required: No Weekend Coverage: May schedule up to 2 weekends in a row, but usually every other, unless there are volunteers who want to pick up more weekend shifts Scheduling Type: We understand nights usually like their scheduled days in a row, we try to accommodate scheduling preferences while balancing unit staffing needs Medication System: Pyxis Documentation System: Currently Cerner, but moving to Epic IV Teams: Primary RN is expected to start IVs, unless there are failed attempts Lift Teams: No, Lift equipment available. Staff receive training. Pharmacy: 24 hours/7days/wk. Phlebotomy: Lab draws all labs with the exception of some for newborn labs (i.e. metabolic screens), heel stick for billing, etc. Transportation: Hospital wide but rarely used in this unit. Transfers from L&D to Mother-baby are by the RN. Unit Secretary: Assigned every shift and occasionally shared between L&D and Mother-Baby/NICU units Other: RT and NICU RN attends all deliveries and cesarean sections, part-time lactation services support, CRNA in house, OB hospitalist in house, OB and ped on -call Special Procedures: Specific to specialty. NICU- prefers someone who can attend a delivery as the NRP nurse, but not mandatory. Scrubs: Provided for those who frequent the OR (L&D RNs and the NICU RN assigned in the NRP role in L&D. Not provided for general NICU and Mother-Baby RNs We prefer to know about the time off request prior to accepting a contract\"