RN II-ICU-CVICU, Per Diem, Variable Shift (CNA)

Adventist Health; San Luis Obispo (CA); On-site; USD 96,000 - 110,000; Full time

Job summary

Adventist Health Sierra Vista in San Luis Obispo is seeking a critical care RN to plan, coordinate, and provide nursing care in the ICU setting. The role involves supervising ancillary staff, managing patients with multi-system failure requiring ventilation, neuro/trauma care, and hemodynamic monitoring.

Required are RN licensure, BLS, ACLS, and TNCC within 1 year; CCU experience preferred. Per diem assignment with 12-hour shifts; base pay disclosed in posting.

Qualifications

• RN licensure in state of practice required.
• BLS certification required; ACLS certification required.
• TNCC certification required within 1 year of hire or transfer into department.
• Six months of critical care nursing experience preferred.

Responsibilities

• Provides appropriate nursing interventions in stable and emergent patient situations. Competent in routine nursing skills including medication administration, IV therapy, care of indwelling catheters & drains, and medical equipment use; follows chain of command.
• Interprets ECG rhythms and manages life-threatening emergencies; coordinates with Monitor Technician.
• Manages care for patients requiring ICP/ventriculostomy monitoring and PA/arterial pressure monitoring.
• Provides care for patients needing mechanical ventilation or ventilatory support devices; plans and implements multidisciplinary care plans.
• Educates patients and families; documents care and evaluates patient response; performs unit safety and quality checks.

Education

High School Education/GED

Associate Degree (A.A. or A.S.)

Bachelor's Degree in Nursing

Critical Care Nursing course

Job description

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.

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.

Job Summary

Responsible for the planning, coordination, and provision of nursing care to patients on the critical care setting. Supervises and delegates care responsibilities to ancillary personnel commensurate with their scope of practice. Responsible for critical care nursing knowledge and skills applicable to but not limited to the care of patients with multi system failure requiring ventilation, neuro / trauma, respiratory failure, and hemodynamic monitoring. This position is represented by CNA.

Job Requirements

Education and Work Experience:

• High School Education/GED or equivalent: Required
• Associate Degree(A.A. or A.S.): Required
• Bachelor's Degree in Nursing: Preferred
• Passing completion of a Critical Care Nursing course: Required
• Six months previous critical care experience: Preferred

Licenses/Certifications

• Current RN license in state of practice: Required
• Basic Life Support (BLS) certification from approved vendor per AH policy: Required
• Advanced Cardiovascular Life Support (ACLS) certification from approved vendor per AH policy: Required
• Trauma Nursing Core Course (TNCC): Required within 1 year of hire or transfer into the department.(Current employees as of 06.30.2021 have 2 years to complete)
• Registered Nurse (RN) license in state of practice: Required

Facility Specific License/Certifications

• Basic Life Support (BLS) certification from approved vendor per AH policy: Required
• AHA-ACLS or ARC-ALS: Required

Essential Functions

• 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/skill regarding the care and management of patients requiring ICP and ventriculostomy monitoring. Is proficient in assessment and intervention in changes in neurological symptoms. Demonstrates knowledge/skill regarding the care and management of patients requiring Pulmonary Artery Monitoring Catheters and patients requiring Arterial Pressure Monitoring Catheters.
• Demonstrates knowledge/skill regarding the care and management of patients requiring mechanical ventilation and other ventilatory support devises I.e. C-pap mask; Nasal bi-pap mask; High Flow O2 mask. Demonstrates knowledge regarding the principles of multisystem alteration and its impact on physiological functions, developmental tasks and alteration in mental processing of the adult and elder population. Initiates a multidisciplinary, goal oriented care plan for each patient in collaboration with members of the health care team and provides care based on that plan.
• Educates patients and/or their families regarding care. Uses teaching methods appropriate to the age, condition, culture, and assessed learning-readiness of the patient. 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).
• 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 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.

About Us

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God’s love by inspiring health, wholeness and hope.

JOB INFO

Job Identification : 71920

Job Category : RN

Posting Date : 2026-09-04T07:00:00+00:00

Locations : San Luis Obispo, CA, United States

Assignment Category : Per Diem

Pay Range : The estimated base pay for this position is $74.48 to $74.48. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.

Hiring Department : Medical ICU 1

Shift Length : 12 Hours