RN II - Step Down Unit (CNA), Full Time, Day Shift

Adventist Health; San Luis Obispo (CA); On-site; USD 72,000 - 115,000; Full time

Job summary

Adventist Health Sierra Vista in San Luis Obispo, CA is seeking a registered nurse for the Step Down Unit to provide and oversee specialized cardiac care. You will interpret ECG rhythms and respond in emergencies, while guiding ancillary staff and coordinating patient education with families.

The role requires an RN license, BLS/ACLS, NIHSS within 6 months, and cardiology experience; BLS and ACLS certifications are required. A daily 12-hour shift supports patient care in a Level III unit.

Qualifications

• Associate Degree or equivalent required.
• Bachelor’s in Nursing preferred.
• Basic Dysrhythmia Course preferred.
• Critical Care Course preferred.
• 6 months of cardiac step-down or telemetry experience preferred.

Responsibilities

• Interprets ECG rhythm and manages care during life-threatening emergencies.
• Delegates care tasks to ancillary personnel and develops a goal-oriented care plan.
• Documents education provided to patients and families.
• Performs nursing interventions including medications, IV therapy, catheters, and equipment in the CCU.
• Completes accurate nursing documentation and safety/quality checks.

Skills

ECG interpretation

Education

Associate Degree (AS) or equivalent

Bachelor’s Degree in Nursing

Basic Dysrhythmia Course

Critical Care Course

Telemetry experience

Tools

RN license

Job description

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.

Job Summary

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.

Job Requirements

Education and Work Experience:

• Associate Degree(A.S.) or equivalent: Required
• Bachelor's Degree in Nursing: Preferred
• Successful completion of Basic Dysrhythmia Course: Preferred
• Completion of Critical Care Course: Preferred
• 6 months of cardiac step-down or telemetry experience in last 2 years: 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
• NIHSS certification: Required within 6 months of hire
• Registered Nurse (RN) license in state of practice: Required
• National Institutes of Health Stroke Scale: 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 & 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.

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.

Job Info

Job Identification : 74584

Job Category : RN

Posting Date : 2026-10-23T21:45:43+00:00

Job Schedule : Full time

Locations :

San Luis Obispo, CA, United States

Assignment Category : Full-time regular

Pay Range : The estimated base pay for this position is $52.17 to $83.56. 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 : Step Down Unit

Shift Length : 12 Hours