RN II- Step Down Unit (CNA), Part Time, Night Shift

Adventist Health; San Luis Obispo (CA); On-site; USD 90,000 - 120,000; Part time

Job summary

Adventist Health Sierra Vista in San Luis Obispo, CA is seeking an RN II for the Step Down Unit (CNA) on a part-time, night shift. You will provide skilled nursing care, interpret ECG rhythms, and supervise ancillary staff while coordinating with the health care team in a Level III trauma/NN unit.

Requirements include an RN license in the state, BLS and ACLS certifications, and NIHSS within 6 months of hire.

Qualifications

• Associate degree in nursing (A.S.) or equivalent required.
• Bachelor's degree in nursing preferred.
• Basic dysrhythmia course preferred.
• Critical care course preferred.
• 6 months of cardiac step-down or telemetry experience in last 2 years preferred.

Responsibilities

• Provides nursing interventions in stable and emergent patient situations including medication administration and IV therapy.
• Interprets ECG rhythms accurately and manages care during life-threatening emergencies.
• Care and management of patients post-coronary intervention, post-pacemaker/ICD placement.
• Initiates multidisciplinary, goal-oriented care plans and educates patients/families.
• Documents nursing care timely and ensures safety and quality checks; participates in unit operations.
• Performs other job-related duties as assigned.

Skills

ECG rhythm interpretation

Medication administration

Telemetry nursing

Vital signs & monitoring

Education

Associate Degree in Nursing (A.S.)

Bachelor's Degree in Nursing (preferred)

Tools

Femostop device

Monitors/ECG equipment

Job description

RN II- Step Down Unit (CNA), Part Time, Night Shift

San Luis Obispo, CA, United States

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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 its 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

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.

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 68770
• Job Category RN
• Posting Date 07/10/2026, 07:17 PM
• Locations 1010 Murray Ave, San Luis Obispo, CA, 93405, US