NEEDED: Specialty RNs for the following specialty care settings:

• Emergency & Intensive (Critical) Care Units
• Operating Room & Interventional Cardiology & Radiology
• Cardiology & Gastroenterology Laboratories
• Post Anesthesia Care Unit
• Hemodialysis Unit
• Inpatient Psychiatric Unit
• Wound Care and Ostomy (Inpatient & Outpatient)
• Case Management
• Infection Control
• Infusion Clinic

LOCATION: 3350 La Jolla Village Drive, San Diego, CA 92161

SCHEDULE: Rotating

STATUS: Full-Time and PRN

QUALIFICATIONS:

• Registered Nurses (RNs). including Specialty Registered Nurses, shall have:
• A current license in at least one (1) state, territory, or commonwealth in the U.S. or the
• Current certification in CPR by an American Health Association Vendor.
• Current Basic Life Support certification. If assigned to a specialty clinic, RN shall also
• A minimum of one (1) year direct patient care experience within the specialty care setting, within the last three (3) years.

RNs assigned to Intensive Care Units, Post Anesthesia Care Unit, Cardiovascular Lab, Emergency Room, Operating Room, or Gastrointestinal Lab provide direct and indirect nursing care, by contributing to the patient’s assessment, determining priorities, identifying nursing measures and therapeutic objectives and evaluating outcomes. The position requires independent judgment and nursing actions, flexibility, organizational skills, and the ability to utilize an interdisciplinary approach in the provision of nursing care.

DUTIES and RESPONSIBILITIES:

RNs assigned to Intensive Care Units, Post Anesthesia Care Unit, Cardiovascular Lab, Emergency Room, Operating Room, or Gastrointestinal Lab (GI)

• Shall provide services in accordance with the policies of the VASDHS which shall be provided by the Government upon assignment.
• Nurses shall have professional and legal responsibility to the patient.
• Specific duties and responsibilities of these RNs include:
• Perform critical care nursing to Intensive Care Unit patients.
• Performs scrub and circulating duties in the Cardiovascular Lab and the Operating Room.
• Assist with the GI Lab procedures and demonstrate competency in monitoring patients undergoing conscious sedation.
• Obtain patient history and pertinent family history.
• Assess patient and plan appropriate nursing care.
• Document plan of care and care given in patient’s medical record.
• Verify transcription of physician’s orders, no verbal orders are to be accepted.
• Carry out prescribed physician’s orders and document inpatient medical record.
• Communicate pertinent patient data to charge nurse and/or physician as appropriate.
• Re-assess patient’s condition and revise plans of care based on identified nursing problem.
• Administer medications and Intravenous (IV) therapies.
• Possess knowledge of actions and usual dosages of most commonly used emergency drugs and their location on crash cart.
• Assess and document patient response to medication that have been administered.
• Be able to interpret cardiac rhythms and their implications.
• Reorganize and initiate appropriate measures in emergencies/therapies and surgical/diagnostic procedures that shall be accomplished.
• Instruct patient/family regarding prescribed medications/therapies and surgical/diagnostic procedures that shall be accomplished.
• Assess patient/family knowledge level, implement plan of instructions and record patient/family demonstrated level of understanding.
• Operate defibrillator, EKG machines and cardiac monitor and other emergency technical equipment.
• Care for patients with Swan-Gans catheters, central venous catheters, arterial lines and mechanical ventilators.
• Participate in discharge planning, as appropriate.
• Be able to initiate life saving measures in the absence of physicians.
• Assure content and correctness of a prepared report and sign the document to validate its content.
• Maintain neat, personal appearance and maintain professional decorum.
• Consistently demonstrate helpful, courteous, and respectful conduct at all times.
• Respect patient’s rights, including but not limited to visual and auditory privacy.
• May accept a verbal order in compliance with the facility policy.
• Intake and output are assessed every shift, and more frequently if indicated by specific standard nursing drug care.
• Reviews all laboratory data, and electronic medical records.
• Shall have ability to titrate medications.
• Be responsible for feeding tubes which are aspirated for gastric residual prior to every intermittent feed and every four (4) hours for continuous tube feedings.
• Shall perform urinary catheter care by using soap and water cleaning technique every twelve hours or as required.
• Shall perform central line and ventilator care in compliance with HCS policy.
• Perform skin assessment and initiate measures to prevent Hospital Acquired Pressure Ulcer (HAPU).
• Ensures that medication orders from the previous shift have been noted and either carried out or transcribed onto the medical records appropriately.
• Shall be and able to provide nursing services in each of the following areas: Catheterization laboratory, Cardiac Ambulatory Center (CAC), Electrophysiology (EP) Lab, Interventional Radiology, magnetic resonance imaging (MRI) lab and Gastrointestinal Lab.

BENEFITS:

• Full-Time (30 to 40 hours per week): Competitive hourly pay rate, accrued vacation, accrued sick leave, 11 paid Federal holidays, 401K opportunity, and Healthcare Benefits contribution.
• PRN (less than 20 hours per week): Competitive hourly pay rate, 401K opportunity, Healthcare Benefits contribution.