Acute Care Unit RN
Moreno Valley, California
Riverside University Medical Center

Registered Nurse (RN) - Acute Care Unit (ACCU) - Registry

Location: Moreno Valley, California
Employment Type: Clinical Nursing Registry
Shift: Nights (7:00 PM – 7:30 AM)
Hours: 12 hours per shift
Contract Length: 52 weeks (1 year)

Job Description

• Assess patients on admission considering physical, psychosocial, cultural, and spiritual needs within specified time frames.
• Reassess patients’ health needs at least every shift or as warranted by condition changes.
• Establish and update individualized plans of care based on comprehensive data and reassessments.
• Administer oral, topical, and parenteral medications following the "7 rights" of medication administration.
• Assess and document medication and treatment effectiveness and any adverse effects.
• Perform treatments and procedures adhering to nursing best practices, hospital policies, sterile technique, standard precautions, and patient privacy.
• Document patient care, pain management, discharge planning, education, and progress toward goals accurately and legibly.
• Educate patients and families based on assessed needs.
• Interpret and analyze diagnostic data and intervene appropriately.
• Communicate promptly any changes in patient condition to physicians and healthcare team members using SBAR communication for handoffs.
• Respect patient rights including confidentiality, safety, and participation in care planning.
• Participate in multidisciplinary care planning.
• Manage patients in restraints according to policy and understand application criteria.
• Follow National Patient Safety Goals and hospital policies including use of two patient identifiers.
• Understand and participate in disaster plans and rapid response team activation.
• Complete orientation to Life Safety Standards (Code Blue, Code Pink, Haz Mat, Code Red, Oxygen shut off).
• Follow infection control policies and blood transfusion protocols.
• Adhere to the Chain of Command appropriately.
• Practice hand hygiene before and after patient contact.
• Follow guidelines for Core Measures and vaccine control.

Critical Care Nurse Specific Tasks

• Document initial assessments, multidisciplinary care plans, progress notes, ICU flow sheets, medication records, medication reconciliation, critical values, and telephone orders.
• Use Pyxis system appropriately for narcotics.
• Follow policies for administration of high-risk medications.
• Utilize pressure monitoring, bedside cardiac monitors, recognize cardiac dysrhythmias, and operate specialty beds.
• Manage pain and sedation protocols.
• Follow early mobility protocols.
• Adhere to protocols for sepsis, ventilator-associated pneumonia, pressure ulcers, and central line care.
• Demonstrate knowledge of nurse-collected specimens for Type and Cross/Screen.
• Accurately assess, plan, implement, and evaluate care of critically ill patients.
• Access appropriate resources when assistance is needed.
• Locate and use unit-specific policies as needed.

Required Qualifications

• Current California RN License.
• ACLS (Advanced Cardiovascular Life Support) certification.
• BLS (Basic Life Support) certification.
• CA RN License.
• Conscious Sedation experience.
• NIH Stroke Scale (NIHSS) knowledge.
• Recent ICU RN experience in an acute care facility: 5 years minimum.
• CCRN certification highly preferred.

Additional Information

• Night shift hours: 7:00 PM to 7:30 AM.
• 12-hour shifts.
• Prior travel experience is not specified or required.