As the largest hospital in San Luis Obispo County, Sierra Vista
Regional Medical Center strives to produce optimal outcomes and
exceptional patient experiences to the community it serves. With
164 beds and hundreds of physicians, Sierra Vista puts advanced
technology into the hands of experienced medical specialists to
deliver quality healthcare to Central Coast residents and visitors.
Its distinct, high-level services include neurosurgery,
orthopedics, obstetrics, perinatology (high-risk pregnancy),
neonatology (high-risk newborn care), pediatrics and trauma. Sierra
Vista houses the largest Level III Neonatal Intensive Care Unit
between Santa Barbara and Salinas, the only dedicated pediatric
unit in San Luis Obispo County and serves as the county's
designated trauma center. Sierra Vista is recognized as a leader in
orthopedics, cancer care and is a Joint Commission accredited
primary stroke center. Sierra Vista is fully accredited by The
Joint Commission and has been serving the community since 1959.
We offer competitive salaries and benefits including a matching
401(k), several health & dental plans to choose from, generous
tuition assistance plans, and relocation assistance for select
The Acute Care Nurse Practitioner (ACNP) manages patients on
their specialty service/practice under the direction and indirect
supervison of theri supervising physician, who may or may not be
the service line medical director. The role is a leadership
position and the individual is responsible for effective time
management, resource utilization, cose effective delivery of
patient care, and demonstration of positive role modeling.Other
duties and skills include.
- Telephone skills - must demonstrate hospital telephone
etiquette by answering phones promptly, courteously and by
identifying department and staff.
- Policy/procedures - is aware of and follows all hospital and
department policies and procedures.
- Teamwork - promotes positive co-worker relationships through
teamwork and cooperation. Understands and supports the needs of
individuals in other departments and promotes conflict resolution.
Shares information, work knowledge and experience with co-workers,
physicians, and students in a non-threatening manner. Offers
assistance and promptly responds to requests.
- Productivity - maintains high productivity and performs
efficiently, regardless of whether the work volume is high or low.
Appropriately prioritizes work activities. Responds to difficult
situations with self-control and a positive attitude. Makes
decisions independently and knows when to ask for assistance.
Exercises good judgment and arrives at sound decisions.
- Clinical skills - Maintains clinical expertise to provide
optimal patient care and act as resource to the staff. Demonstrates
the necessary knowledge of the principles of growth and development
over the life span and possesses the ability to assess data
reflective of the patient's status and interpret the appropriate
information needed to identify each patient's requirements relative
to his/her age-specific needs.
- Acts as a role model demonstrating the behaviors expected of
staff relative to attendance, work quality productivity, and
- Acts as a patient advocate.
DEPARTMENT SPECIFIC DUTIES:
Each ACNP will have a broad spectrum of duties, relating to
patient care, and may also have very specific duties related to
their specific serviceline.
Generic duties include:
- Attend daily rounds with the physician as needed. Develop a
treatment plan based upon direction and guidance provided by the
physician on daily rounds.
- Collect database information by performing a physical
assessment and constructing a problem list.
- Monitor and evaluate patient's hospital course, participating
in patient diagnosis, management, evaluation, and plan. Order and
evaluate daily lab tests, radiographs, and studies. Initiate
written orders and consults based on the treatment plan.
- Assess and intervene in the general health care needs of
specialty patients to facilitate efficient treatment of and
effective recovery from the medical/surgical problem.
- Promote health by providing preventive health education and
intervention appropriate to patient's age and medical/surgical
problem and/or risk.
- Provide teaching and support to patients and families related
to their specific medical problem and treatment and generate
referrals to community resources as needed. Ascertain patient and
family understanding of medical/surgical problem and prognosis.
Provide detailed information to patients and their families
regarding surgical/medical diagnosis, expected course and
prognosis, and plan of care.
- Evaluate complex cases and establish a plan of care for
rehabilitation. Facilitate and make referrals for support services
that may include but are not limited to Occupational Therapy,
Speech Therapy, Physical Therapy and Physical Medicine and
- Monitor and evaluate patients for discharge. Evaluate and
define discharge regimen, complete discharge exam, write discharge
orders, dictate comprehensive summaries for co-signature, recommend
follow-up and consult referrals.
- As appropriate, ACNP may function in the outpatient clinic
o Independently provide episodic and hospital follow-up
o Monitor on-going patient problems, providing counseling and
coordinating of resources. Monitor for resolution of
oncology/medical/surgical problems after hospital discharge.
o Evaluate new patient complaints and complete work-up as
indicated, including review of radiographs, labs and studies.
o Perform standardized procedure functions.
- Provide telephone advice and referrals to patients.
- Complete SVRMC and clinic records, including but not limited to
progress notes, orders, radiograph requests, and study requests.
Dictate records when appropriate.
- Perform extended role procedures as defined in standardized
protocols and standardized procedures, including but not limited to
the RNFA standardized procedure.
- Act as a resource for staff and other hospital personnel.
Serves as an expert consultant in their specialty area.
Participates in ongoing educational events.
- Participate in specialty specific research grants and
- Maintains current professional licenses and/or certifications
as and when required by state, regulatory agency, or hospital
Nurse Navigator Nurse Practictioner will build on a legacy of
nursing excellence by caring with compassion and advocating for the
health of patients, families, and communities. The Nurse Navigator
primary function is to serve as first contact for patients to
assist with logistical navigation through the perioperative care
continuum; provide a link between patients and physicians; act as
the liaison between clinical specialists and physicians to improve
quality, service, outcomes, and coordination of treatment.
Increases access to care and guides patients and families through
the health care system from the time of diagnosis through their
duration of care by assisting them with access to needed services,
developing relationships with various providers, increasing
throughput efficiencies, perioperative goals and metrics, and
tracking interventions and outcomes. Coordinates this care to
ensure safe, effective, efficient patient centered care.
Experience with interdisciplinary health care approach and
coordination/managment of the surgical patient experience
Strong analytic skills with quality and data analysis. Excellent
interpersonal skills. Ability to guide by precedents, policies and
objectives. Makes recommendations on issues affecting patient
Required: MSN, 2-5 years related work experience in Surgical
Required: CA RN License, BLS, ACLS, PALS, ACNP
Required: Computer skills to include: EMR (Cerner), Microsoft
Office and Web Based Applications Preferred: Nurse Navigator
experience Preferred: Certification .
Preferred: Two years of clinical experience as a nurse