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Advanced ICU RN | Clinical Nurse II

San Ysidro, CA
$89,099 - $89,099 a year

Start date:

02 Feb 2026

Job Type:

Full Time

Job Details

Position Overview

This role is for an experienced Intensive Care Unit Registered Nurse at the Clinical Nurse II level, essential to delivering compassionate, patient-focused care in a high-acuity environment. The position demands advanced clinical skills, specialized certifications, and the ability to work independently while collaborating closely with a multidisciplinary healthcare team to ensure patient safety and optimal outcomes.

Key Responsibilities

  • Patient Care:
    • Coordinate with the interprofessional healthcare team to provide safe, efficient, and equitable care tailored to each patient.
    • Perform thorough assessments to identify individual patient needs and develop personalized care plans.
    • Monitor patient responses to interventions and adjust care plans promptly.
    • Advocate for patients, ensuring dignity and confidentiality at all times.
    • Evaluate the effectiveness of care provided by the team and contribute to continuous improvement.
    • Educate patients and families on medical conditions, medications, and lifestyle changes.
    • Promote evidence-based practices within the ICU setting.
  • Safety and Compliance:
    • Maintain a clean, safe environment adhering to infection control and aseptic protocols.
    • Follow regulatory standards including those from The Joint Commission and OSHA.
    • Identify and report safety concerns, actively participating in systemic improvements.
  • Documentation:
    • Accurately document patient care, interventions, progress, and incidents in electronic medical records.
  • Professional Development and Leadership:
    • Mentor and precept new nurses and students, supporting their growth.
    • Engage in continuing education, certifications, and quality improvement initiatives.
    • Serve as a resource and advocate for best practices within the ICU.
    • Assume charge nurse and Rapid Response Team roles as needed.
  • Emergency Preparedness:
    • Respond decisively and effectively in critical situations such as cardiac arrest, demonstrating advanced clinical skills and calm under pressure.

Qualifications

Experience:

  • Minimum two years as a Registered Nurse in a high-acuity Intensive Care Unit or equivalent step-down critical care unit.
  • Proven ability to manage complex patient cases.

Education:

  • Bachelor of Science in Nursing (BSN) preferred; Associate Degree in Nursing (ADN) with five years ICU experience may be considered.

Licenses and Certifications:

  • Current Registered Nurse license in the applicable state.
  • Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certifications from the American Heart Association.
  • NIH Stroke Scale (NIHSS) certification.
  • Certified Critical Care Nurse (CCRN) or equivalent certification preferred.

Skills and Competencies:

  • Proficiency with advanced critical care equipment and technology.
  • Strong knowledge of anatomy, physiology, and critical care pharmacology.
  • Expertise in maintaining sterile procedural fields and adherence to protocols.
  • Excellent critical thinking and rapid decision-making abilities in high-pressure situations.
  • Effective communication skills with patients, families, and healthcare teams.

Successful candidates must pass a physical exam, drug screening, and background checks prior to employment. This position is located in a regional healthcare setting within the Pacific Northwest, serving diverse coastal communities.

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