Registered Nurse (experienced) - Critical Care - Night

RN- Critical Care Unit (experienced RN)

• 24-bed unit specializing in the care of critical patients.
• 24-hour intensivist/pulmonary/APP coverage.
• Individualized, comprehensive 16-week orientation program which includes the Essentials of Critical Care Orientation (ECCO), ACLS certification and NIHSS certification for new nurses.
• Mentorship program after orientation to support new nurses.
• Residency program for new graduates.
• Opportunity for committee participation and a voice in your nursing practice.
• Professional growth through a Clinical Ladder.
• Leadership presence on every shift.
• Strong foundation for advanced practice degree.
• Certification for Critical Care RN (CCRN) after 2 years’ experience.
• Full time (72 hours biweekly).
• Shift:  7pm-7am (12-hour night).
• Every third weekend.
• Eligible for shift and weekend differential.

The Registered Nurse is responsible and accountable for implementing, directing and coordinating the care of patients through the use of the nursing process: assessment, planning implementation and evaluation.  Included is recognition and treatment of the physical and psychosocial changes unique to the age/population group served on the specific unit.

Essential Functions and Responsibilities
Job Class Specifics
1.� � � � Demonstrates safe medication practice.
2.� � � � Maintains a professional image that reflects the employee’s role in health care, with confidence and a positive impression.
3.� � � � Completes chart check to ensure no missed orders.�
4.� � � � Accurately transcribes physician’s orders.
5.� � � � Demonstrates therapeutic communication skills.
6.� � � � Demonstrates ability to assess patient education needs and use of patient education resources.
7.� � � � Demonstrates involvement in unit by attending 50% of staff/committee meetings and in-services for area.
8.� � � � Demonstrates leadership through the nursing process and supervision while maintaining accountability for treatment and patient outcomes.
9.� � � � Acts as a resource person regarding patient care, specialty area, orientation and teaching of staff.
10.� � � � Responds to delays in a calm manner. � Apologizes for inconveniences and gives alternatives.
11.� � � � Analyzes assessment data, identifies priority problems and documents on Plan of Care in PCS for patients and families and significant others.
12.� � � � Uses effective problem-solving skills to plan patient care.
13.� � � � Identifies critical factors evidencing changes in patient condition and responds appropriately.
14.� � � � Completes and documents discharge assessment against plan of care goals.
15.� � � � Initiates and maintains Intravenous Therapy according to IV standards.�
16.� � � � Responds appropriately to emergency situations.�
17.� � � � Utilizes proper body mechanics to prevent injury to self and others. � Safely positions, transfers and transports patients.
18.� � � � Functions as a virtual nurse as assigned which includes, but is not limited to, admissions, discharges, education, documentation through a virtual platform and working collaboratively with the bedside nursing staff.�

Department: � � Critical Care Unit � �

1. � � Utilizes appropriate nursing assessment as established by the department standards of patient care.
2. � � Sets up equipment and assists with the insertion of Swan-Ganz catheter/arterial line and/or multilumen.
3. � � Cares for a patient with a Swan-Ganz, including cardiac outputs.
4. � � Assists with temporary pacemaker insertion.
5. � � Demonstrates proper application of external pacemaker.
6. � � Defibrillates patient.
7. � � Assists with cardioversion procedure.
8. � � Demonstrates proper administration of thrombolytic agents.
9. � � Cares for a patient receiving thrombolytic agents.
10. � � Draws blood from a multilumen, Swan-Ganz or arterial line.
11. � � Discontinues Swan-Ganz, multilumen, temporary pacemaker or arterial line.
12. � � Cares for a patient on mechanical ventilation.
13. � � Assists with intubation.
14. � � Assesses and evaluates patient response during post surgical recovery phase for surgical critical care patients.
15. � � Describes role and responsibility in assessing and reporting physical, emotional, sexual abuse and neglect.
16. � � Able to demonstrate proper technique for IABP therapy.
17. � � Completes cardiac rehab exercises.
18. � � Achieves credentialing in conscious sedation by >84% score on exam annually and demonstrates appropriate clinical performance as evidenced by successful observation and chart review.
19. � � Completes a 12 lead EKG.
20. � � Demonstrates proper initiation of vasopressor agents.
21. � � Interprets ECG pattern.
22. � � Cares for a patient with Impella catheter assist device.
23. � � Cares for post tracheostomy patients.
24. � � Cares for peritoneal dialysis patients.
25. � � Collaboratively coordinates with other departments and disciplines to meet patient’s needs.
26. � � Completes mandatory education and in-services by due date.
27. � � Completes annual health screening.
28. � � Demonstrates ability to assist with the insertion of chest tube, including set-up and post insertion patient care.
29. � � Demonstrates proficiency in applying vac dressings.