RN ICU (7101)

ID: 54390110 Shift: Nights Description: Job Description Position Details:12 HR PM; every other weekend and holidaya minimum of 2 years ICU experience prefer to have previous travel expno locals accepted (locals are considered to be within 50 miles of the facility)Dysrhythmia required at orientation (study guide available)BLSACLS Unit Details:Generalized 10 bed ICURoyal Blue ScrubsOmnicell experience within 6 monthsstroke patients who we give TNK but all others transfer out, only STEMIs /NSTEMI s oxygen/respiratory modalities - Vents, Bipaps, Hiflow Drips - Heparin, Levo, Epi- all critical care dripsChest Tubesbeside monitoring and remote telemetry ("banks" at the nursing stations to watch patients)Typically, 1-2 CNA staffed per shiftJob Profile Name - RN Critical Care (Harmonized) Job Code 740N38 Include Job Code in Name JobProfile Summary Job Description The Critical Care Registered Nurse (RN) provides, coordinates, plans, and evaluates thecare of the patient in collaboration with the interdisciplinary team and within established the nursing processframework. Evaluation is done through data collection, assessment, identification, and prioritization of patientproblems/needs including evaluating process/outcome of nursing care, interventions, and teaching. The RN coordinates,provides, and directs patient teaching activities and coordinates the care provided by health team members. EssentialJob Functions Conducts and analyzes initial and ongoing patient assessment, creates a plan of care, implementstreatment, and evaluates treatment effectiveness. Administers medications in a safe manner consistent with the State ofPractice and Bon Secours Mercy Health policies and procedures Serves as point of contact for patient's carecoordination throughout hospital departments. Acts as a patient safety advocate by participating in ongoing qualityimprovement in the department and collaborates with spiritual care, palliative, and ethics when needed Serves as apoint person for care coordination for family members or caregivers. Performs nursing care associated with lifesupporting technology/modalities may include but not limited to: ventilator management, CRRT, IABP, Impella, ECMOPerforms hemodynamic monitoring Clinically manages critically ill patients with multi-system organ failure and/ormultisystem trauma Using the AACN Synergy Model, restores, supports, promotes, rehabilitates, or palliates to maintainthe physiologic, psychologic, and psychosocial stability of patients across the lifespan. Synthesizes and prioritizesinformation in order to take immediate and decisive evidence-based, patient-focused action using clinical judgement andclinical inquiry. Anticipates and responds with confidence and adapts to rapidly changing patient conditions. Respondsto the unique needs of the patients and families coping with unanticipated illness or injury and treatment and advocatefor their choices in quality of life. BSMH nurses are expected to practice and deliver care in accordance with the coreconcepts and intention of the BSMH Nursing Professional Practice Model. This document is not an exhaustive list of allresponsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may berequired to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.Licensing/Certification Current RN license in state they are working or covered by compact (required) BLS Basic LifeSupport (preferred upon hire, must obtain from approved source prior to direct patient care) ACLS Advanced Cardiac LifeSupport (required within 6 months of hire) TNCC Trauma Nursing Core Course (preferred) CCRN Critical Care RegisteredNurse (preferred) PCCN Progressive Care Certified Nurse (preferred) RN-BC Registered Nurse - Board Certified(preferred) TCRN Trauma Certified Registered Nurse (preferred) National Institute of Health (NIH) Stroke Certification(preferred) Education Bachelor of Science Nursing (preferred) Work Experience 1 year of RN experience (required) 6months RN experience in a Med/Surg, Critical Care, Stepdown, or Emergency Department Unit (preferred) Training EPICElectronic Health Record (EHR) training (preferred) Critical Care Course (preferred) Skills Assigns patient careaccording to the nursing skill, knowledge, and scope of practice of staff. Orients, facilitates learning experience,and provides education (based upon quality improvement indicators, outcomes, and implementation) to nursing staff andothers. Possesses clinical knowledge, skills, and competency to provide evidence-based patient care in accordance withthe current standards of practice, policy and procedure, and BSMH mission. Performs comprehensive assessment ofpatient's clinical condition and psychosocial needs of the patient and their supportive resources. Safely andefficiently develops, implements, and prioritizes plan of care. Application of the nursing process in patient caredelivery. Assesses patient's physical and emotional responses to treatment to evaluate effectiveness of interventionand patient outcomes; revises plan of care accordingly. Assists patient and family in coping with patient's illness.Collaborates with others in the delivery of coordinated patient care. Strong interpersonal and verbal/writtencommunication skills. Applies cultural diversity and inclusion principles when caring for patients and their supportresources. Recognizes own limitations and seeks assistance and acquires information to perform safely. Advancespersonal and professional growth through participation in educational programs, current literature, in-services, andworkshops. Exhibits professionalism through accountability for own and delegated actions. Integrates cost-effectivemeasures into practice and models effective stewardship of available resources. Practices self-care and cultivatesresilience in conflict and difficult circumstances. Protects the safety and privacy of all persons. Understanding andutilization of office and clinical technologies. Ability to communicate with patients in a manner they can understandconsidering their personal preferences. Compassionate, relationship-based approach to help find meaning in illness,suffering, pain, and existence. Remains calm, adaptive, and collective during an emergency. Assists with insertionintra-aortic balloon pumps, chest tubes, and impellas. Assesses patients through hemodynamic monitoring. Assists withinsertion of transvenous pacing/temporary pacing. Administers means for conscious sedation. Knowledge of advancedrespiratory modalities. Manages nursing care of the patient with a Swan-Ganz catheter. Working Conditions Periods ofhigh stress and fluctuating workloads may occur May be exposed to physical altercations and verbal abuse May berequired to use physical restraints May be exposed to high noise levels and bright lights May be exposed to limitedhazardous substances or body fluids• May be exposed to human blood and other potentially infectious materials• May haveperiods of constant interruptions • Individuals in this position are required to exercise universal precautions, usepersonal protective equipment and devices, and learn the policies concerning infection control. Physical RequirementsLifting/Carrying (0-50 lbs.): 34-66% Lifting/Carrying (50-100 lbs.) 34-66% Push/Pull (0-50 lbs.) 34-66% Push/Pull(50-100 lbs.) 34-66% Stoop/Kneel 1-33% Crawling 1-33% Climbing 1-33% Balance 1-33% Bending 34-66% Sitting 34-66%Walking 34-66% Standing 34-66% Additional Physical Requirements/Hazards Manual dexterity (eye/hand coordination)Perform shift work Maneuver weight of patients Hear alarms/telephone/audio recorder Reach above shoulder Repetitivearm/hand movements Finger Dexterity Color Vision Acuity - far Acuity - near Depth perception Use of latex productsExposure to toxic/caustic/chemicals/detergents Exposure to moving mechanical parts Exposure to dust/fumes Exposure topotential electrical shock Exposure to x ray/electromagnetic energy Exposure to high pitched noises Gaseous riskexposure Patient Population Demonstrates the knowledge and skills necessary to provide care appropriate to the age ofthe patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development ofthe life span and possesses the ability to assess data reflective of the patient's status and interprets theappropriate information needed to identify each patient's requirements relative to his or her age, specific needs andto provide the care needed as described in departmental policies and procedures. Adults (18-64 years) Geriatrics(65 years and older) Notes Replacing J. Barley (never started) Guaranteed Hours: Contract Weeks:89