Registered Nurse - Critical Care - Night

RN- Critical Care Unit

• 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 patient