Registered Nurse - CVICU - Full Time - Nights

Eligible candidates may qualify for a hiring bonus. 

The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care.  All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific.  The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act.

The Cardiovascular Intensive Care Unit (CVICU) is a 28-bed cardiovascular recovery and intensive care unit. It is a fast-paced environment where state-of-the-art technology, nationally recognized standards of care and critical thinking skills are utilized by the all-RN staff to provide compassionate patient and family-centered care.  Our CVICU RN's are highly proficient in pre-operative support as well as immediate post-operative recovery of cardiovascular procedures. This includes open heart surgery, heart transplants, ventricular assist device implantation, and various interventional and structural heart procedures.  Acute cardiology and heart failure patients also receive care in CVICU.  These high acuity patients are managed many times on inotropic support or temporary left and right ventricular devices.  Our highly competent nurses care for patients with Impellas, IABP's, ECMO, C-Mag and in the near future Total Artificial Hearts.   Staff expertly manage all types of invasive lines, medications, hemodynamic needs, continuous dialysis and ultrafiltration machines, and various ventricular assist devices both permanent and temporary.  Good patient outcomes and patient safety is our number one priority, and our nurses are highly supported by their leadership and interdisciplinary teams.

The Nursing Process

Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient’s physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model.

1. Understands signs and symptoms and data related to the patient’s presenting needs and actual or potential nursing diagnosis.

2. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient’s condition.

3. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient’s physiological and psychological data.

4. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives.

Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs. 

1. Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set.

2. Communicates the plan of care utilizing SBAR and handoff processes with all team members.

3. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences.

4. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay.

Implementation – The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals.

1. Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation.

2. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team.

3. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals.  

4. Responds to emergency situations that require an immediate, controlled precision in a skillful manner.

5. Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment.

Evaluation – Continuously evaluates nursing practice related to the plan