Registered Nurse- Critical Care

Job Summary:

Essential Duties and Responsibilities

• Supports and promotes the mission and values of Covenant Health Ministry.
• Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital
• Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients within the department during orientation period onboarding and annually as assigned.
• Involved in quality improvement planning and processes for the area of practice 
• Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner within the electronic health record (EHR), including Vital Signs, assessments, care plans, and information related to any change in condition.
• Knowledge and understanding of responsibilities during down-time
• Responds quickly to all patient monitoring alarms
• Provides emotional support for patients and families during difficult situations
• Collect specimens as ordered and in the order required per policy, labeling and sending to the lab in a timely manner
• Engages and participates in unit or organizational committees and councils.
• Ability to analyze patient assessments and data, communicate findings, document and implement actions timely and accurately
• Pursues personal growth and development through continuous learning opportunities within and outside of the organization.
• Seeks feedback and accepts constructive criticism regarding practice and takes actions as appropriate.
• Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards).
• Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction.
• Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols
• Implements resources and initiatives that are in place or in process to improve patient safety.
• Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices.
• Assures issues are addressed through appropriate use of the chain of command
• Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients
• Identifies and assists in correction of patient care safety issues.
• Builds respectful relationships through early and pro-active identification of concerns, compliments, or suggestions
• Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner
• Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties.
• Works collaboratively with Providers to complete assessments and perform bedside procedures.
• Displays professional, positive perspective, including when faced with difficult circumstances
• Seeks opportunities to assist all team members
• Actively participates in unit-based shared governance and with the philosophy of the unit and the organization.
• Appropriately delegates aspects of care and unit activities to other nursing personnel
• Provides support and mentors new nurses and other disciplines withing the department through preceptorship and other methods as requested by the department leadership.
• Participates in Peer Review maintaining confidentiality.
• Participates in DNV survey readiness. 
• Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same.
• Follows organizational HIPAA compliance policy.
• Demonstrates fiscal responsibility through complete and accurate timekeeping, as well as patient supply utilization.
• Avoiding unauthorized use of overtime and managing ETO per policy.
• Participates in annual evaluation 360 process as requested.
• Provides quality care by remaining up-to-date on Nurse Sensitive Indicators.
• Responds to emergency situations per department/role requirements such as Code Blue and rapid response team.
• Other duties as consistent with this role.

Emergency Department, additional responsibilities include:

• Triages patients and determines priority of care (ESI level) based on physical, psychological, and social needs including factors influencing patient flow through the system.
• Implement protocol orders associated with approved chief complaints.
• Performs focused assessment related to chief complaints in a timely manner according to established triage guidelines
• Reasses