MICU Registered Nurse 2 - Supplemental Tier C General 7p to 7:30a

A divisional-based, non‑benefited role designed to improve flexibility in staffing; must work in multiple areas within area of expertise and provide 60‑hour availability in a 4‑week schedule with decreased holiday and weekend commitment; no on‑call requirement; under general supervision, provides direct patient care to assigned patients.

• Associate Degree from an accredited School of Nursing required.

• At least two years’ experience in Nursing procedural areas (may include Periop, IR, Cath Lab, Endo, WOSC), or LPN experience at GBMC with director approval.

• Proficiency in developing a nursing plan of care, implementing effective nursing care, and evaluating the outcome of nursing intervention.
• Excellent communication and interpersonal skills.
• Effective planning and organizational skills to manage multiple priorities simultaneously.
• Strong analytical skills.
• Effective computer skills.
• Demonstrates skill in patient experience and service recovery.

• Current registration with the Maryland State Board of Examiners of Nurses as a Registered Nurse.
• Current Healthcare Provider BLS certification from an affiliated American Heart Association training site.
• Additional certifications (i.e., ALS, PALS, NRP) are required upon hire for specialty areas.

• Assessment. Compiles database and formulates nursing diagnosis. Utilizes physical assessment and interviewing techniques. Anticipates need for intervention by other disciplines. Determines priorities for patient care needs or problems. Reassesses the patient as indicated by changes in condition and/or response to treatment(s).
• Planning. Initiates and updates a written nursing plan of care for patients by incorporating scientific and psychosocial principles that support the nursing diagnosis. Incorporates information obtained from nursing care planning conferences into the written nursing plan. Coordinates patient, family, significant other, and health team members in the planning of hospital and post‑discharge care.
• Implementation. Performs clinical nursing skills independently. Administers medications, IV therapy, and treatments appropriately and accurately. Initiates appropriate emergency procedures as necessary. Appropriately delegates and coordinates the duties of ancillary personnel. Communicates the patient’s status and plan of care through written documentation in the patient’s medical record. Verbally communicates the patient’s status to physicians, nurses, and other health care professionals. Communicates in a therapeutic manner with the patient, family, and visitors.
  
  Applies teaching/learning principles in the education of patient and family.
• Patient Care Coordination. Manages daily patient assignment by appropriately setting priorities. Delegates responsibility appropriately and monitors the nursing care delivered to patients by ancillary personnel. Coordinates patient activities with other disciplines.
• Teaching and Quality Improvement. Develops, documents and implements Patient Teaching and Discharge Planning Record. Participates in established patient, family, staff and/or student education program. Participates in clinical monitoring at the unit level. Identifies unit, staff and patient care problems. Takes action or refers problems to appropriate resources when indicated.
• Professional Excellence Model. May participate in activities of the RN 3 with the exception of serving as a facilitator for the Nurse Residency Program. If competent, serve as a charge RN and monitor productivity/patient flow. If competent, precept new staff.

• Ability to stand and walk almost constantly up to 90% of work time and lift and position patients up to 50% of work time.
• Ability to concentrate and pay close attention to detail, even in stressful situations.

• Normal patient care environment with possible exposure to excessive noise, dust, temperature.
• Exposed to adverse working conditions due to performance of patient care activities and exposure to communicable diseases.

• Maintain current licensure and certifications.