Registered Nurse - IMCU - Night

RN- IMCU

30-bed unit providing care to high acuity care patients, including:

• Cardiac and EP procedures
• Respiratory failure-CPAP, BiPAP
• Cardiac arrythmia management
• Sepsis, DKA
• 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 Progressive Care Nursing (PCCN) after 2 years' experience.
• Steppingstone to ICU/CCU career goal.
• Full time (72 hours biweekly)
• Shift: 12-hour Night (7pm-7am)
• 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.

Responsibilities:

• Demonstrates safe medication practice.
• Maintains a professional image that reflects the employee's role in health care, with confidence and a positive impression.
• Completes chart check to ensure no missed orders.
• Accurately transcribes physician's orders.
• Demonstrates therapeutic communication skills.
• Demonstrates ability to assess patient education needs and use of patient education resources.
• Demonstrates involvement in unit by attending 50% of staff/committee meetings and in-services for area.
• Demonstrates leadership through the nursing process and supervision while maintaining accountability for treatment and patient outcomes.
• Acts as a resource person regarding patient care, specialty area, orientation and teaching of staff.
• Responds to delays in a calm manner. Apologizes for inconveniences and gives alternatives.
• Analyzes assessment data, identifies priority problems and documents on Plan of Care in PCS for patients and families and significant others.
• Uses effective problem-solving skills to plan patient care.
• Identifies critical factors evidencing changes in patient condition and responds appropriately.
• Completes and documents discharge assessment against plan of care goals.
• Initiates and maintains Intravenous Therapy according to IV standards.
• Responds appropriately to emergency situations.
• Utilizes proper body mechanics to prevent injury to self and others. Safely positions, transfers and transports patients.
• 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.
• Provides basic dysrhythmia interpretation and treatment.
• Provides basic and advanced life support.
• Drug dosage calculation, continuous medication infusion administration, and patient monitoring for medication affects (e.g., vasoactive agents, platelet inhibitors, ant arrhythmic agents, insulin).
• Monitoring patients using standardized procedures for preoperative, intraoperative, and postoperative procedures (e.g., cardiac catheterization with percutaneous coronary intervention, chest tube insertion).
• Cares for patients with a tracheotomy.
• Hemodynamic monitoring including equipment setup and troubleshooting, monitoring, and recognition of signs and symptoms of patient instability.
• Recognition of the signs and symptoms of cardiopulmonary emergencies and initiation of standardized interventions to stabilize the patient awaiting transfer to critical care.
• Interpretation of arterial blood gas analysis and communication of findings
• Recognizes indications for and management of patients requiring noninvasive oxygen delivery systems including oral airways, bi-level positive airway pressure, and continuous positive airway pressure.
• Recognition of indications for and complications of enteral and parenteral nutrition.
• Assessment, monitoring, and management of patients requiring renal therapeutic interventions (e.g., hemodialysis, peritoneal dialysis, stents, continuous bladder irrigation, urostomies).
• Completes a 12 lead EKG.
• Completes cardiac rehab exercises.
• Draws blood from an arterial line.
• Describes role and responsibility in assessing and reporting physical, emotional, sexual abuse, and neglect.
• Maintains general cleanliness of department.
• Demonstrates proper application of external pacemaker.
• Recognition of and evaluation of the family's need for enhanced involvement in care to facilitate the transition from hospital to home.

Qualifications:

• Graduate of an accredited School of Nursing required;
  Bachelor of Science in Nursing is preferred.
• Evidence of participation in educational programs to update and maintain current knowledge and clinical skills.
• Experience applying customer service…