RN IVU

** Description*
* Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Summary:

+ To provide professional nursing care in accordance with the Nurse Practice Act, to collaborate with the physician's medical plan, and to execute the objectives and the policies of the hospital.

Responsibilities:

+  1. Assesses, plans, implements, documents, coordinates, and manages patient care according to department and hospital standards giving consideration to age-specific accommodations.
¨ Assesses patients assigned to his/her care.
¨ Performs and documents a comprehensive, organized system admission assessment by interview and examination of patient.
¨ Performs and documents a shift assessment of patients in a timely manner according to unit standards.
¨ Initiates plan of care and shift goal based on nursing assessment, the medical plan of care and patient needs within 8 hours of admission.
¨ Initiates, maintains and revises patient plan of care based on scientific principles, evidence-based practice and patient needs and response to interventions.
¨ Provides patient care, which demonstrates a comprehensive knowledge of normal physiology and disease pathophysiology, appropriate nursing and medical interventions and knowledge of the principles of growth and development over the lifespan.
¨ Documents patient's response to treatment, plan of care and shift goal(s).
¨ Provides patient education based on individual healthcare needs on an ongoing basis.
¨ Evaluates, revises, and improves patient care using creative strategies, evidence-based nursing, and consideration of age and population specific accommodations.
¨ Performs selected therapeutic interventions and diagnostic procedures according to department standards as ordered to include but not limited to:

· Point of care testing        
· Initiation and maintenance of oxygen therapy        
· 12-lead ECG        
· Post TAVR patient with or without temporary pacing wires (post TAVR only)        
· Maintenance of Nasogastric Tubes (NGT)        
· Flushing and maintenance of central lines:

- PICC lines Groshong PICC Cordis introducers (post open-heart surgery patients)
Shift and 24-hour chart check
Rhythm strip interpretations q shift and with clinical/rhythm changes
Arterial and venous sheath monitoring, maintenance, and discontinuation, as per protocol
Maintenance and titration of various intravenous drip medications.
¨ Cares for patients physically and psychologically with consideration of age, cultural, and spiritual issues.
¨ Recognizes the existence of cultural differences and utilizes appropriate resources to respond to the needs of the adolescent, adult and geriatric patient, family member and/or visitor.
2. Communicates and collaborates with patients, physicians, family members, and other health care disciplines in order to achieve excellence in patient care during hospitalization.
¨ Demonstrates the ability to use the computer for automated order entry, data retrieval, nursing documentation, intradepartmental communication and interdepartmental communication.
¨ Appropriately assigns all Associates under his/her supervision according to their skill level and job description.
¨ Implements nursing/physician orders that result in achievement of patient, nursing, and physician goals.
¨ Utilizes effective interpersonal skills in all interactions with Associates, physicians, patients, visitors and volunteers.
¨ Involves patient/significant other in the plan of care, serving as a patient advocate.
¨ Consistently and continuously communicates pertinent information regarding changes in patient status and patient care with appropriate members of the healthcare team.
¨ Uses interpersonal communication…