Staff Nurse - Pediatric ICU TP

Provides direct and indirect age-specific care for assigned patients in the Intensive Care Unit per scheduled shifts. Responsible for professional performance and safe patient care. The role encompasses nursing assessment, diagnosis, planning, intervention, evaluation, and care coordination for patients across the healthcare continuum involving families. Abides by the Joint Commission International (JCI) requirements, including but not limited to International Patient Safety Goals, national and international standards.

• Provides age-specific patient-centered care utilizing the nursing process:
  • Performs patient assessment using appropriate, problem-focused, and age-specific assessment techniques.
  • Performs continual critical care assessment of patient and family's physical and psychological needs.
  • Involves the patient, significant others, and health care providers in the plan of care when appropriate.
  • Collaborates with a multi-disciplinary team to provide patient care.
  • Coordinates and plans critical care/clinical pathway, and prioritizes care, based on individual needs.
  • Revises the care plan as necessary.
  • Initiates appropriate transfer plan.
  • Recognizes subtle cues to anticipate potential problems.
  • Documents all relevant data in the medical record according to hospital/departmental standards.
  • Ensures availability and maintenance of supplies and equipment needed for the unit and patient care.
  • Performs clerical duties when needed.
  • Assumes responsibility for meeting Joint Commission International Accreditation (JCIA) required mandatory education (e.g. fire, safety, infection control and others).
  • Participates in staff meetings and unit committees/projects.
• Participates in developing and achieving unit goals.
• Maintains a safe environment for patients and staff.
• Performs safe handling and administrating of Narcotic/Controlled and Semi-Controlled Drugs and documentation as directed by policies and procedures.
• Ensures completion of unit competencies (i.e. pain management, and utilization of Emergency department devices).
• Maintains clinical and professional competency based on the latest research and established standards of practice.
• Completes yearly, the critical care nursing competencies (basic).
• Participates in unit-based Continuous Quality Improvement (CQI) activities (data collection, CQI teams, incident reporting, customer complaint reporting, medication error reporting etc.).
• Participates in ongoing educational activities.
• Maintains mandatory educational requirements.
• Performs additional duties when required.

• Performs Advanced Physical Assessment.
• Interprets Arterial Blood Gas (ABG).
• Interprets Basic ECG.
• Monitors Basic Hemodynamics, including:
  • Monitoring Arterial Pressure.
  • Monitoring Central Venous Pressure.
• Operates Bladder Scanner.
• Collects Blood Culture Samples.
• Cares for Implanted Venous Access Devices (IVAD), including:
  • Accessing Implanted Port.
  • Sampling Blood from Implanted Port.
  • Removing Non-Coring Needle from Implanted Port.
• Cares for Central Venous Access Devices (CVAD), including:
  • Sampling Blood from Central Venous Access Catheter.
  • Flushing and Locking Central Venous Access Catheter.
  • Changing Dressing on Central Venous Catheter.
  • Changing Needless Connector and Line Tubing on Central Venous Catheter.
• Prepares Chest Tubes, including:
  • Monitoring and Caring for Chest Tube Drainage System.
  • Setting up Chest Tube Drainage System.
• Provides Care for Dying Patients.
• Demonstrates competency in Epidural Management (Programming, Care, Discontinuation).
• Inserts Internal Fecal Containment Device.
• Monitors Intra-Abdominal Pressure.
• Insertion assistance, monitors, and cares for Intracranial Pressure Catheter.
• Handles Mechanically Ventilated Patients, including:
  • Suctioning Trachea of Intubated Patients.
  • Removing Endotracheal Tubes.
  • Intubating with Direct Visualization.
  • Providing Positive Pressure Mechanical Ventilation.
  • Mobilizing Patients Receiving Mechanical Ventilation.
  • Monitoring and Caring for Long-Term Mechanical Ventilation.
  • Weaning Patients off Mechanical Ventilation.
  • Applying Non-invasive Positive Pressure Ventilation.
• Demonstrates competency in Patient-Controlled Analgesia (PCA) Pump Use.
• Provides Care for Tracheostomies, including:
  • Suctioning Tracheostomies.
  • Caring for Tracheostomy Cannula and Stoma.
  • Cleaning Tracheostomy Tube Outer Cannula and Stoma.
• Uses Defibrillator for:
  • Cardioversion
  • Defibrillation
  • Transcutaneous Pacing

• Performs Advanced Hemodynamic Monitoring Techniques, including:
  • Minimally Invasive Hemodynamic Monitoring (Flow Trac).
  • Monitoring Pulmonary Artery Pressure and Pulmonary Arterial Occlusion Pressure.
• Performs Continuous Renal Replacement Therapy (CRRT).
• Implements Extracorporeal Membrane Oxygenation (ECMO).
• Assists in Intra-aortic Balloon Pump procedures, including:
  • Inserting of Intra-aortic Balloon (IABP).
  • Removing of Intra-aortic Balloon (IABP).
• Conducts Organ Donation and Brain Stem Testing.
• Performs Plasmapheresis.

• Performs Advanced Physical Assessment.
• Interprets…