ICU

ICU RN

Harrisonville, MO 64701

Position Type:
Part Time Job Shift: Night Education Level: 2 Year Degree

CASS REGIONAL MEDICAL CENTER

Department Name: ICU

Title:

RN

EEOC Classification:
Non-Exempt

Primary

Purpose:

To provide critical care in accordance with hospital policies and procedures, as well as state and federal regulations. Stay informed of current trends and changes in the healthcare industry. The purpose is also to provide a safe and caring environment for patients and families during stressful situations. Performs other duties as assigned.

Formal Policy-Setting Responsibilities:
No formal responsibility. The policies associated with the job's purpose and essential responsibilities are set by others.

Routine Decision Making:
Determines which condition warrants notification of provider; which medications are needed during critical times; which equipment should be used for each patient.

Formal Supervisory Responsibility:
No formal supervisory responsibility.

Required Knowledge:
Critical care medications; IV drips; assessments/monitoring; cardiac dysrhythmias; knowledge of specialized equipment; nursing process; growth and development, disease processes; interpretation of lab results.

Required Skills and Ability:
Excellent physical assessment skills; observation; auscultations; palpation; good communication skills; ability to function independently; excellent time management and prioritization skills; computer skills; problem-solving skills; knowledge of hospital policies and procedures.

Unusual

Working Conditions:

Risk of blood, body fluid contamination. Risk of injury related to poor body mechanics. Risk for injury from aggressive, combative or disoriented patients. Potential exposure to hazardous drugs and chemicals.

Education and Certification: RN degree required, BSN preferred; current RN licensure in the state of Missouri or compact licensure to practice in Missouri required; BLS and NIH Stroke Certification required within 90 days of hire and ACLS, PALS and TNCC required within 6 months of hire. NVCI or equivalent class as determined to be required by the facility.

• Trauma
  
  Educational Requirements:
  
  Four (4) continuing education hours (2 adult hours and 2 pediatric hours).
• Stroke
  
  Education Requirements:
  
  Four (4) continuing educational hours (3 educational hours awarded per completion of NIH stroke certification).

Age Specific

Competencies:

May provide care for birth to pediatric (birth-2 yrs.), pediatric/child patients between (2 yrs-12 yrs.); adolescent patients between 12 to 18 years of age; adult patients between 18 to 64 years; and geriatric patients 65 years and older.

Essential Responsibilities and Tasks

• Assesses and evaluates the patient's condition at the beginning of each shift and as needed.
• Re-assesses and evaluates the patients approximately every two (1) to four (4) hours and as needed.
• Completes the admission database thoroughly, which includes a pertinent patient history, assessment of body systems, medication history and other screenings, within one (1) hour of arrival to the ICU, as acuity allows.
• Assesses data relative to age specific needs for every patient within one (1) hour of patient's arrival to the unit or at the beginning of each shift.
• Completes appropriate pain assessment at the beginning of each shift and as needed.
• Ensures all patients are placed in the ICU within thirty minutes of being notified of the admission/transfer if bed is available.
• Collaborates with interdisciplinary team to facilitate the plan of care.
• Completes an individualized care plan and update as appropriate, based on patient diagnosis and assessment.
• Plans for increased staffing needs according to patient acuity and according to written departmental staffing patterns, notifying nursing management as appropriate.
• Interprets the significance of abnormal patient findings during each assessment and as patient's condition changes.
• Updates white boards each shift, to include personalized patient goals.
• Implements nursing and medical interventions/rounding hourly and as needed.
• Demonstrates professionalism and competence during emergency situations, acting rapidly and efficiently, and managing self and others to implement patient care according to current standards of practice and hospital policy.
• Demonstrates accountability to provider orders through timely implementation and notation of such orders.
• Interprets appropriately the significance of abnormal assessment findings.
• Documents and reports significant abnormal patient findings to the provider immediately.
• Is knowledgeable of the location, operation and care of all equipment in the ICU.
• Administers all medications as ordered within one (1) hour of time scheduled according to the five (5) rights on every patient.
• Ensures all provider orders are correctly recorded on eMAR, on patient's Kardex and in the computer when noting each order.
• Accurately and correctly wastes unused portions of controlled substances timely.
• Performs narcotic count according to hospital…