Registered Nurse; RN - Acute Care, Neurosurgical ICU Nights

Job Summary

Provides clinical direction for all aspects of patient care in an acute inpatient setting, fostering patient/family centered care. Demonstrates clinical competency utilizing evidence-based practices/research in all areas of the nursing process: assessment, planning, implementation, evaluation and outcomes. Incorporates knowledge of safety protocols, cost containment and quality improvement throughout the nursing process. Identifies patient, unit and organizational priorities and incorporates into the nursing process.

Adheres to all compliance and policy/procedures of the organization including, but not limited to licensure renewal, assigned training, employee health screenings, time and attendance policy, dress code policy, patient confidentiality, infection control, medication administration. Demonstrates knowledge of regulatory agency requirements (TJC, SC DPH, CMS). Provides care within the scope of the South Carolina Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work.

This position is eligible for a $7,500 sign-on bonus for external candidates only. Please review details here.

The Neurosurgical ICU is a 16-bed unit caring for critically ill patients with injury or disease to the nervous system. The nurse to patient ratio is 1:2. Common diagnoses of patients include post-op craniotomies or tumor resections, interventional radiology procedures, ischemic or hemorrhagic stroke including SAH, post TPA administration, brain tumor and AVM. Care of this population incorporates a multi-disciplinary team of physicians with specialized training in neuro critical care, acute care nurse practitioners, critical care nurses with neuroscience training and critical care trained pharmacists.

There is also a close involvement with physical therapists, occupational therapists, speech therapists, respiratory therapists and case managers. Nurses hired to NSICU will continue education specifically around the neuroscience patient population and will directly assist practitioners, while monitoring patients, during bedside procedures such as IVD placement, CVC insertion and intubations.

• All team members are expected to be knowledgeable and compliant with Prisma Health's values:
  Inspire health. Serve with compassion. Be the difference.
• Collects data and completes nursing assessment utilizing appropriate area and/or age specific standards/policies and tools. Completes appropriate forms. Assesses and recognizes subtle or actual changes in patients' status and patient response to intervention. Identifies nursing priorities for patient plan of care based on nursing assessment and other data as appropriate. Validates these priorities with healthcare team members and documents appropriately.
• Develops an individual plan of care based on the age and assessed needs of the patient. Develops the plan in collaboration with the patient and/or family, the provider, and other members of the interdisciplinary health care team.
• Updates the plan based on changes in the patient's condition and communicates changes in the plan to other members of the team.
• Identifies realistic and measurable goals and outcomes to be attained prior to discharge. Validates these with the patient and/or family.
• Demonstrates respect for the patient's/family cultural, spiritual, and belief system in planning for care.
• Includes planning for discharge to assure continuity of care and a smooth transition post discharge from one level of care to another including appropriate referrals.
• Provides direct care to assigned patients consistent with the established nursing plan.
• Performs specific tasks based on organizational, departmental and/or unit policies and procedures within the RN scope of practice.
• Delegates nursing tasks as appropriate to members of the healthcare team, developing written assignments (if appropriate) and ensures completion of assigned tasks.
• Monitors quality of care delivered on a continual basis; ensures appropriate surveillance of assigned patients.
• Provides care based…