Clinical Nurse - Inpatient ICU

Position: Clinical Nurse 2- Inpatient ICU
** 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.

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Summary:

+ The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse 2 position description addendum.

The Clinical Nurse 2 Colleague exhibits UPHS organizational behavioral competencies which reflect its mission and are embedded in the professional practice competency domains. The Clinical Nurse 2 Colleague independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the elderly.

The Clinical Nurse 2 Colleague demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Technology/Informatics, and Teamwork (Definitions listed below). The Clinical Nurse 2 Colleague works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients.

The Clinical Nurse 2 Colleague seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies.

Responsibilities:

+ Clinical Practice:
Provides age appropriate care for the population served.  Gives consideration to growth & developmental phase of life, to age related factors such as thermal regulation, nutrition, medication administration, nutrition, safety and functional needs of the patient. Uses appropriate resources for patients with special needs such as language barriers, sensory problems, altered cognition, cultural and religious needs. Ensures attention to patient's physical, spiritual and emotional well being.

Demonstrates competency in assessment skills (Includes admission and shift assessments). Performs pain assessments and intervenes to optimally meet patient's needs for comfort. Plans clinical care based on patient's needs and uses available resources. Performs clinical care in accordance with policy and procedure. Performs peripheral venipuncture and peripheral and central vascular access care according to policy & procedure. Evaluates outcomes of nursing interventions and takes appropriate actions to move patient toward reaching goals of care.

Identifies situations that warrant patient rescue and takes appropriate action, e.g. Rapid Response or Code Blue/Pink. Adheres to the 5 rights of medication administration and uses the Medication Administration Check (MAK) system per policy and procedure. Integrates principles of infection control & infection prevention into practice. Adheres to aseptic technique as appropriate. Uses resources and references for reviewing policies and procedures, medications, and clinical information.

Prioritizes and organizes work effectively within assigned shift. Adheres to CCH Joint Commission Disease specific guidelines and core measures for the care of the patients with CVA Performs peritoneal dialysis according to policy and procedure. Performs med surg RN responsibilities for the patient requiring hemodialysis. Implements the nursing process for the adult and senior adult patient who presents with complex medical needs.

Communication:
Uses effective communication during hand-offs. (e.g. Shift report, transfer report, etc). Organizes information into a meaningful format, such as SBAR. Delegates appropriately to unlicensed personnel and team members. Communicates patient care information to the interdisciplinary care team.  Provides patient and family education in a manner that is understood and gives the patient and family handouts, brochures and resources that can be taken home for future reference.

Documentation:
Documents patient care in an accurate, professional and timely…