Nurse Resident, Emergency Department - Night - Variable Full Time - Health Central

Advanced Care Nurse

Administers patient care in an area within a hospital or inpatient setting where patients have advanced illnesses or injuries that routinely require timely, intense, and complex care to stabilize and support their medical conditions. These areas require a lower caregiver-to-patient ratio and highly trained team members with advanced skills. This position is intended for licensed registered nurses with less than one year of experience.

Education/Training:

• Nursing school graduate.
• Meets all mandatory, developmental, and performance competency requirements for Orlando Health and the unit/department.

Licensure/Certification:

• Licensed as a Registered Nurse in the State of Florida or valid Nurse Licensure Compact (NLC) multistate RN license.
• Maintains current BLS/Healthcare Provider certification.
• ACLS, NRP, PALS, TNCC are required for certain areas. NRP is required for the Neonatal Intensive Care Unit (NICU).

Experience: None.

Essential Functions:

• Administers bedside patient care in a hospital or inpatient setting under the supervision of a preceptor, leader, and/or charge nurse.
• Demonstrates critical knowledge, skills, and judgement to care for patients requiring complex assessments and therapies, high-intensity interventions, and high-level continuous nursing vigilance.
• Utilizes information and assessment data to anticipate, respond with confidence, and adapt to rapidly changing patient conditions.
• Identifies and prioritizes information to take immediate and decisive evidence-based, patient focused actions.
• Monitors and adjusts specialized equipment used on patients, interprets, and records electronic displays such as intracranial pressures, central venous pressures, pulmonary artery pressures, and cardiac rhythms from cardiac monitors, respirators, ventilators, oxygen pumps, etc.
• Responds to life-saving situations based on nursing standards and protocol.
• Observes, monitors, and assesses patients' conditions, recognizes, identifies, and interprets serious situations, and calls the Physician or takes preplanned emergency measures when the Physician is not immediately available.
• Assesses patients' needs and develops/revises individualized plans of care based on their needs and responses. Evaluates patients' progress toward attaining expected outcomes.
• Respects diversity by building respectful relationships with all team members and customers.
• Functions as an advocate for patients and their families.
• Demonstrates advanced knowledge and skills necessary to provide care appropriate to the age of the patients served on their assigned unit/department.
• Serves as a preceptor, charge nurse, unit educator, and/or nurse clinician.
• Communicates and collaborates with medical staff and the interdisciplinary team to effectively plan and manage the unit/department.
• Serves as a role model for staff and supports the hospital and nursing department's goals and strategies.
• Demonstrates knowledge of the principles of growth and development over the life span, assesses data reflective of the patient's status, and interprets the necessary information to identify each patient's requirements relative to their age-specific needs.
• Coordinates patient care for a defined group and delegates tasks appropriately to team members.
• Documents patient care in a knowledgeable, skillful, and consistent manner, meeting all required and regulatory standards. This includes, but is not limited to, patient assessment, education, medication administration, treatments, and patient safety.
• Demonstrates competency in nursing skills and the use of patient care/unit equipment as defined by unit/department-specific requisite skills.
• Prioritizes patient care in an ongoing manner in accordance with Evidence-Based Practice Standards of Care.
• Practices effective problem identification and resolution.
• Delegates tasks and duties to healthcare team members in accordance with the patient's needs and the team member's capabilities and qualifications.
• Communicates appropriate information regarding patient condition or unit concerns to other healthcare team members.
• Demonstrates caring practices by providing a compassionate and therapeutic environment for patients and their families.
• Demonstrates awareness of legal issues and patients' rights.
• Collaborates with the education department and nursing leadership team to effectively transition and support new team members and/or students.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards.
• Maintains compliance with all Orlando Health policies and procedures.

Other Related Functions:

• Contributes to the knowledge and skills of others, and continuously improves the quality of healthcare practice and organizational outcomes.
• Participates in and may lead unit level and/or organizational level committees focused on nursing practice and performance improvement.
• Participates in departmental and organizational peer review, mentoring, and coaching regarding professional practice or role performance.
• Practices efficient use of supplies and maintains a clean, safe, and organized work area.
• Attends staff development in-services, department meetings, and/or nursing committee meetings.
• Partners with the nursing leadership team to identify professional development needs.
• Assumes responsibility for one's own professional development and continuing education.
• Actively participates in and attends the Nurse Residency Program as appropriate to role.
• Performs all other duties as assigned.