Registered Nurse- Advanced Skills- Full Time Nights- Las Vegas, NV

Critical Care NurseKindred Hospital Las Vegas – Flamingo and Acute Rehabilitation Unit (ARU) is a 78-bed hospital. With 66 long-term acute care hospital (LTACH) beds, we offer the same in-depth care you would receive in a traditional hospital, but for an extended recovery period. Our ARU has 12 private rooms and is designed for people who have experienced the debilitating effects of an acute injury, impairment or illness and like the LTACH, we partner with your physician and offer 24-hour clinical care seven days a week so you can start your journey to wellness. We are located less than 4 miles east of I-15 off of Flamingo Road. We are conveniently located within walking distance of a number of shops and restaurants.Job SummaryProvides quality patient care to critically ill patients, through the nursing process of Assessment, Planning, Intervention, and Evaluation. Serves as a patient advocate at all times. Supervises the nursing care provided to each patient by other caregivers. Develops the plan for nursing care as a result of coordination with the patient, family and staff of other disciplines as necessary. Applies critical thinking in order to promote positive clinical outcomes. Ensures patient education. Participates in discharge planning.Essential FunctionsMaintains the standard of nursing care and implements the policies and procedures of the hospital and the nursing departmentAssesses the patient on admission within the required time frameMakes referral to other disciplines based on the assessment, such as rehabilitation and nutritional servicesDevelops a nursing care plan for assigned patient on admission and updates the plan of care as needed Ensures the plan is discussed and developed as a result of the coordination of patient and family and the interdisciplinary teamAble to release, remove, and reapply restraints to patientEnsures patient is in proper position and alignmentDocuments patient admission assessment and reassessments, patient care plans, and other pertinent information completely in the patient's electronic medical recordDemonstrates correct use of Biomedical equipment such as defibrillator, Suction machine, IV and feeding pumps, PCA pump, blood glucose monitoring machineDemonstrates safe and effective delivery of patient care such as completing team/patient assignments on time, making effective use of available time, showing initiative and teamworkObtains consents for procedures and blood transfusions, ensuring patient has necessary information to make an informed decisionReceives physician's orders, ensures transcription is accurate, and order entry is accurateFollows through to ensure order is carried outRecognizes and responds appropriately to patient change in condition such as Cardiac rhythm, respiratory distress, GI bleed, pulmonary emboli/ edema, diabetic Ketoacidosis, adverse drug reaction and Blood transfusion reaction, etc. Institutes emergency action, notifies physician, obtains orders, etc.Completes and documents patient admission assessment and reassessments as required according to policyReports pertinent observations and reaction regarding patients to the appropriate person (i.e., physician, supervisor, charge nurse) and records these observations accuratelyAdministers medications with verbalized knowledge of the action, side effects, correct dosages and route according ICU policies and proceduresDemonstrates ability to recognize and Institute arrhythmia protocol for the following Cardiac rhythms V-tach, V-fib, PVC's, asystole, 1st, 2nd and 3rd degree heart block, atrial fibrillation, and atrial flutterDirects, supervises, and evaluates nursing care provided to patientsAdministers medications utilizing the seven "rights" of medication administration: right patient, route, time, medication, dose, reason and documentationAssist physicians with special tests and procedures such as thoracentesis, paracentesis, arterial line and bronchoscopyParticipates in economical utilization of supplies and ensures that equipment is maintained in a clean and safe mannerParticipates in orientation of new personnel and performance evaluations of nursing staffAssists team members in giving care to patients or administers direct care when professional nursing skills and judgment are neededCoordinates nursing care of patients when scheduled for therapy or procedures by other departmentsAssists with or institutes emergency measures for sudden adverse developments in patients such as cardiac arrest, respiratory arrest, or sepsisParticipates in the maintenance of a clean and safe environmentIs knowledgeable about the emotional and rehabilitative aspects of care and is capable of applying appropriate therapeutic interventionsProvides assessment utilizing current ACLS certification and protocols renders lifesaving first aid and makes appropriate referral to the nearest organization that is capable of providing needed servicesDemonstrates ability to manage various types of tubes and other devices such as Foley /straight catheter, feeding tubes, chest tubes, JP drains, Hemovacs. T-tubes, wound drains, ostomy care, suprapubic catheter, continuous bladder irrigationDemonstrates correct set up and performance monitoring of hemodynamic systems such as Swan-ganz catheter, arterial catheter, and cardiac outputDemonstrates accurate knowledge of critical Lab values and their normal ranges. Reports and documents appropriatelyDemonstrates ability to verify correct lead telemetry placementValidates telemetry strips every 4 hours and PRN. Documents appropriately.Participates in assessing and meeting patient and family education needsProvides complete patient report to oncoming RN, ensures documentation is complete, physician orders are signed off, and patient rooms are in orderCommunicates pertinent information to RN, physician, and patients as neededAdheres to dress code, appearance is neat and clean and wears appropriate identification while on dutyCompletes annual health, safety, and education requirementsMaintains professional growth and developmentMaintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protectedDemonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population servedAttends all mandatory in-services and staff meetingsRepresents the organization in a positive and professional mannerComplies with all organizational policies regarding ethical business practicesCommunicates the mission, ethics, and goals of the hospital, as well as the focus statement of the departmentMaintains current licensure/certification for position, if applicableDemonstrates Guest Relation's skills to patients, physicians, visitors, employees, and any other individuals with whom they may come in contactFollows departmental and hospital Health, Safety, Security, Hazardous Materials policies and proceduresKnowledge/Skills/Abilities/ExpectationsExcellent oral and written communication and interpersonal skillsKnowledge of medications and their correct administration based on age of the patient and their clinical conditionBasic computer knowledgeOrganize tasks, develop action plans, set priorities, and function under stressful situationsMaintain good working relationship with co-workersMust read, write and speak fluent EnglishMust have good and regular attendanceApproximate percent of time required to travel: 0%Performs other related duties as assignedQualificationsEducationGraduate from an accredited Registered Nursing programLicenses/CertificationsCurrent state licensure as Registered NurseBCLS and ACLS certifications requiredExperienceMinimum one year training and experience in Critical CareAble to communicate effectively in English- both written and verbal