RN - ICU
New Orleans VAMC (NOLA)
Registered Nurse - Critical Care
Departments: ICU; PACU; PCU; Cath Lab; Bronch
Qualifications:
- Current and valid RN license in any state.
- 2 years experience in Critical Care Nursing (within the past 5 years)
- Demonstrated clinical competency in acute and long-term care settings.
- Proficiency in electronic medical record documentation.
- Ability to work collaboratively in interdisciplinary teams.
- Strong communication and critical thinking skills.
Key Responsibilities:
1. Patient/Resident Safety & Confidentiality
- Maintain confidentiality of patient/resident information.
- Ensure a safe care environment in compliance with The Joint Commission, VA regulations, and other oversight bodies.
- Adhere to protocols for medication administration, discharge processes, restraint usage, hazardous waste disposal, and patient/family education.
2. Patient/Resident-Centered Care
- Conduct comprehensive health assessments and develop interdisciplinary care plans.
- Monitor and respond to changes in patient/resident conditions.
- Document all relevant data in the electronic medical record.
- Complete nursing assessments within required timeframes.
- Address emotional and spiritual needs of patients/residents and families.
- Update care plans and communicate changes to the assigned physician.
- Report any incidents of abuse immediately to the Nurse Manager or designated leadership.
3. Clinical Duties
- Perform head-to-toe assessments.
- Insert and manage IV lines, including peripheral, central, and PICC lines.
- Administer medications, including IV therapies.
- Coordinate admissions and discharges.
- Measure and monitor vital signs, including pain and pulse oximetry.
- Conduct wound care and dressing changes; obtain wound cultures.
- Collect and deliver lab specimens.
- Provide tracheostomy and non-acute ventilator care.
- Perform oral, nasogastric, and tracheostomy suctioning, including deep suctioning.
- Administer tube feedings and manage urinary/bowel elimination needs.
- Educate patients/residents and families on diagnoses and medications.
- Respond to emergency situations.
- Provide clinical oversight to LPNs, Nursing Assistants, and Health Technicians.
- Conduct one-to-one and virtual patient observation.
- Perform capillary blood glucose testing and monitoring.
Each of the following are different RN specialties:
ICU (Intensive Care Unit) RN Specialty Responsibilities
The ICU RN provides critical care for patients with life-threatening conditions requiring continuous monitoring and advanced interventions. Responsibilities include:
- Perform comprehensive assessments and interpret complex clinical data.
- Manage ventilators, hemodynamic monitoring, and advanced life-support equipment.
- Administer vasoactive medications and titrate drips according to protocols.
- Respond rapidly to changes in patient condition and initiate emergency interventions.
- Collaborate with intensivists and multidisciplinary teams for complex care planning.
- Provide family education and emotional support during critical illness.
PACU (Post-Anesthesia Care Unit) RN Specialty Responsibilities
The PACU RN cares for patients recovering from anesthesia following surgical or diagnostic procedures. Responsibilities include:
- Monitor airway, breathing, and circulation during emergence from anesthesia.
- Assess pain levels and administer analgesics per protocol.
- Manage post-operative nausea, vomiting, and other complications.
- Ensure safe transfer of patients to inpatient units or discharge home.
- Educate patients and families on post-procedure care and recovery expectations.
PCU (Progressive Care Unit) RN Specialty Responsibilities
The PCU RN provides care for patients requiring intermediate-level monitoring between ICU and general medical-surgical care. Responsibilities include:
- Monitor cardiac rhythms and manage telemetry.
- Administer medications including cardiac drips and titration under protocol.
- Perform frequent assessments for patients with moderate acuity.
- Collaborate with physicians for escalation or de-escalation of care.
- Educate patients and families on disease processes and discharge planning.
Cath Lab RN Specialty Responsibilities
The Cath Lab RN assists in diagnostic and interventional cardiovascular procedures. Responsibilities include:
- Prepare patients for cardiac catheterization and related procedures.
- Monitor hemodynamic status during procedures.
- Administer moderate sedation and monitor patient response.
- Assist with sterile technique and equipment setup.
- Provide post-procedure care including sheath removal and bleeding management.
- Educate patients on post-procedure restrictions and follow-up care.
Bronchoscopy RN Specialty Responsibilities
The Bronchoscopy RN supports pulmonary procedures requiring airway visualization and intervention. Responsibilities include:
- Prepare patients for bronchoscopy, including consent verification and sedation readiness.
- Assist with scope handling and specimen collection.
- Monitor airway and oxygenation throughout the procedure.
- Provide post-procedure care including monitoring for complications.
- Educate patients on recovery and follow-up instructions.
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