Registered Nurse - PACU/PREOP - Pool Per Diem - Varies Shift - Horizon West

Advanced Registered Nurse

Position Summary: Administers patient care in an area in a hospital or inpatient setting where patients have an advanced illness or injury that routinely requires timely, intense, and complex care to stabilize and support the patient's medical condition. These areas require a lower caregiver-to-patient ratio and highly trained team members with advanced skills.

Orlando Health Is Your Best Place to Work is not just something we say, it's our promise to you. Orlando Health proudly embraces and honors the individuality of our team members. By sharing different ideas and perspectives and working together as a team, we are better able to relate to, care for and authentically serve our patients and families who make up the collective populations in our community. So, no matter who you are, what you believe or how you express yourself, you are welcome here.

Orlando Health - Benefits & Perks: Competitive pay evening, nights, and weekend shift differentials offered for qualifying positions. All inclusive benefits (start day one) student loan repayment, tuition reimbursement, free college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/holidays, and more for full time and part time employees. Forbes Recognizes Orlando Health as a Best-In-State Employer Forbes has named Orlando Health as one of America's Best-In-State Employers for 2021. Orlando Health is the top healthcare organization in the Metro Orlando area to make the prestigious list.

Qualifications

Education/Training: Graduate of an approved school of nursing. Meets all mandatory, developmental, and performance competency requirements for Orlando Health and unit/department.

Licensure/Certification: Maintains current State of Florida RN license or valid eNLC multistate RN license. Maintains current BLS/Healthcare Provider certification. ACLS, NRP, PALS, TNCC are required for certain areas. NRP required for Neonatal Intensive care Unit (NICU).

Experience: 1 year experience required.

Essential Functions

Demonstrates critical knowledge, skills, and judgement to care for patients requiring complex assessment and therapies, high intensity interventions, and high-level continuous nursing vigilance. Utilizes information and assessment data to anticipate and respond with confidence and adapt to rapidly changing patient conditions. Identifies and prioritizes information to take immediate and decisive evidence-based, patient focused action. Monitors and adjusts specialized equipment used on patients, and 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' condition, recognizes, identifies, and interprets serious situations and calls Physician or takes preplanned emergency measures when Physician is not immediately available. Assesses patient's needs and develops/revises an individualized plan of care based on patient needs and responses. Evaluates the patient's progress toward attaining expected outcomes. Respects diversity by building respectful relationships with all team members and customers. Functions as a patient and family advocate. Demonstrates advanced knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit/department. Serves as a preceptor, charge nurse, unit educator, and/or nurse clinician. Communicates and collaborates with medical staff and 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 the data reflective of the patient's status, and interprets the necessary information needed to identify each patient's requirements relative to his or her age specific needs. Coordinates the care and delegates as appropriate to other team members on a defined group of patients. 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 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 health care 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 procedure.

Specific Essential Function for trained Advanced Care Registered Nurse ECMO Specialist

Registered Nurses who have received specialized training and are able to function as an Extracorporeal Membrane Oxygenator (ECMO) Specialist provide daily staffing for Extracorporeal life support (ECLS) services. Specialists work under the direction of unit leadership, intensivist services, perfusion services, and in collaboration with bedside staff to ensure that the patient on ECMO has adequate perfusion, corrects for proper acid-base balance, and provides for hemodynamic stability within ordered parameters. Nursing ECMO Specialists work in the Cardiac Intensive Care Unit and communicate with physicians, perfusionists and other members of the healthcare team to interpret, adjust and complete treatment specific care for the ECMO patient. ECMO specialists are expected to perform required technical skills with efficiency, accuracy and safety while anticipating, troubleshooting, and managing crises and emergency situations according to policy and procedure. Performs scheduled, un-scheduled, and emergency ECLS in the hospital setting. Operates all ECMO equipment under the direction of MD/perfusion providers. Monitors and optimizes the ECMO circuit and related equipment during the management period. Accurately administers blood products and medications through the ECMO circuit when ordered. Manages any equipment when connected in-line with ECMO circuit. Management of ECLS during transport. Ensures continuous ECLS coverage. Attends Mandatory Quarterly Simulations.