STAFF NURSE - MICU

Aultman Registered Nurse (RN)

The Aultman Registered Nurse (RN) is a professional nurse that provides direct, primary nursing care to patients/residents. The RN delegates and coordinates patient care, based upon a documented assessment of the patient#s/resident#s needs. The RN supervises the care provided by individuals such as licensed practical nurses, patient care technicians/state tested nursing assistants/nurse aides, medical assistants, and etc., if applicable.

The Medical Intensive Care Unit (MICU) is located on the third floor, east wing of the Memorial Building and consists of 20 rooms, with two rooms designated for Airborne Infectious Isolation. Rooms are equipped with hardwire monitoring with the capability to perform acute dialysis. The MICU is designed for care specializing in critically ill patients requiring advanced life support and close monitoring, including those with respiratory failure, hemodynamic instability, severe metabolic disturbances, acute neurologic events, toxicologic emergencies, renal failure requiring CRRT, multi-organ dysfunction, septic shock, and the need for continuous titration of high-risk intravenous medications.

Common candidates for admission include:

• Patients who require acute ventilatory assistance
• Hemodynamically unstable gastrointestinal bleeding patients
• Unstable patients with diabetic ketoacidosis
• Ischemic stroke patients requiring TNK administration/Post Intervention
• Unstable drug overdose and/or suicidal patients
• Patients requiring Continuous Renal Replacement Therapy (CRRT)
• Patients with multi-system organ failure
• Patients with diagnosis of unstable septic shock
• Patients whose condition requires IV infusion and titration of medications with vasodilator, vasopressor or anti-arrhythmic effects.

Qualifications:

• Graduate of an accredited school of nursing; BSN preferred.
• Current, active licensure as a Registered Nurse through the Ohio Board of Nursing.
• Obtain and maintain current American Heart Association (AHA) training in Basic Life Support (BLS) utilizing Resuscitation Quality Improvement (RQI) is required.
• Certification preferred for RNs meeting applicable certification eligibility requirements.
• Membership in professional nursing organization preferred.

Department Qualifications:

• Obtain and maintain current American Heart Association (AHA) training in Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS utilizing Resuscitation Quality Improvement (RQI) is required.
• Obtain and maintain current National Institute#s of Health Stroke Scale (NIHSS).
• Certification required within 90 days of hire.
• Certified Nurse in Critical Care (CNCC) certification must be obtained within six months of hire and maintained in accordance with organizational standards.
• Training classes are sponsored by the Education and Development Department.
• Complete required orientation for position.

Skills:

• Proficient computer skills to complete tasks as required.
• Must be organized, able to effectively prioritize tasks and exhibit appropriate time management skills.
• Must be detail oriented while focusing on safe practices and quality care.
• Demonstrates effective communication.
• Effective appropriate and professional interactions with colleagues/physicians, patients and visitors.

Responsibilities:

• Expectations RN applies the nursing process of assessment, planning interventions, accurately implements and/or delegates patient care, evaluates that care, and accurately communicates patient information in a timely manner.
• RN is a patient/resident advocate in conjunction with the other members of the healthcare team and fosters patient safety, comfort and satisfaction.
• Attains knowledge and competency that reflects current nursing practice.
• Demonstrates quality and effectiveness of nursing practice.
• Adhere to professional standards and guidelines, including ethical actions, relevant statutes, rules and regulations, during nursing practice.
• Collaborates with patient, family, and others in the conduct of nursing practice.
• Exhibits High Reliability Organization (HRO) tools and tones.
• Provides leadership in the professional practice setting and contributes to the professional development of peers, colleagues and students.
• Integrates research findings into practice.
• Responsible for timely review of emails, department communications and applicable learning assignments and completion as applicable.

Working Conditions:

• Meal and break times are coordinated with other staff members to maintain adequate coverage.
• Shifts are scheduled or changed due to the staffing needs of the unit/department based upon volume and acuity.
• Work weekends and holidays as assigned or as applicable based on department needs.
• Cross training depending upon department needs.

Physical Addendum Demands:

• Lifting 0-10 lbs Frequent 34-65%
• Lifting 10-20 lbs Frequent 34-65%
• Lifting 20-35 lbs Frequent 34-65%
• Lifting 35-50 lbs Occasional 10-33%
• Lifting 50-75 lbs Occasional 10-33%
• Lifting 75-100 lbs Occasional 10-33%
• Lifting over 100 lbs Occasional 10-33%
• Forward Reaching Frequent 34-65%
• Overhead Reaching Frequent 34-65%
• Standing Continuous 66% of the day
• Walking Continuous 66% of the day
• Sitting Occasional 10-33%
• Climbing Occasional 10-33%
• Stairs/Ladder Occasional 10-33%
• Bending/Stooping Frequent 34-65%
• Twisting/Turning Occasional 10-33%
• Kneeling/Squatting Occasional 10-33%
• Crawling Never
• Pushing/Pulling 0-10 lbs Frequent 34-65%
• Pushing/Pulling 10-20 lbs Frequent 34-65%
• Pushing/Pulling 20-35 lbs Frequent 34-65%
• Pushing/Pulling 35-50 lbs Frequent 34-65%
• Pushing/Pulling 50-100 lbs Occasional 10-33%
• Pushing/Pulling over 100 lbs Occasional 10-33%
• Carrying 0-10 lbs Frequent 34-65%
• Carrying 10-20 lbs Frequent 34-65%
• Carrying 20-35 lbs Frequent 34-65%
• Carrying 35-50 lbs Occasional 10-33%
• Carrying 50-100 lbs Occasional 10-33%
• Grasping/repetitive sustained Frequent 34-65%
• Fine motor coordination Continuous 66% of the day
• Vision: Near/Far/Color Continuous 66% of the day
• Hearing: ordinary conversation/other Continuous 66% of the day
• Sitting Continuous 66% of the day
• Climbing Occasional 10-33%
• Stairs/Ladder Occasional 10-33%
• Twisting/Turning Occasional 10-33%
• Kneeling/Squatting Occasional 10-33%
• Pushing/Pulling 50-100 lbs Occasional 10-33%
• Pushing/Pulling over 1