Registered Nurse Acute Care

Summary Coordinates patient care planning with other disciplines utilizing the principles of the nursing process and critical thinking skills to maintain patient safety and well-being. Some positions may be assigned to critical care areas requiring specialized training. Essential Functions Provides direct patient care, evaluates outcomes, consults with other specialists as required, and adjusts nursing care processes to ensure safe patient care. Writes or obtains initial nursing histories, assesses patients' conditions, and develops individual care plans; maintains patient documentation. Receives and reviews preceding shift reports and floor nurse reports; makes complete rounds of all units and notes patients' conditions. Notifies appropriate physicians regarding any unusual or unexpected events or problems requiring direct physician consultation. Works with other members of the interdisciplinary patient care team, implements and reinforces patient instructional needs with patient and family, offering informational material and pointing out special areas of concern. Evaluates outcomes of patient care, consults with other specialists as needed, and adjusts nursing care processes to ensure optimal patient care. Identifies and resolves workplace health and safety issues. Provides appropriate, direct patient care utilizing aseptic techniques. Manages IV lines, ensures sterile techniques, and oversees patient movement and positioning to ensure medically safe handling. Performs administration of pharmacological vasodilator medications for nuclear myocardial perfusion imaging in compliance with imaging practice standards. Complies with policies, procedures, regulations, and standards, and takes corrective action when violations occur. Orients, instructs, and educates assigned personnel. Behavioral Health RN: Assesses psychological needs of patients and families upon referral; provides discharge and aftercare planning for a smooth transition from urgent care, inpatient, hospitalization, partial hospital program, or intensive outpatient program; represents psychiatric services to referral sources, community agencies, court services, social service agencies, and others. EP-RN Specialist: Assists physicians with procedures such as pacemaker and implantable defibrillator placement, angiograms, ablations, and other electrophysiology-based procedures; inserts cardiac catheters, performs catheter manipulation services; operates and maintains electrophysiology recording systems, stimulators, and ablation systems; responsible for patient specimen testing, quality control, and improvement. EP Coordinator: Oversees EP area, coordinates with Cardiac Cath Lab lead to evaluate staffing and schedule needs, training, material management, and provides recommendations for efficiencies. Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication. Adheres to TMCH organizational and department-specific safety, confidentiality, values, policies, and standards. Performs related duties as assigned. Minimum Qualifications EDUCATION: Bachelor’s degree preferred. EXPERIENCE: One (1) year of nursing experience in an acute care setting preferred. (Positions assigned to EP: require two (2) years of EP experience or demonstrated competency in all areas of EP Lab procedures). LICENSURE OR CERTIFICATION: Current RN licensure permitting work in the State of Arizona and Basic Life Support (BLS) certification required. Additional certification may be required per department. Knowledge, Skills, and Abilities Knowledge of direct patient care and critical care procedures and techniques, tools, and responses required to ensure optimal patient care. Knowledge of exam indicators, contraindications, and patient preparation. Skill in communicating in a clear and concise manner with staff involved in critical care and physicians. Skill in reading 12-lead EKG. Skill demonstrated in assigned disciplines such as EP, directly involved in patient care. Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to complete routine reports and correspondence. Ability to listen and accurately interpret others’ communication or instructions to take appropriate action. Ability to speak and communicate effectively. Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of instructions and deal with several abstract and concrete variables. #J-18808-Ljbffr