RN - ICU/CCU

Shift: Days

Job Summary: Provides direct and indirect patient care in the patient care in the critical care setting. Communicates with physicians about changes in patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment. Additionally, is able to perform general nursing duties in all departments with adequate supervision. Participates in performance improvement and CQI activities.

Demonstrates Competency in the Following Areas

• Knowledge of medications and their correct administration based on age of the patient and their clinical condition.
• Ability to independently monitor hemodynamic and cardiac status of patient including, arterial lines and central lines.
• Demonstrates an ability to assist physicians with procedures including Swan-Ganz, TLC, arterial lines, temporary Pacemakers and chest tubes.
• Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes pediatric, geriatric, and the general patient population.
• Ability to formulate an individualized plan of care, revise plan as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness.
• Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as needed.
• Interacts professionally with patient/family and involves patient/family in the formation of the plan of care.
• Demonstrates knowledge of cardiac monitoring, identifies dysrhythmias and treats appropriately based upon ACLS protocol.
• Communicates appropriately and clearly to charge nurse, co-workers and physicians.
• Consults other departments and makes referrals, as appropriate to provide for an interdisciplinary approach to the patient’s needs.
• Provides care appropriate to disease condition and age of the patient.
• Coordinates and supervises patient care as necessary.
• Treats patients and their family with respect and dignity. Maintains confidentiality.
• Assists with formal and/or informal training of staff members.
• Interacts professionally with Nurse Techs and Nurse Interns and supervises care in cooperation with instructors.
• Assures Adult and Pediatric Crash Carts, AutoPulse, refrigerator checks, and other required checks are completed.
• Maintains a good working relationship both within the department and with other departments.
• Documentation meets current standards and policies.
• Demonstrates an ability to be flexible, organized and function well under stressful situations.
• Ability to assess and care for patients in the post anesthesia period.
• Completes patient classifications accurately and in a timely fashion.
• Utilizes staff, maximizing use of time, skill, and knowledge in making patient assignments.
• Effectively delegates and ensures completion of crash cart, DE-FIB, narcotic, refrigerator and waved testing each shift.
• Demonstrates leadership, knowledge and judgement when initiating ICU policies including divert policy.
• Keeps house supervisor informed of high-risk patients, potential problems, bed status and transfers.

Demonstrates ability to function as a resource person for staff in resolving patient care and interdepartmental issues

Requirements

Professional Requirements

• Adheres to dress code; appearance is neat and clean.
• Completes annual educational requirements.
• Completes annual competency requirements.
• Demonstrates flexibility in scheduling and is available when “on call” per policy.
• Wears identification while on duty, uses computerized time clock system correctly.
• Participates in unit performance improvement activities.
• Reports to work on time and as scheduled, completes work within designated time.
• Participates in at least 50% of staff meeting, reads and initials all monthly minutes.

Education/Regulatory Requirements & Experience

• Must possess and maintain current Registered Nurse licensure to practice in Oklahoma.
• Current BLS certification required; must be obtained during initial orientation if not current upon hire.
• Current ALS and PALS certification required; must be obtained during the first year of employment if not current upon hire.
• One or more years of recent critical care experience.
• Previous work history that demonstrates steady attendance and punctuality is required.

Language Skills

• Ability to read and communicate effectively in English.
• Additional languages preferred.

Skills

• Basic computer knowledge.
• Math skills.

Physical Demands

• For physical demands of position, including vision, hearing, repetitive motion and environment, see following description. Near visual & hearing acuity required to perform essential duties of position.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising client care.