Registered Nurse Tier 1 (Union) ICU

Registered Nurse

The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students.

Responsibilities

Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills

The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing's Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses.

Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension

The administration of medication, intravenous therapy and treatment as prescribed by a LIP

Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care.

Mentors and precepts students and orient new staff as assigned

Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information

Participates on various teams, committees or performance improvement initiatives

Ensures a safe and secure environment for patients, coworkers and self

Participates in Discharge Planning and Transition of Care (able to define pt needs)

Serves as a patient advocate and escalates patient related concerns timely

Timely documents pertinent findings in medical record

Assists patients in performing activities of daily living and functions as an active team member

Assumes responsibility for personnel professional development

Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude

Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted)

Functions as a positive influence, role model and adheres to professional code of conduct

Respects dignity and confidentiality of all matters relating to patients

Refer to Special Addendum and Staff Nurse Position Description

Performs other job duties as assigned.

Qualifications

Education

Associate's Degree; Graduation from an accredited school of nursing. Required

Bachelor's Degree Preferred

Experience

Up to 1 year Preferred

Minimum of one (1) year acute care nursing experience.

One (1) year of experience should be relevant to specific department in which they will be working.

Experience with Electronic Health Record Preferred.

Required Skills, Knowledge & Abilities

Operates critical care equipment such as respirators, temporary pacemakers, defibrillators, and other emergency equipment.

Set-up, maintains, interprets results of cardiac and hemodynamic monitor required and takes action as indicated by nursing practice and hospital procedures.

Perform special procedures such as endotracheal and tracheostomy suctioning; tracheostomy care; extubation; cardio-pulmonary resuscitation; arterial punctures; care of chest tubes and pleurevac; set up and assistance with peritoneal dialysis, paracentesis, thoracentesis.

Able to manage specialty drips using approved protocols.

Prior to assignment to unit as sole RN provider, the nurse must successfully complete critical care course acceptable to the Community Chief Nursing Officer and demonstrate mastery of equipment, diagnostic responsibilities, and procedures required of the critical care nurse.

Such course work shall include:

Cardiopulmonary resuscitation and management of an obstructed airway.

EKG interpretation.

Drug therapy, including emergency drug therapy via the I.V. route, or routes normally left to the physician.

Hemodynamic monitoring.

Critical care procedures.

The nurse shall be adequately oriented to unit policies, procedures and equipment.

Orientation shall include safety procedures, infection control practices, and performance improvement activities.

Completion of the following Competencies:

Moderate Sedation

Completion of Stroke Modules

Restraints

Licenses & Certifications

Registered Nurse Required

Advanced Dysrhythmia/EKG Required

NIH Stroke Certification Required

BLS Required

Advanced Life Support Certification Required

De-Escalation Training within 6 months of hire Required

Pediatric Advanced Life Support Certification (recommended) Preferred

Harlan Appalachian Regional Healthcare