Emergency Room Registered Nurse - Urgent Need

A Registered Nurse who is responsible for the nursing care of patients in the Critical Care setting guided by policies and procedures of the Critical Care Unit and hospital.

A Registered Nurse who is responsible for the nursing care of patients in the Critical Care setting guided by policies and procedures of the Critical Care Unit and hospital.

Duties and Responsibilities

Nursing Process

Applies nursing process in direct patient care

Assessment of physiological, psycho social, educational, cultural, and spiritual needs of patient as evidenced by written assessment within one hour of admission and visual assessment within fifteen minutes of arrival

Documents physical assessment every four hours on in the electronic medical record and vital signs/I&O Q2 or more frequently as required by diagnosis/disease process/physician orders.

Reassesses patient’s needs every four hours and more often when necessary and documents in the electronic medical record and patient care plan. Provides further interventions as necessary and re-evaluates outcomes.

Care of acutely ill patient

Monitors vital sign, i.e. EKG, Sa02, etc. and intervenes as necessary

Initiate and monitor vasoactive drips, ie Dopamine, Dobutamine, Nipride, Norepinephrine etc.

Monitor invasive lines, i.e. central lines, arterial lines, etc.

Monitor ventilator patients and intervene when necessary

Operate various pain management equipment, i.e. PCA, Epidural, etc.

Assess patient for respiratory depressions and/or arrest and intervene immediately if necessary, i.e. CPR, use ambu bag, chin lift maneuvers airways, etc.

Responds to codes in unit and responds to codes in other units in the hospital.

Monitor, assess and intervenes with extremely unstable patients, ie post cardiac surgery, trauma, organ donation, etc.

Insures that patients have a safe post-operative/post-procedural period from general, regional or local anesthesia, including Moderate Sedation .

Provide age specific and disease specific care and education to patients/families relating to post-procedural care.

Technical Equipment Operation

Operates technical equipment safely, efficiently and accurately as per unit competency level.

Pressure line set up and maintenance

Cardiac monitors

Insertion, maintenance, withdrawal of blood form arterial line, and removal of arterial line

Cardiac output

Insertion, maintenance and removal of PA lines

ICP and/or Camino set up, insertion and maintenance

Crash cart/defibrillator/cardioverison

Ventilator management

Peripheral Nerve Stimulator

Ventricular Assist Device

Transvenous pacemaker/non-invasive pacing

Femostop/C-clamp for line removal

Non-Essential Duties

Participates on unit or hospital based committees

Other duties as assigned, within compliance with Title 22, The Joint Commission, and CMS.

Knowledge, Skills and Abilities

Knowledge

Demonstrates knowledge of criteria for 1:1 patient

Demonstrates knowledge of patient classification system

Demonstrates knowledge of staffing guidelines for Critical Care Unit

Demonstrates knowledge of Moderate Sedation

Demonstrates knowledge of Critical Care security policies and procedures.

Demonstrates knowledge of Critical Care visitation policy.

Supports and adheres to the values and mission statement established by the AVH Board of Directors

Conforms to required accreditation standards.

Conforms with and supports hospital quality management and performance improvement guidelines

Skills

Meets skills and abilities of a Registered Nurse

Skill and ability to follow telephone etiquette/standards

Displays a willingness to work as a team player

Safely and effectively uses all equipment necessary to carry out duties

Abilities

Ability to adhere to all established AVH policies and procedures and to interpret and function under these.

Ability to organize work and establish priorities

Ability to expand on own initiative in performance of duties

Ability to function effectively under pressure and meet time parameters

Ability to relieve clerical staff at desk, or to adopt any function commonly assigned to unlicensed assistive personnel, or as allowed within scope of nursing practice, as needed

Education and Experience

Education

Maintains current licensure, certifications, education, and physical health standards

Participates in mandatory and/or optional educational activities/offerings. Attends staff meetings regularly and as required by assigned unit

Demonstrates knowledge and competency on hospital information technologies used in the designated patient care area.

Successfully completes written and practical competencies annually or otherwise as assigned.

CCRN preferred.

Experience

Two years acute care nursing preferred, new grad training provided as appropriate.

Required Licensure and/or Certifications

Meets all required licensure and/or certifications necessary for Registered Nurse.

ACLS certification required on file in Department of Education.

Physical Requirements and Working Conditions

Work often performed under stressful, emotional, and physical conditions

Accepts additional workload during times of unexpected circumstances, e.g., high activity, high census, and sudden emergencies.

May be exposed to contaminated instruments that may cause infections, burns, or cuts.

May also be exposed to wet and/or humid conditions, fumes or airborne particles, toxic or caustic chemicals, risk of electrical shock, and risk of radiation.

A detailed description of the physical requirements of this job is maintained in the Employee Health Department.

Requirements

Education and Experience

Education

Adheres to required educational standards

Maintains current licensure, certifications, education, and physical health standards Participates in mandatory and/or optional educational activities/offerings. Attend staff meetings regularly and as required by assigned unit

Demonstrates knowledge and competency on hospital information technologies used in the designated patient care area.

Successfully completes written and practical competencies annually or otherwise as assigned.

Experience

Two years' acute care nursing preferred; new grad training provided as appropriate

Required Licensure and/or Certifications

Current California Registered Nursing license

BCLS Certification

ACLS, PALS, and/or other additional Certifications required for some specialty areas

Resuscitation credentials such as (BLS, ACLS, PALS, etc.) are required before completion of orientation period.

Education and Experience

Education

Maintains current licensure, certifications, education, and physical health standards

Participates in mandatory and/or optional educational activities/offerings. Attends staff meetings regularly and as required by assigned unit

Demonstrates knowledge and competency on hospital information technologies used in the designated patient care area.

Successfully completes written and practical competencies annually or otherwise as assigned.

CCRN preferred.

Experience

Two years of acute care nursing preferred, new grad training provided as appropriate.

Required Licensure and/or Certifications

Meets all required licensure and/or certifications necessary for Registered Nurse.

ACLS certification required on file in the Department of Education.

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