Advanced Practice Nurse- ICU

Works under the supervision of the Nurse Manager/Clinical Coordinator. The Registered Nurse (RN) assesses, plans, implements, evaluates and supervises individual patient care on a nursing unit/department according to unit policies and procedures. Provides supervision of non-RN personnel on the assigned unit. When assuming the charge role, delegates and supervises unit activities. May be required to work on other nursing units according to distribution of staff and patients. EEO/AA/Disability/Veteran

Assesses the patient's physical and psychosocial condition on an ongoing basis throughout the continuum of care.

• Develops, communicates and documents a plan of care reflecting individualized patient problems and interventions to achieve desired outcomes, involving the patient, family and healthcare team in this process.
• Implements and coordinates this plan of care in collaboration with the healthcare team.
• Evaluates the effectiveness of the plan of care, patients response to care, and readiness for discharge. Revises the plan of care as needed and makes referrals where indicated.
• Provides educational opportunities and documents outcomes.
• Functions as a charge nurse.
• Meets performance expectations for customer service, teamwork, resource utilization, and staff and self development as outlined in performance review.
• Performs other duties as assigned or directed to ensure smooth operation of the department/unit.
• Demonstrates competency in the care of the neuro patient.
• Demonstrates skill and knowledge in neuro assessment.
• Demonstrates skill and knowledge in the airway management of the neuro patient.
• Demonstrates skill and understanding in assisting the physician and caring for the patient during special neuro procedures.
• Performs pharynaeal, endotracheal, tracheastomy suctioning according to established policy and procedure: Demonstrates skill and understanding in the use of equipment and care of patient in a halo brace.
• Demonstrates skill and understanding of nursing responsibilities and interventions for the patient on a ventilator.

Graduation from an accredited school of nursing. All newly hired registered nurses must have current BCLS certification or must obtain within one month of hire.

Registered Nurse is the foundational job description for all RNs. Accountability: Accountable to practice within the Scope and Standards of Practice within the Nurse Practice Act of their state of practice. Nursing practice is overseen by the Chief Nursing Officer (CNO) in each delivery network, and RNs are accountable to their chain of command. Complexity: In personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right thing), patient-centered (putting patients and families first), respect (valuing all people and embracing all differences), accountability (being responsible and taking action), and compassion (being empathetic). Licensed and a currently registered nurse in the State of Connecticut. Comprehensive health, dental, and vision insurance.

Retirement savings plan with employer contributions.

Paid time off and flexible scheduling options.

Heart and Vascular Cardiac ICU (5-1 SP): The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure. Our patients are treated with medical and interventional management. Nursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation.

RN-HVC Cardiothoracic ICU (CTICU/WP3): Cardiothoracic ICU is an 18-bed cardiac surgery unit, specializing in care for complex post-operative CABG, valve replacements, aortic dissection repairs, heart transplants and LVAD implantation. This is also the only unit in YNHH health system that cares for patients requiring ECMO, whether it is VV (lung bypass) or VA (heart and lung bypass). Nurses will be trained to devices based on previous experience and progression of skills, expectations and critical thinking.

HVC Cardiovascular ICU and Stepdown (5-4 SP): The Cardiovascular ICU and Stepdown is a 14-bed hybrid unit consisting of 8 ICU and 6 stepdown beds. We specialize in caring for patients post complex vascular surgery, such as aortic repairs, and post cardiac surgery patients such as CABG and valve replacements in our ICU beds. In the stepdown beds we care for patients with a variety of complex heart and vascular diagnoses.

Yale New Haven Health