Advanced Practice Nurse- ICU

Description $20,000 Sign-on Bonus

Kindred Hospital Greensboro is a 101-bed long-term acute care hospital treating chronically, critically ill patients who require an extended stay in a hospital setting with individualized care plans. We offer a 6-bed ICU and seven negative pressure rooms. We are accessible via I-85 expressway, nestled between Clinton Heights and Lincoln Heights Neighborhoods for your convenience.

Job Summary Provides quality patient care to critically ill patients, through the nursing process of Assessment, Planning, Intervention, and Evaluation. Serves as a patient advocate at all times. Supervises the nursing care provided to each patient by other caregivers. Develops the plan for nursing care as a result of coordination with the patient, family and staff of other disciplines as necessary. Applies critical thinking in order to promote positive clinical outcomes. Ensures patient education. Participates in discharge planning.

Essential Functions Maintains the standard of nursing care and implements the policies and procedures of the hospital and the nursing department

Assesses the patient on admission within the required time frame

Makes referral to other disciplines based on the assessment, such as rehabilitation and nutritional services

Develops a nursing care plan for assigned patient on admission and updates the plan of care as needed

Ensures the plan is discussed and developed as a result of the coordination of patient and family and the interdisciplinary team

Able to release, remove, and reapply restraints to patient

Ensures patient is in proper position and alignment.

Documents patient admission assessment and reassessments, patient care plans, and other pertinent information completely in the patient’s electronic medical record

Demonstrates correct use of Biomedical equipment such as defibrillator, Suction machine, IV and feeding pumps, PCA pump, blood glucose monitoring machine

Demonstrates safe and effective delivery of patient care such as completing team/patient assignments on time, making effective use of available time, showing initiative and teamwork

Obtains consents for procedures and blood transfusions, ensuring patient has necessary information to make an informed decision

Receives physician’s orders, ensures transcription is accurate, and order entry is accurate. Follows through to ensure order is carried out

Recognizes and responds appropriately to patient change in condition such as Cardiac rhythm, respiratory distress, GI bleed, pulmonary emboli/ edema, diabetic Ketoacidosis, adverse drug reaction and Blood transfusion reaction, etc. Institutes emergency action, notifies physician, obtains orders, etc.

Completes and documents patient admission assessment and reassessments as required according to policy

Reports pertinent observations and reaction regarding patients to the appropriate person (i.e., physician, supervisor, charge nurse) and records these observations accurately

Administers medications with verbalized knowledge of the action, side effects, correct dosages and route according ICU policies and procedures

Demonstrates ability to recognize and Institute arrhythmia protocol for the following Cardiac rhythms V‑tach, V‑fib, PVC’s, asystole, 1st, 2nd and 3rd degree heart block, atrial fibrillation, and atrial flutter

Directs, supervises, and evaluates nursing care provided to patients

Administers medications utilizing the seven “rights” of medication administration: right patient, route, time, medication, dose, reason and documentation

Assist physicians with special tests and procedures such as thoracentesis, paracentesis, arterial line and bronchoscopy

Participates in economical utilization of supplies and ensures that equipment is maintained in a clean and safe manner

Participates in orientation of new personnel and performance evaluations of nursing staff

Assists team members in giving care to patients or administers direct care when professional nursing skills and judgment are needed

Coordinates nursing care of patients when scheduled for therapy or procedures by other departments

Assists with or institutes emergency measures for sudden adverse developments in patients such as cardiac arrest, respiratory arrest, or sepsis

Participates in the maintenance of a clean and safe environment

Is knowledgeable about the emotional and rehabilitative aspects of care and is capable of applying appropriate therapeutic interventions

Provides assessment utilizing current ACLS certification and protocols renders lifesaving first aid and makes appropriate referral to the nearest organization that is capable of providing needed services

Demonstrates ability to manage various types of tubes and other devices such as Foley /straight catheter, feeding tubes, chest tubes, JP drains, Hemovacs. T‑tubes, wound drains, ostomy care, suprapubic catheter, continuous bladder irrigation

Demonstrates correct set up and performance monitoring of hemodynamic systems such as Swan‑ganz catheter, arterial catheter, and cardiac output

Demonstrates accurate knowledge of critical Lab values and their normal ranges

Reports and documents appropriately

Demonstrates ability to verify correct lead telemetry placement

Validates telemetry strips every 4 hours and PRN. Documents appropriately.

Participates in assessing and meeting patient and family education needs

Provides complete patient report to oncoming RN, ensures documentation is complete, physician orders are signed off, and patient rooms are in order

Communicates pertinent information to RN, physician, and patients as needed

Adheres to dress code, appearance is neat and clean and wears appropriate identification while on duty

Completes annual health, safety, and education requirements. Maintains professional growth and development

Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected

Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age‑appropriate care to the patient population served

Attends all mandatory in‑services and staff meetings

Represents the organization in a positive and professional manner

Complies with all organizational policies regarding ethical business practices

Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department

Maintains current licensure/certification for position, if applicable

Demonstrates Guest Relation’s skills to patients, physicians, visitors, employees, and any other individuals with whom they may come in contact

Follows departmental and hospital Health, Safety, Security, Hazardous Materials policies and procedures

Knowledge/Skills/Abilities/Expectations Excellent oral and written communication and interpersonal skills

Knowledge of medications and their correct administration based on age of the patient and their clinical condition

Basic computer knowledge

Organize tasks, develop action plans, set priorities, and function under stressful situations

Maintain good working relationship with co‑workers

Must read, write and speak fluent English

Must have good and regular attendance

Approximate percent of time required to travel: 0%

Performs other related duties as assigned

Qualifications Education Graduate from an accredited Registered Nursing program

Licenses/Certifications Current state licensure as Registered Nurse

BCLS and ACLS certifications required

Experience Minimum one year training and experience in Critical Care

Able to communicate effectively in English‑both written and verbal

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