Registered Nurse RN (Telemetry and ICU), Full Time, Nights

Full-Time Nightshift

Kindred Hospital The Palm Beaches and Acute Rehabilitation Unit (ARU) is a 68-bed specialty hospital. With 57 long-term acute care hospital (LTACH) beds, we offer the same in-depth care you would receive in a traditional hospital, but for an extended recovery period. Our 11-bed ARU is designed for people who have experienced the debilitating effects of an acute injury, impairment, or illness and like the LTACH, we partner with your physician and offer 24-hour clinical care seven days a week so you can start your journey to wellness. We are located just North of downtown West Palm Beach and about four miles inland from Riviera Beach.

Provides quality patient care to critically ill patients, through the nursing process of Assessment, Planning, Intervention, and Evaluation. 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. Maintains the standard of nursing care and implements the policies and procedures of the hospital and the nursing department

• 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
• 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
• 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
• 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
• 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
• 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
• 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
• Reports and documents appropriately
• Demonstrates ability to verify correct lead telemetry placement
• Validates telemetry strips every 4 hours and PRN. Documents appropriately.
• 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
• Completes annual health, safety, and education requirements
• 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
• 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
• 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

Basic computer knowledge

• Must read, write and speak fluent English
• Approximate percent of time required to travel: Graduate from an accredited Registered Nursing program

Current state licensure as Registered Nurse

• Minimum one year training and experience in Critical Care
• Able to communicate effectively in English- both written and verbal