Job Objective :

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:

• • • 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.

• 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

AVH Values: All AVH employees will effectively demonstrate these values:

• Patients Come First – We listen actively and communicate with our patients and families, placing safety as a top priority.
• Accountability & Ownership – We fully complete tasks, are transparent, effectively communicate, and recognize that what we do reflects on us.
• Teamwork – We build trusting relationships, promote a sense of community, and are respectful of everyone. Success is about the whole team.
• Integrity & Honesty – We tell the truth at all times, speak up when something is wrong, and do the right thing when no one is looking.
• Excellence – We take pride in our work, are goal-oriented, and on a never-ending quest for top tier quality.
• Initiative & Innovation – Our can-do attitudes, creativity, and resourcefulness empower us to improve the patient’s experience, solve our own problems, make timely decisions, and look for opportunities to add value.
• Tenderness & Compassion – We have genuine empathy, show kindness, and encourage and advocate for each other.

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.

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

AVH Conduct/Compliance Expectations :

• Ability to adhere with AVH Absenteeism and Tardiness Policy
• Ability to adhere with AVH Leaves of Absence Policy
• Ability to adhere with AVH Paid Time Off (PTO) Policy
• Ability to adhere with AVH Recording of Hours Worked Policy
• Ability to adhere to the department dress code
• Ability to organize work and establish priorities
• Ability to expand on own initiative in performance of duties
• Skill and ability to follow the telephone etiquette/standards
• Conforms to AVH Standards of Excellence
• Ability to function effectively under pressure and meet time parameters
• Ability to communicate effectively while maintaining good working relationships with co-workers, managers and other hospital staff
• Ability to adhere to the normal standards of courtesy and conduct as defined under the rules of hospitality at AVH
• Ability to maintain the confidentiality of patient, hospital and department information
• Ability to adhere to safety rules and regulations
• Safely and effectively uses all equipment necessary to carry out duties
• Ability to interpret and function under hospital and department policies and procedures
• Conforms with required and appropriate JCAHO requirements
• Conforms with and supports hospital quality assurance and improvement guidelines
• Ability to participate effectively in department and hospital staff education
• Display a willingness to work as a team player
• Ability to give and support the highest level of patient/customer satisfaction at all times
• Supports and adheres to the values and mission statement established by the AVH Board of Directors
• Ability to demonstrate knowledge and understanding of the Compliance & Integrity Program and its established policies.
• Ability to follow the Code of Conduct

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 .

Job Objective :

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:

A. 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.

B. 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.

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.