AJ01

Job Summary:

The Registered Nurse in the Acute Care setting manages the patient/family experience through utilization of critical thinking, teamwork, effective communication, and nursing judgment/knowledge/skills.

Provides indirect and direct care to patients ranging in age/developmental stages from infants (pediatrics) to geriatrics with the main focus on adults to geriatrics, in the Intensive Care Unit. Uses the nursing process of assessment, planning, implementation and evaluation to meet the physiological, psychosocial, safety, learning and self-care needs of patients and their families.

Responsible for managing care of assigned patients and directing activities of ancillary staff. Responsible for comprehensive nursing care of patients in the critical care setting performed in association with nursing peers, physicians, and allied support services. Provides individualized, goal directed nursing care to patients through the use of the nursing processes & documentation from admission to discharge.

This includes & is not limited to patient assessment by gathering information necessary to formulate a nursing diagnosis to be used as a basis for planning care consistent with formulated nursing diagnosis. Implements care that is skillful, efficient, safe & based on patient care standards by performing nursing procedure required for patient assignments, documenting the care given & changes in the patient's condition in accordance with standards. Anticipates & recognizes potential problems & intervenes appropriately by correlating data, test results, progress notes & patient condition. Evaluates the degree of effectiveness & makes changes as needs are recognized. Provides leadership by managing care through others using Standards of Practice (Joint Commission, Title XXII, Professional Practice Acts) & interpreting (or uses others to interpret) Standards of Practice to other staff which may include legal implications. Actively participates in professional growth opportunities & provides high quality customer relations.

Principal accountabilities:

• Clinical Performance consistent with Nurse Practice Act, unit and hospital policies.

• Performs an initial physiological, psychological and social assessment upon admission.

• Reassesses patients as condition warrants.

• Documentation accurately reflects application of nursing process.

• Able to demonstrate patient teaching, discharge instruction, etc.

• Demonstrates skill in recognition, interpretation, problem solving and documentation of physical assessment of all body systems.

• Identifies and incorporates patient's special needs in formulating care plan, special interventions, etc.

taking into consideration the common age-related problems, including fluid balance, activity tolerance, cognitive and sensory precautions and ability to meet ADL.

• Documents any observations, interventions, and patient response to nursing interventions on appropriate forms with accuracy and legibility.

• Recognizes, intervenes (where appropriate) and reports complications of illness/hospitalization to senior nurse and to the physician.

Skills:

Experience/Knowledge/Skills:

• Must have demonstrated knowledge of basic nursing skills and effective English written and communication skills.

• Must demonstrate competency in critical care ensuring and knowledge of cardiac arrhythmias.

• Working knowledge of critical care pharmacology.

• Excellent communication and customer service skills.

• Independently practices and prioritizes multiple demands in an ever-changing environment.

• Good interpersonal, communication (both oral and written) and teamwork skills are required. Special Requirements: • Two years experience in a critical care setting preferred.

Supervisory/Charge experience helpful.

Education/Certification/Licensure:

Critical Care Course, EKG Course, and Hemodynamic Monitoring Course - Required CA-RN, BLS-HCP, ACLS, PALS - Required Communications/Customer Relations

• Utilizes effective communication skills, both verbal and written, in interactions with peers, physicians, patients, visitors and other ancillary department staff, supporting a professional and collaborative atmosphere.

• Utilizes calm, direct, professional manner in dealing with difficult situations, recognizing and utilizing the appropriate chain of command and reporting mechanisms (PIRs).

• Maintains absolute confidentiality of patient data, familiar with and educates others on HIPPA requirements, keeping discussion out of public areas.

Restricts discussion of personal issues to non-patient care area

• Interacts with patients and families with courtesy, sensitivity, and understanding; demonstrating a non-judgmental approach when encountering differing life styles, races or religious beliefs, showing empathy.

• Communicates with other members of the health care team in a timely manner regarding changes in patient condition.

• Prepares and delivers an organized, concise, shift report within an established time frame. Provides appropriate verbal report to relieving nurse when off unit, or to receiving nurse when transferring patient to another department or facility.

• Demonstrates accountability and responsibility for own behavior and actions.

• Demonstrates ability to provide and accept constructive feedback, remains approachable, listens to others and offers appropriate suggestions.

Education:

CCRN - Preferred, BA/BS - Preferred

Job Types: Full-time, Contract

Salary: $2,400.00 - $2,800.00 per week

Medical specialties:

• Critical & Intensive Care

Physical setting:

• Clinic
• ICU
• Inpatient

Standard shift:

• Night shift

Weekly schedule:

• 3x12

Experience:

• ICU: 3 years (Required)

License/Certification:

• BLS Certification (Required)
• ACLS Certification (Required)
• PALS Certification (Required)

Work Location: In person