Overview

The Critical Response Nurse (CRN) is an advanced clinical expert who can deliver composed guidance and care under emergent circumstances. The CRN assesses, analyzes, plans, implements, and evaluates patients in crisis following established patient care standards for Legacy Health System throughout the hospital. The CRN acts as a physician liaison by relaying expert physical assessments and provides delegated treatments as needed within both the inpatient and emergency department arenas including emergent transfer to a higher level of care. The CRN is a primary emergency responder and secondary responder to critical situations deemed by the hospital need, this may include but is not limited to Code Blue, Code Green, ED Code 3, pediatric code blue, pediatric emergencies, Family Birth Center (FBC) STAT events, Neonatal Intensive Care Unit (NICU) resuscitations, and NICU code blue events, The CRN may support additional areas such as Endoscopy, Interventional Radiology (IR), Cath Lab, and the perioperative suites.

Legacy Meridian Park Medical Center has a 16-bed Medical Surgical Intensive Care Unit located 12 miles SW of Portland. Our ICU provides care to patients who are seriously ill or at high risk of developing life-threatening problems as a result of complex medical processes, renal or respiratory failure or patients who have suffered strokes, heart attacks or undergone invasive surgery.

Responsibilities

NURSING PROCESS: Application of the Nursing Process.

• Conducts and documents health status assessments of individuals or groups.
• Demonstrates expert critical care nursing process assessment skills to include cardiac, respiratory, neurological, and metabolic.
• Collecting objective and subjective data from observations, examinations, interviews, and written records in an accurate and timely manner as appropriate to the client’s health care needs in accordance with LHS documentation standards using LHS communication tools. The date includes, but is not limited to:

• Develops and modifies the plan of care based on assessment and coordination with other health care team members. This includes:
•  Identifying priorities in the plan of care

• Initiating nursing interventions through:

• Evaluates the responses of individuals or groups to nursing interventions, (evaluations should involve the client, their family or significant others, and health team members). This includes: 

Qualifications

Education:

Academic degree in nursing (BSN or MSN/MN) required. Internal candidates promoting may meet the degree requirement with verification of bachelor’s or master’s degree in progress with an expected completion date within 2-years of the promotion date; progress will be reported periodically to the site Chief Nursing Officer (CNO).

Experience:

Experience in hemodynamic monitoring application of clinical physiology required.

Three years of critical care clinical experience within the last five years strongly preferred. Emergency Department and IV infusion experience strongly preferred..

Licensure

Current applicable state RN license required.

Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), National Institutes of Health Stroke Scale (NIHSS) are required within six months of hire.

CCRN certification is preferred at time of hire/promotion, or required within 1 year of hire/promotion. Pediatric Advanced Life Support (PALS) and Trauma Nursing Core Course (TNCC)/Advanced Trauma Care for Nurses (ATCN) or equivalent Trauma certification are required based on site specific criteria.