Registered Nurse
2 months ago
Overview
ICU, CCU, & Stepdown:
If you are looking to progress your tele, step-down, or ED career towards a more centralized focus on critical care, this 16 bed ICU is an appealing unit to make that progression. This mixed surgical, respiratory, and cardiac ICU has a vast critical care patient population including critical cancer patients, respiratory distress with intubation, multisystem organ failure, craniotomies, and autoimmune diseases. Experience the benefits that this closed ICU offers, with intensivist driven care from physicians that are progressive and up to date with the current research and trends in ICU/CCU. This units offers tremendous supports to its staff, with 3 PCT’s on every shift, health unit coordinators, and a mobile IV Therapy Team to assists in peripheral and central line placements. Management includes four clinicals leaders, with two on day shift and two on night shift, who are not part of assignment ratios and therefore available as dedicated resources to staff.
Responsibilities
- Provides considerate respectful care focused upon the patient's individual needs to ensure patient satisfaction.
- Affirms the patient's right to make decisions regarding his/her medical care, including the decision to discontinue treatment, to the extent permitted by law.
- Successfully completes life-span education as appropriate.
- Obtains a complete nursing history and baseline assessment that is systematic, consistent and continuous. This assessment is communicated effectively utilizing Hand-off policy and documented.
- Documents results of patient assessment, nursing diagnosis, care plan nursing interventions and evaluation and patient progress in medical record according to hospital/nursing policy and the Nursing Standards of Care/Practice for the specific patient type.
- Appropriately analyzes patient information /assessment to determine nursing diagnosis and needs for appropriate nursing care, medical intervention or services of other clinical professionals.
- Identifies patient problems and formulates nursing diagnosis according to physical, psychological, spiritual/cultural and educational needs in conjunction with a multi-disciplinary approach.
- Consistently includes patient and family in the development of an individualized plan of care.
- Administers medication as needed following CSHS policies and manufacturer's instructions.
- Takes immediate and appropriate actions in the event of a medication variance occurrence.
- Recognizes changes in patient condition and/or emergencies situations and takes immediate and appropriate actions.
- Participates in unit conferences to discuss quality issues and quality improvement strategies.
- Delegates components of care to non-professional caregivers as appropriate. Follows up on any delegated components of care and assignments given.
- Make decisions that demonstrate knowledge of nursing practice; utilizes sound nursing judgment in clinical and patient care management situations.
- Demonstrates critical thinking skills in the care of patients and in the coordination of care to assure the best patient outcomes.
- Follow CSHS Pain Assessment policy.
- Successfully functions as a Resource Nurse, making decisions in the absence of the Clinical Leader and/or the Nurse Manager.
- Supports cost containment through efficient use of equipment, supplies and other pertinent resources.
- Recognizes adverse reaction to medications and takes immediate and appropriate action.
- Evaluates the patient's needs for discharge and accesses appropriate resources for the patient and/or family.
- Consistently provides written and verbal education to patients and/or families.
- Successfully functions as a preceptor/mentor to students and new staff members.
- Consistently promotes teamwork within the unit and between departments.
- Consistently adheres to hospital policy regarding the insertion, maintenance and removal of foley catheters.
Qualifications
- Bachelor’s Degree in Nursing preferred
- Related experience preferred
- RN license/NJ required
- BLS certification required
- ACLS certification required
- Successful Completion of Basic Dysrhythmia course to be achieved with First Year
- CSMC IV Certification to be achieved within First Year
- Stroke Education requirements to be achieved within First Year then maintained thereafter
- Specialty professional nursing certification preferred
- Strong professional, organizational, and interpersonal skills to effectively relate with all members of the healthcare team
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