Rn - Icu - Per Diem Nights - Los Alamitos
2 weeks ago
Updated: May 1, 2024
Location: Los Alamitos
**Job Type**:
Department: ICU/CCU-LOM
Position Title: Registered Nurse
Department: Critical Care
Report to: Critical Care Nursing Director
Job Summary:
The Critical Care nurse is a Registered Nurse who provides individualized care to the critically ill patients and their families. Emphasis is on perfo1ming skills for a patient who ts hernodynamically unstable or who requires specialized nursing care and monitoring equipment. The Registered Nurse is responsible for total care of their assigned patient[s] for the entire shift. The Critical Care Registered Nurse follows established guidelines by the AACN in accordance with hospital and unit policies and procedures.
TECHNICAL SKILLS/JOB SPECIFIC SKILLS/*ESSENTIAL FUNCTIONS
TELEPHONE SKILLS Demonstrates hospital telephone etiquette by answering the phones promptly, courteously and identifying department and self.
POLICIES/PROCEDURES- ls aware of and follows all hospital and department policies and procedures.
TEAM WORK- Promotes positive co-worker relationships through team work and cooperation. Understands and supports the needs of individuals in other departments and promotes conflict resolution. Shares information, work knowledge and experience with coworkers, physicians and students in a non-threatening manner. Offers assistance and promptly responds to requests.
PRODUCTIVITY -Maintains high productivity and performs efficiently regardless of whether the work volume is high or low. Appropriately prioritizes work activities. Responds to difficult situations with self-control and a positive attitude. Makes decisions independently and knows when to ask for assistance. Exercises good judgment and arrives at sound decisions.
Cemer:EMR = understands all aspects of the EMR: understands which tasks must be complete, initiation of orders, areas that must be documented [red/yellow]. Completion of admission assessment and medication lists. Understands esstenial elements for discharge/transfer of patients.
Pyxis: understands all elements of medication delivery utilzing the EMR and Pyxis. Demonstrates obtaining medciations, scanning patient armband and medications. Demonstrates how to appropriately document drips and any changes.
Documents appropriately and completely on all paper documentation tools, including Vaccines, VTE, IDCP.
Cares for patients requiring intensive nursing care, as identified by the department Admission/Discharge policy, seeking supervision when caring for higher acuity patients. Particular emphasis is placed on the care of the adult [19-64) and older adult [65+] patient, although occasionally cares for adolescents [13-18] and children [1-12]
Establishes priorities and plan of care as determined by the initial physician and psychosocial assessment. Identifies nursing diagnosis, initiates interventions, evaluates and documents outcomes. Uses ongoing assessment to re-evaluate and prioritize patient and family needs.
Determines the patient and family's response to the Critical care environment: determines the patient and family's understanding of the illness and readiness to learn. Provides and documents health care education and discharge instructions to the patient and family.
Functions as a patient advocate, initiating action to improve healthcare, promoting the patient needs if medical, family or caregiver situations are against the wished or interests of the patient, and giving the patient the opportunity to make informed decisions about healthcare before it is provided.
Provides a safe and therapeutic environment.
Follows the hospital and Critical Care policies and procedures for Moderate Sedation, Time -out, Invasive Lines, Arterial Lines, ICP monitors.
Follows all regulatory guidelines for maintaining patient privacy [HIP AA]
Assesses the need for and provides pain relief measures for the patient as necessary.
Rounds minimum of every 15 - 30 minutes. [more often as necessary based on patients specific needs]
Follows through on indicators for Core measures [AMI, CHF, PMN,Stroke, SCIP]
Follows hospital policies and procedures for assessing a Pressure ulcer, documentation in Cerner record each shift. Picture taken on discovery, every Wednesday, with any changes and at discharge.
Able to act as a resource for unit secretaries/telemetry technicians, new staff, students and temporary agent nurses
Able to implement Code Blue procedures per the hospital policy.
Able to implement Rapid Respond Protocols for any emergent patient situation
Provides ventilator care as outlines in hospital policies and maintains V AP bundles.
Demonstrates compliance and understanding of changes in healthcare regulations, the healthcare workforce and professional standards.
Demonstrates use of bedside and central patient monitoring system - including but not limited to EKG, non-invasive BP, Pulse Ox, pressure lines, ST mapping, sepsis protocol.
Attends at least 50% of team meetings and in-services. Re
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