Registered Nurse 12hr critical Care Unit

3 weeks ago

Pasadena, United States Huntington Hospital Full time

** Internal Workers - Please log into your Workday account to apply**
- Huntington Hospital Employee Login

Compensation Range:
$45.60 - $82.45 / Hour
- 12 hour shifts at Huntington Health are overtime-based (not a straight time rate for all 12 hours). Therefore, employees who work a full 12-hour shift will be paid their base rate for 8 hours AND overtime (1.5) for hours up to 12.

Department:
601000 Critical Care Unit

Expectations:
Responsible for coordination of care to meet identified needs of the patient/family. Supervises the management of patient care utilizing critical thinking and nursing process, discharge planning, resource identification, linking and scheduling patients with required services, monitoring care delivery, advocating for the patient, care planning and evaluating outcomes. Coordinates patient care across the health care continuum, and assists other team members with meeting individual patient needs. This position may require flexibility of hours.

EDUCATION:
Bachelor’s degree (BSN) required. Associate Degree in Nursing (ADN) will be considered if enrolled in a BSN program with degree completion within 2 years of date of hire or date of transfer to an RN position. Diploma or transcripts on highest degree earned required.

EXPERIENCE/TRAINING:
Minimum 1 year of current experience in acute care area of expertise/equivalent service area, 2 years preferred. Critical Care unit and Trauma nursing experience preferred.

Must challenge and successfully pass the Basic Dysrhythmia course curriculum within 21 days of hire.

If new to critical care, must successfully pass the Critical Care Core Curriculum and complete required on-unit preceptorship.

Basic computer skills/experience with computerized documentation systems required.

LICENSES/CERTIFICATIONS:
Required:
Current unrestricted Registered Nurse (RN) license issued by California Board of Registered Nursing (BRN)

Current Basic Life Support Provider (BLS), and Advanced Cardiovascular Life Support Provider (ACLS) issued by American Heart Association

Current National Institutes of Health Stroke Scale (NIHSS) within 30 days of hire/transfer

SKILLS:
Care of the patient receiving Sedation/Analgesia

Care of the patient with Hemodynamic monitoring and/or support

Care of the patient with Neurological monitoring

Care of the patient with Pulmonary monitoring and/or support, including ventilators

Care of the Trauma patient

Must be willing and able to work in a face paced, frequently changing environment.

Must be willing and able to multi-task effectively to accomplish work assignments.

1. Demonstrates competent knowledge base in pathophysiology of the cardio vascular patient; through appropriate assessment, critical thinking skills, and plan of care, which is measured by addressing:
a. Organ perfusion and cardiac output.

b. Patient activity, and

c. Dysrhythmias.

2. Demonstrates competent knowledge base in the pathophysiology of the neuro patient; through appropriate assessment and critical thinking skills. Formulates and implements an ongoing patient specific plan of care, which is measured by addressing:
a. Adequate cerebral perfusion pressures.

b. Patient safety.

c. The appropriate levels of stimulation for the patient are monitored/documented and maintained by the RN.

3. Demonstrates competent knowledge base in the pathophysiology of the respiratory patient, through the appropriate assessment and critical thinking skills. Formulates and implements an ongoing patient specific plan of care, which is measured by addressing:
a. Maintenance of normal or appropriate O2/CO2 levels.

b. The ability to identify and appropriately intervene in emergent situations related to (a).

c. Weaning assessment with appropriate sedation and daily rapid shallow breathing index, (RSBI), as indicated on the mechanically ventilated patient.

4. Demonstrates competent knowledge base in the pathophysiology of the metabolic patient; through appropriate assessment and critical thinking skills. Formulates and implements an ongoing patient specific plan of care, which is measured by addressing:
a. The nurse's ability to monitor and interpret acid-base balance and lab values as they relate to the patient.

b. Patient's nutritional status.

c. Optimal glucose control (80-110).

5. Demonstrates competent knowledge base for all current and future unit and hospital specific core measures implemented to improve patient outcomes through appropriate assessment and critical thinking skills. Formulates and implements an ongoing patient specific plan of care, which is measured by adherence to:
a. Incorporating Ventilator Bundle on all mechanically ventilated patients for the purpose of reducing the risk of ventilator acquired pneumonia.

b. Incorporating blood stream infection prevention standards for the purpose of reducing the risk of central line catheter BSI in all patients that have a central line inserted.
- Support use of central line cart.
- Adhere to appropriate

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