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RN - Advanced Care
3 months ago
Position Highlights: CT7B Advanced Care Number of beds on unit: 24 Patient population: The Advanced Care Unit is a 24-bed unit specializing in the care of acutely unstable patients that do not meet criteria for Intensive Care status but still require frequent, advanced assessments and interventions. Specific patient populations or conditions that require Advanced Care status include complex multi-trauma, uncompensated sepsis, continuous non-invasive ventilation, stroke, complicated withdrawal from alcohol or other recreational drugs, and DKA. The unit also includes an Epilepsy Monitoring Unit (EMU) where patients with seizure-like events can be safely taken off medication to purposefully induce seizure-like events and provide vital information to the Epilepsy Team about how to treat them. Nurse to Patient ratio: 1:3 Department culture and resources: The Advanced Care Unit is a fast-paced, team-oriented unit. We work closely with our physician partners and ancillary team members to achieve the best outcomes for our patients. We have a robust Partnership Committee that meets monthly. We have a unit-based educator, a quality outcomes coordinator, 2 nurse supervisors, and charge nurses. Frequent nursing skills/equipment used: Minimum Q4 hour full RN assessments, minimum Q2 hour vital signs, continuous cardiac monitoring by primary RN, Foley/IV/NG insertions, arterial line/central line/chest tube monitoring and care, IV pumps, feeding pumps, lift equipment. Commonly used IV drips include amiodarone, diltiazem, insulin for DKA, dobutamine, heparin, and octreotide. Responsibilities: Performs all responsibilities and duties required by the unit as specific to the scope of service. Implements procedures and theories related to the specific area of practice. Maintains up-to-date and accurate documentation of nursing care provided to assure the integration of information for use by the healthcare team. Completes initial assessment upon patient admission and develops an appropriate plan of care in accordance with unit standards based on patient and family needs. Implements the plan of care, nursing interventions, and patient care procedures. Modifies the plan of care based upon continuous evaluation. Takes responsibility for patient and employee safety by reporting and/or correcting safety hazards and incidents. Communicates with others directly and in private when necessary to resolve issues. Offers constructive feedback to assist in the professional development of peers, and confers with colleagues to expand knowledge base. Identifies own learning needs and takes initiative to begin appropriate solutions. Fulfills all requirements of departmental competencies. Ensures good communication with patients/family by utilizing meaningful hourly rounding, bedside shift report, and whiteboards. Works with the critical care team for Advanced Care patients. Works with hospitalists for Advanced Care patients. *Free Health Insurance for the rest of the year *Vacation accrual based on RN experience For nurses with 1 or more years of experience - External Applicants Only #J-18808-Ljbffr
