RN Intermediate Care Unit

(Full-Time, Nights)

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE: RN - Critical Care - System

REPORTS TO POSITION: Department Manager/Director

DEPARTMENT: Varies

DATE LAST REVIEWED: April 18, 2024

OUR VISION: Creating America's healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENTSUMMARY: The Critical Care RN positions include bedside RNs on various units throughout St. Charles Health System. These departments include all Intensive Care Units, the Intermediate Care Unit, Progressive Care Unit and Critical Care Floats. These departments provide 24/7 specialized care to patients throughout their hospitalization and discharge.

POSITION OVERVIEW: The RN provides quality patient and family centered care as a member of the health care team in accordance with St. Charles Health System mission, philosophy, policies, and procedures. Applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and all others. As a nurse, this position will oversee the work of other caregivers, providing specific care to assigned patient(s) throughout the shift, as required under the scope of the RN licensure.

ESSENTIAL FUNCTIONS AND DUTIES:

Maintains and demonstrates an in-depth knowledge of nursing principles, practices, standards, and techniques and applies this knowledge in accordance with St. Charles Health System policies and procedures and within laws and regulations governing nursing practice in the State of Oregon.

Assesses the patient's condition and needs using critical thinking and clinical judgment: sets outcomes; implements appropriate nursing actions and collaborates with other disciplines to meet the patient's/family's physical, emotional, spiritual, social, and intellectual needs; and evaluates patient's progress.

Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration.

Documents all patient care with proficiency in compliance with hospital policies, procedures and regulatory agencies.

Demonstrates awareness of and supports St. Charles departmental and operating unit goals through participation in continuous quality improvement and departmental activities.

Participates in activities that promote professional growth and development of self and others.

Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients, and guests.

Identifies work-related problems with possible solutions and implements solution(s) within scope of practice, as appropriate.

Supports the vision, mission and values of the organization in all respects.

Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.

Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.

Participates in creating intentional relationships and demonstrates focused attitudes and behaviors that enhance the care experience.

Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient's care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, communicating effectively and appropriately through touch, eye contact, etc.

Provides and maintains a safe environment for caregivers, patients and guests

Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.

Performs stand by callback as assigned. Varies by department.

May perform additional duties of similar complexity within the organization, as required or assigned.

Additional Duties - Bend - Intensive Care Unit:

May function as Rapid Response Team Nurse as assigned following department specific guidelines.

EDUCATION

Required:As required by RN licensure.

Preferred: BSN

LICENSURE/CERTIFICATION/REGISTRATION

Required: Current Oregon RN license.

AHA Basic Life Support for Healthcare Provider certification.

ACLS

Preferred: Department specific acute care certification (i.e. CCRN, PCCN, CEN)

BEND- INTENSIVE CARE UNIT:

Additional Requirements:

PALS prior to caring for pediatric patients.

TNCC certification within 12 months of hire. Will then be required to maintain a minimum of 16 hours of trauma education every 4 years or continue TNCC certification.

Code Grey training within 12 months of hire.

REDMOND-INTENSIVE CARE UNIT:

Additional Requirements:

Code Grey training within 12 months of hire.

TNCC certification within 12 months of hire. Will then be required to maintain a minimum of 16 hours of trauma education every 4 years or continue TNCC certification.

MADRAS/PRINEVILLE-INTENSIVE CARE UNIT:

Additional Requirements:

PALS and Moderate Sedation within 6 months of hire.

Code Gray within 6 months of hire

TNCC certification within 6 months of hire. Will then be required to maintain a minimum of 16 hours of trauma education every 4 years or continue TNCC certification.

BEND-INTERMEDIATE CARE UNIT:

Additional Requirements:

Basic ECG course, 12 Lead ECG course, or successful completion of Basic ECG competency test for internal applicants.

12 Lead ECG course within 6 months of hire.

BEND-PROGRESSIVE CARE UNIT (ACUTE CARE EXPERIENCE REQUIRED):

Additional Requirements:

Basic ECG course, 12 Lead ECG course, or successful completion of Basic ECG competency test for internal applicants TNCC certification within 12 months of hire. Will then be required to maintain a minimum of 16 hours of trauma education every 4 years or continue TNCC certification.

Code Grey training within 12 months of hire

BEND-PROGRESSIVE CARE UNIT-EXP (Progressive care experience required):

Additional Requirements:

Basic ECG course, 12 Lead ECG course, or successful completion of Basic ECG competency test for internal applicants TNCC certification within 12 months of hire. Will then be required to maintain a minimum of 16 hours of trauma education every 4 years or continue TNCC certification.

Code Grey training within 12 months of hire

BEND-CRITICAL CARE FLOAT:

Additional Requirements:

TNCC within 6 months of hire.
PALS within 90 days of hire.

Code Grey training within 6 months of hire.

BEND-CRITICAL CARE STEP DOWN FLOAT:

Additional Requirements:

Basic ECG course, 12 Lead ECG course, or successful completion of Basic ECG competency test for internal applicants.

12 Lead ECG course within 6 months of hire.

TNCC certification within 12 months of hire. Will then be required to maintain a minimum of 16 hours of trauma education.

Code Grey training within 6 months of hire.

EXPERIENCE

Required: See below

Preferred: Department specific acute care experience.

BEND-INTENSIVE CARE UNIT:

Additional Requirements: One year of Intensive Care Unit experience within five years

Preferred: ICU experience at a Level 1 or 2 Trauma Facility strongly preferred.

REDMOND-INTENSIVE CARE UNIT:

Additional Requirements: One year Intensive Care Unit experience within five years or completion of an approved critical care internship or internal cross training program

REDMOND-INTENSIVE CARE UNIT (ACUTE CARE EXPERIENCE REQUIRED):

Additional Requirements: Two years acute care experience and internal completion of Primary 2 cross-training

Preferred: Intensive Care Unit, Step down or Progressive experience strongly preferred.

MADRAS/PRINEVILLE-INTENSIVE CARE UNIT:

Additional Requirements: One year acute care experience.

Preferred: Previous critical care or ED experience.

BEND-INTERMEDIATE CARE UNIT:

Additional Requirements: One year Progressive Care Unit, Step Down, Intensive Care Unit or one year of Emergency Department experience within the past five years. Per the hiring manager's assessment, previous experience must enable performance of the full scope of the position.

Preferred: Experience working with cardiovascular patient population.

BEND PROGRESSIVE CARE UNIT (ACUTE CARE EXPERIENCE REQUIRED):

Additional Requirements: One year acute care experience.

Preferred: Two years acute care experience

Step down experience strongly preferred.

BEND PROGRESSIVE CARE UNIT EXP (PROGRESSIVE CARE EXPERIENCE REQUIRED):

Additional Requirements: One year Progressive Care Unit, Step Down, Intensive Care Unit or one year of Emergency Department experience within the past five years. Per the hiring manager's assessment, previous experience must enable performance of the full scope of the position.

BEND-CRITICAL CARE FLOAT:

Additional Requirements: One year Intensive Care Unit experience within five years.

Preferred: ED or Rapid Response experience

BEND-CRITICAL CARE STEP DOWN FLOAT:

Additional Requirements: One year Progressive Care Unit, Step Down, Intensive Care Unit or one year of Emergency Department experience within the past five years. Per the hiring manager's assessment, previous experience must enable performance of the full scope of the position.

PERSONAL PROTECTIVE EQUIPMENT

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION:

General:

Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System.

Excellent organizational and multitasking skills.

Strong teamwork and collaborative skills.

Strong analytical, problem solving and decision making skills.

Basic to intermediate ability and experience with computer applications, specifically electronic medical records system and MS Office.

PHYSICAL REQUIREMENTS:

Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers.

Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/step-stool (varies by area), reaching overhead, lifting/carrying/pushing or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level.

Rarely (10%): Climbing stairs.

Never (0%): Climbing ladder/step-stool (varies by area), operation of a motor vehicle.

Exposure to Elemental Factors

Rarely (10%): Wet/slippery area, chemical solution.

Never (0%): Heat, cold, noise, dust, vibration, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category

Risk for Exposure to BBP

Schedule Weekly Hours:
36

Caregiver Type:
Regular

Shift:
Third Shift (United States of America)

Is Exempt Position?
No

Job Family:
REGISTERED NURSE CRITICAL CARE

Scheduled Days of the Week:
Variable; includes every other weekend and holidays

Shift Start & End Time:
1900-0730