Pediatric ICU Nurse

4 weeks ago

Providence, Rhode Island, United States Lifespan Full time
Job Summary

Under the direct supervision of the Clinical Manager, implements, supervises, and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge, plans with consideration of the aging process throughout the life span, including all developmental stages as well as cultural patterns.

Responsibilities
  • Provides direct patient care.
  • Provides leadership by delegating, supervising, and participating in safe nursing care activities provided by ancillary personnel.
  • Evaluates the effectiveness of patient care and identifies opportunities for improvement.
  • Collaborates with the healthcare team, patient, family, and community services regarding patient care outcome/discharge planning.
  • Assesses and provides appropriate teaching based on patient and family needs.
  • Participates in unit-based quality improvement and research activities.
  • Utilizes all available resources to provide quality, cost-effective patient care.
  • Meets and maintains clinical competencies measured by pre-determined credentialing standards, mandatory/safety education, and completion of Basic Life Support and ACLS/PALS as appropriate.
  • Identifies growth needs and participates in educational opportunities and professional organizations.
  • Serves as a role model/preceptor to new graduate nurses and less experienced personnel.
  • Assumes charge nurse responsibility for the patient care unit as delegated.
Competency Assessment
  • Advanced Respiratory Assessment and interventions:
    • Successfully cares for patients receiving all types of non-invasive and invasive ventilatory interventions.
    • Critical Airway Guidelines.
    • Monitors and interprets end-tidal CO2.
    • Interprets blood gas results.
    • Assists with intubation.
  • Advanced Cardiac Assessment and Hemodynamic Monitoring:
    • ECG monitoring and arrhythmia recognition, defibrillation, cardioversion, drug intervention, and internal and external pacing.
    • Cares for patients with congenital heart defects.
    • Hemodynamic monitoring, including arterial line and central venous pressure monitoring.
    • Performs neurovascular checks/Utilizes Doppler for pulse assessment.
    • Obtains a 12-lead EKG.
  • Neuro Critical Care:
    • Manages an EVD.
    • Monitors ICP and delivers appropriate interventions.
    • Proficient in Glasgow Coma Scale assessment.
    • Manages a lumbar drain.
    • Maintains spinal precautions.
    • Cares for patients with spinal cord injuries.
  • Surgical Critical Care:
    • Manages the immediate post-operative phase of complex surgeries, including (but not limited to) neurosurgical, orthopedic, spinal, plastic, vascular, otolaryngology, and complex general surgical.
  • Patient Teaching:
    • Provides education to patients according to age and developmental level.
    • Evaluates the patient's and/or families/caregivers response to teaching using teach-back and GetWell Network methodologies.
  • Knowledge/Skills:
    • Care and management of patients receiving extracorporeal membrane oxygenation (ECMO).
    • Care and management of patients receiving continual renal replacement therapy (CRRT).
    • Care and management of patients with >20% BSA burns (see burn center orientation checklist).
    • Care and management of post-operative kidney transplant patients.
    • Care and management of stroke patients, including responding as part of the stroke team and administering tPA.
    • Care and management of patients requiring maximal personal protective equipment (PPE).
    • Care and management of patients with oncological emergencies.
    • Safely and effectively travels with critically ill pediatric patients throughout the institution.
    • Utilizes available smart pump technology to safely deliver vasoactive sedation and other high-risk meds to pediatric patients.
    • Monitors patients during sedation for procedures.
    • Responds to pediatric code blue and pediatric rapid response team calls throughout the institution.
    • Care of patients and families at end of life.
    • Knowledgeable of palliative care therapies.
    • Complies with standards of care for bereavement in the care of parents and families who are experiencing the loss of a child.
    • Care of patients who have agreed to organ donation/support of parents/families.
    • Able to use the following equipment:
      • Cardiac monitors (stationary and travel).
      • Giraffe warmer/Bair Hugger/cooling blanket.
      • Hot Line Warmer.
      • Doppler.

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