Critical Care Registered Nurse
3 weeks ago
We are seeking a highly skilled Critical Care Registered Nurse to join our team at the Michael E. DeBakey Department of Veterans Affairs Medical Center in Houston, TX. As a Critical Care Registered Nurse, you will provide critical care nursing to Intensive Care Unit (ICU) patients and be responsible for assessing patient and planning appropriate nursing care.
Responsibilities:- Provides critical care nursing to ICU patients
- Obtains patient history and pertinent family history
- Assesses patient and plans appropriate nursing care
- Documents plan of care and care given in patient's medical record
- Verifies transcription of Physician orders; no verbal orders are to be accepted
- Carries out prescribed Physician orders and documents inpatient medical record
- Communicates pertinent patient data to the Charge Nurse and/or Physician as appropriate
- Re-assesses patient's condition and revises plans-of-care based on problems that are identified
- Administers medications and Intravenous (IV) therapies
- Possesses knowledge of actions and usual dosages of the most commonly used emergency drugs and their location on the crash cart
- Assesses and documents patient responses to medications that have been administered
- Can interpret cardiac rhythms and their implications
- Reorganizes and initiates the appropriate measures in emergencies/therapies and surgical/diagnostic procedures that must be accomplished
- Instructs patients and their families regarding prescribed medications/therapies and surgical/diagnostic procedures that must be accomplished
- Assesses patient/family knowledge level, implements plan of instructions, and records the patient's family's demonstrated level of understanding
- Operates defibrillator, electrocardiogram (EKG) machines and cardiac monitors, and other emergency technical equipment
- Cares for patients with Swan-Gans catheters, arterial lines and mechanical ventilators
- Participates in discharge planning
- Can initiate life saving measures in the absence of Physicians
- Assures the content and correctness of a prepared report and signs the document to validate its content
- Maintains a neat personal appearance and maintains professional decorum
- Consistently applies the VA's customer service standards, always demonstrating helpful, courteous, and respectful conduct
- Respects patient rights, including but not limited to visual and auditory privacy
- May accept a verbal order in compliance with the facility policy
- Intake and output of fluids assessed every shift, and more frequently if indicated by specific standard nursing drug care
- Reviews all laboratory data and electronic medical records
- Can titrate medications
- Can be responsible for feeding tubes which are aspirated for gastric residue prior to every intermittent feed, and every four hours for continuous tube feedings
- Performs urinary catheter care by using soap and water cleaning technique every 12 hours, or as required
- Ensures that medication orders from the previous shift have been noted and either carried out or transcribed onto the medical records
- Completion of an accredited Registered Nurse academic program (BSN or ADN)
- Current Registered Nurse licensure in at least one state, territory, or commonwealth of the United States or the District of Columbia
- American Heart Association (AHA) Basic Life Support (BLS) certification
- American Health Association (AHA) Advanced Cardiovascular Life Support (ACLS) certification
- Three (3) years of recent Critical Care RN work experience is required
Physical Requirements:
- Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift
- Lift up to 50 lbs from floor to waist
- Lift up to 20 lbs
- Carry up to 40 lbs a reasonable distance
- Push/pull with 30 lbs of force
Equal Employment Opportunity:
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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