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Intensive Care Unit Registered Nurse

2 months ago


Blacksburg, Virginia, United States LewisGale Hospital Montgomery Full time
Job Summary

The Registered Nurse coordinates and delivers high-quality, patient-centered care in accordance with the nature and specific requirements of the department, and consistent with the scope and standards of practice for the relevant state and specialty.

Key Responsibilities
  • Assesses patient condition during admission and during each shift as scheduled and/or as needed, identifying and reporting any changes in patient status.
  • Assesses patient environment for any safety risks and/or non-compliance with regulatory standards.
  • Assesses patient pain regularly to promote effective pain management, including reassessments after appropriate intervention.
  • Assesses patient condition for signs and symptoms of abuse or neglect. Reports any indications of abuse or neglect to medical provider(s), nurse leader, and/or appropriate agency.
  • Performs procedures, monitoring, or other functions as ordered by the medical provider(s). Documents the administration of care in the patient medical record in a timely and thorough manner.
  • Performs the administration of prescribed medications. Monitors patient for therapeutic response. Notifies provider and intervenes as appropriate in the event of an unintended response to medication.
  • Provides exceptional care by responding promptly to patient requests. Strives to anticipate patient needs and resolve them proactively.
  • Teaches patients/families/caregivers about patient medical condition, patient status, treatment plan, medications and possible side effects, and follow-up measures. Translates complex medical terminology to ensure complete understanding.
  • Teaches patients/families/caregivers about any non-medicinal follow-up measures, such as healthy diet and exercise, disease prevention, and/or other lifestyle changes. Prepares patients and families/caregivers for future self-management.
  • Manages a care team, providing oversight and delegation to members as appropriate.
  • Manages evidence-based practices and continuous process improvement initiatives to meet and exceed quality measures and enhance the exceptional care provided to patients.
  • Manages the quality of care by collaborating with a multidisciplinary team to coordinate, evaluate, customize, and deliver a holistic patient treatment plan that promotes and supports recovery.
  • Manages the continuation of care by serving as the interface between healthcare providers and community support systems who coordinate ongoing care needs for specialized patient groups.
  • Uses specialized equipment and supplies safely and effectively, with adaptations according to patient age, size, and developmental needs.
  • Manages Swan-Ganz, arterial, and CVP lines and applies appropriate intervention as needed.
  • Effectively manages ventilators, troubleshooting issues as they arise. Collaborates with respiratory therapy practitioners and physicians in the care of intubated patients. Demonstrates knowledge of weaning parameters.
  • Administers vasoactive, antiarrhythmic, inotropic, sedative and paralytic agents per policy and unit standard.
  • Applies best practices to the care of sedated patients, minimizing the potential for injury.
  • Monitors cardiac rhythm. Interprets data, identifies issues, and applies appropriate interventions.
  • Provides care for the immediate post-operative patient.
  • Provides care for the potential and/or organ/tissue donor patient.
  • Considers principles of death and dying when caring for the terminally ill ICU patient. Provides emotional, spiritual, religious and cultural support to patients and their families.
  • Serves as an example of professional nursing practice and promotes pride in nursing for the organization, the community, and the health care industry.
  • Demonstrates caring and empathy in all interactions and advocates for patient- and family-centered approach in all decisions and actions.
  • Engages in evidence-based best practices that enhance the patient experience, including SAFETY rounding, bedside shift report, communication fundamentals/AIDET, Teach-Back, Narrating Care, etc.
  • Articulates a clear understanding of how to integrate patient experience behaviors into quality, safety, and nursing practice.
  • Demonstrates excellent communication skills, including active listening. Ensures patients, physicians, and colleagues have a clear understanding of all communications, and escalates care concerns appropriately.
  • Participates as an engaged, active member of the health care team and positively promotes the rest of the team to patients/families/caregivers and other colleagues.
  • Maintains a professional appearance and demonstrates behaviors consistent with established policies/procedures.
  • Shares new knowledge with peers and mentors those with less experience.
  • Participates in professional practice activities and advocates for shared governance functions.
  • Seeks opportunities to impact the growth of the organization by promoting excellence in patient experience and providing high-quality care to the patients served.
  • Encourages physician engagement by nurturing a positive, professional work environment.
  • Functions as a good steward of financial resources by effectively managing supplies, equipment, length of stay, and throughput.
  • Assumes personal accountability for work time.
  • Performs other duties as assigned.
  • Practices and adheres to the 'Code of Conduct' and 'Mission and Value Statement.'
Requirements
  • Associate Degree in Nursing or RN Diploma Required
  • Bachelor's Degree in Nursing Preferred
  • < 1 year applicable experience Required or equivalent combination of education and/or experience
  • Currently licensed as a registered professional nurse in the state(s) of practice and/or has an active compact license, in accordance with law and regulation.
  • Basic Life Support (BLS)
  • Advanced Cardiac Life Support (ACLS)
  • Trauma Nursing Core Course (TNCC)
  • Emergency Nursing Pediatric Course (ENPC)
  • Pediatric Advanced Life Support (PALS)
  • Neonatal Resuscitation Program (NRP)
  • Non-Violent Crisis Intervention (NVCI)
  • NIH Stroke Scale (NIHSS)