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Staff - Level II Registered Nurse (RN) - ICU - Intensive Care Unit
2 months ago
HealthEcareers - Client is seeking a highly skilled Registered Nurse to join our team in the Intensive Care Unit (ICU). As a Registered Nurse - ICU - Intensive Care Unit - Level II, you will be responsible for providing high-quality patient care to critically ill patients.
Key Responsibilities- Assessment
- Initiate assessment of vital signs, orientation to room, allergies, and notification of physician within the timeframe stipulated in unit policy.
- Integrate all information available and complete initial patient systems assessment within the time frame established by unit policy.
- Recognize and respond to diagnostic data and initiate appropriate action or intervention as evidenced by documentation reviewed by management.
- Anticipate and promote patient progress through early and accurate assessment.
- Collect pertinent data using appropriate assessment techniques.
- Demonstrate ability to provide safe and competent care for patients undergoing invasive hemodynamic monitoring.
- Able to provide safe nursing care as per standards of care for patients requiring mechanical ventilation.
- Determine the priority of data collection based on the patient's immediate condition or needs.
- Involves the patient, significant others, and healthcare providers in data collection when appropriate.
- Ensure that the data collection process is systematic and ongoing to identify progress and trends that require intervention.
- Anticipate and promote patient progress through early and accurate assessment.
- Outcome Identification
- Identify expected outcomes individualized to the patient.
- Derive outcomes from the diagnoses/patient problems.
- Outcomes are documented in terms of measurable goals.
- Formulate outcomes mutually with the patient and healthcare providers, when possible.
- Ensure outcomes are realistic in relation to resources available to the patient.
- Planning
- Initiate a written nursing plan of care upon admission.
- Develop a plan of care that prescribes interventions to attain expected outcomes.
- Review and evaluate the plan of care, update, and document patient's progress toward resolution of problems on every shift as evidenced by chart review.
- Develop discharge plan with the physician, patient, and/or family and other available resources during the hospital stay.
- Ensure that the plan of care reflects current nursing practice.
- Document legibly pertinent information in the patient's record.
- Implementation
- Administer medications within stipulated time frame, observe effects, recognize and report adverse reactions.
- Initiate, administer, and observe intravenous therapy according to hospital policy and procedure throughout the shift.
- Demonstrate the ability to prepare, titrate, and monitor vasoactive drugs.
- Assist physicians with the insertion of invasive monitoring equipment, obtain readings, document, and determine significance of readings.
- Provide individualized instructions to patient and/or significant others regarding the plan of care on an ongoing basis with written documentation of patient's and/or significant other's ability to verbalize understanding of information taught.
- Coordinate and implement prescribed procedures to ensure accuracy, timeliness, and patient comfort.
- Implement nursing orders autonomously on a daily basis.
- Provide psychological support and motivation to enable patients to function at their optimal level of independence as observed and documented.
- Set priorities for direct patient care as well as assisting other nurses in establishing priorities.
- Evaluation
- Determine level of accomplishment of expected outcomes on a daily basis as evidenced by patient progress record and plan of care.
- Readjust plan of care based on evaluation of the patient's/families' needs.
- Recognize the need for aggressive discharge planning based on patient's needs as evidenced by interactions with physicians, Social Services, and other resources.
- Evaluate the patient's care and progress through reviewing of patient progress record and plan of care.
- Ensure evaluation is systematic and ongoing.
- Evaluate the effectiveness of interventions in relation to outcomes.
- Utilize ongoing assessment data to revise nursing diagnoses/patient problems, outcomes, and the plan of care as needed.
- Involves the patient, significant others, and healthcare providers in the evaluation process, when appropriate.
- Professional Accountability
- Consistently maintain complete confidentiality of all medical, financial, employees, computer, and other sensitive materials, which may violate HIPAA regulations and/or jeopardize the privacy of others.
- Demonstrate ability to perform in a calm and professional manner at all times.
- Initiate and direct appropriate interventions as it relates to patient care.
- Demonstrate capability to correlate theoretical knowledge with clinical practice on a daily basis.
- Recognize self-limitations and utilize appropriate resources for referral of patients.
- Demonstrate ability to organize and prioritize assigned responsibilities of patient care on a daily basis.
- Demonstrate the ability to make shift assignments based on patient needs and allocated staff when assuming resource duties.
- Act as a role model and maintain professional demeanor at all times.
- Maintain clinical competencies required to perform duties.
- Maintain all certifications set forth by institution.
- Attend meetings as required.
- Attend all mandatory in-services as directed.
- Actively participate in developing and maintaining performance improvement activities on the unit and hospital-wide.
- Acquire and maintain current knowledge in nursing practice.
- Share knowledge and skills with colleagues and others.
- Establish good rapport and cooperative working relationships with personnel in the organization.
- Develop cooperative/therapeutic relationships with patients and families.
Requirements
- Current RN licensure in the state of practice.
- Current BLS certification.
- Current ACLS certification.
- Current PALS certification.
- Current NIHSS certification.
- Current CCRN certification.
- Current CEN certification.
- Current CCRN certification.
- Current CEN certification.
- Current CCRN certification.
- Current CEN certification.
Preferred Qualifications
- 2+ years of experience in ICU setting.
- Experience with invasive hemodynamic monitoring.
- Experience with mechanical ventilation.
- Experience with vasoactive drugs.
- Experience with invasive monitoring equipment.
- Experience with patient education.
- Experience with discharge planning.
What We Offer
- Competitive salary and benefits package.
- Opportunities for professional growth and development.
- Collaborative and supportive work environment.
- State-of-the-art equipment and technology.
- Opportunities for advancement and leadership development.
