REGISTERED NURSE (ICU/CCU)-F/T Night shift-Position # 22488
Responsible for the total nursing care of assigned critically ill patients in the Intensive Care units.
Collaborates with patient, family, physician, and other health team members to formulate a plan of care and performs all duties of the staff nurseAssessment, treatment and patient care responsibilities are delivered with a knowledge of patient growth and development and are appropriate to the ages of the patients served.
Identifies and documents initial observation and assessment of the patient's needs for immediate nursing action.
Systematically and accurately assesses nursing needs of the critical patient in order to detect pertinent changes in the clinical picture.
Identifies appropriate foci.
Selects, plans, evaluates, and documents care based on this assessment.
Assesses, intervenes, and documents appropriately to meet patient's educational, psychosocial, and discharge planning needs.
Consults with unit nursing leadership regarding significant changes in patient's condition.
Collaborates with all members of the health care team by utilizing all available resources to ensure optimal outcomes.
Gives comprehensive patient care.
Communicates relevant patient care information appropriately utilizing chain of command and during shift to shift report.
Utilizes patient care standards in clinical practice.
Completes ICU Admission/Transfer Summary Sheet and/or Discharge Summary.
Transcribes physician's orders in patient chart accurately and timely.
Seeks clarification of physician's orders that are unclear or inappropriate.
Interprets clinical data and notifies the physician promptly if immediate changes in management are indicated.
Auscultate chest to assess the need for appropriate therapy, e.
g.
, suctioning, chest physiotherapy and/or mechanical ventilation.
Establishes IV access and maintains line.
Performs phlebotomy duties as necessary.
Administers intravenous medications as per policy.
Titrates medicated infusions as per physician's prescriptives, protocols, and standards.
Assesses and coordinates patient's pain management.
Monitors patient's nutritional status and collaborates with multi-disciplinary team to ensure adequate nutrition to meet metabolic needs (e.
g.
, reports to physician on changes in patient condition, suggests initiation of enteral feeding).
Transports patients to and from the OR as per hospital policy.
Recognizes arrhythmias and institutes appropriate measures.
Performs CPR and defibrillation/cardioversion.
Responds appropriately in crisis situations by demonstrating knowledge of emergency procedures, remaining calm, and functioning properly in emergencies.
Recognizes and reports malfunction or failure of equipment used in the ICU/CCU to Biomedical Engineering; takes appropriate action to replace such equipment (e.
g.
, ventilators, cardiac monitors, defibrillators, suction apparatus, pumps, Doppler, oxygen tank, NIPP, and pacemaker).
Checks to ensure that emergency equipment is on hand, in good working order.
Checks that all monitoring equipment and ventilator alarms are set according to standards.
Assembles appropriate equipment, monitors arterial, pulmonary artery and left atrial lines; obtains specimens and records and interprets findings.
Obtains cardiac output using thermodilution catheter.
Removes peripheral, central venous, and percutaneous arterial lines.
Monitors intracranial pressure.
Maintains patient's airway.
Actively participates in weaning patient from mechanical ventilation.
Operates Intraaortic Balloon Pump (IABP) when indicated.
Performs peritoneal dialysis.
Performs continuous arteriovenous hemofiltration.
Extubates patients when ordered by a physician.
Administers blood and blood products.
Inserts nasogastric tubes.
Performs 12-lead electrocardiograms.
Provides appropriate assessment and care for patient on left ventricular assist device.
Provides appropriate assessment and care for patients with pacemakers.
Assesses and manages patients with ventricular drains in place.
Participates in patient care rounds by presenting findings on patients.
Applies principles of infection control and safety.
Assists in the orientation of new personnel.
Provides clinical supervision of LPNs, Certified Nurse Aides, and other ancillary staff.
Assists in data collection and analysis of quality assurance monitors; participates in problemidentification and criteria development.
Participates in continuing education activities:
attends scheduled inservice programs.
Participates in implementation of follow-up action for Q.
A.
monitors.
Effectively utilizes the hospital computer system as it pertains to job responsibilities and in accordance with hospital policy.
Relieves nursing leadership when necessary.
Orients patient's family to new environment; develops rapport with patient's family.
Assists other personnel as needed.
Keeps up-to-date with current trends pertinent to area of assignment; shares information gained at conferences with colleagues.
Participates in nursing committees as required.
Attends monthly staff meetings.
Recommended Skills Cpr Cardioversion Clinical Practices Clinical Works Critical Care Data Collection Estimated Salary: $20 to $28 per hour based on qualifications.
Collaborates with patient, family, physician, and other health team members to formulate a plan of care and performs all duties of the staff nurseAssessment, treatment and patient care responsibilities are delivered with a knowledge of patient growth and development and are appropriate to the ages of the patients served.
Identifies and documents initial observation and assessment of the patient's needs for immediate nursing action.
Systematically and accurately assesses nursing needs of the critical patient in order to detect pertinent changes in the clinical picture.
Identifies appropriate foci.
Selects, plans, evaluates, and documents care based on this assessment.
Assesses, intervenes, and documents appropriately to meet patient's educational, psychosocial, and discharge planning needs.
Consults with unit nursing leadership regarding significant changes in patient's condition.
Collaborates with all members of the health care team by utilizing all available resources to ensure optimal outcomes.
Gives comprehensive patient care.
Communicates relevant patient care information appropriately utilizing chain of command and during shift to shift report.
Utilizes patient care standards in clinical practice.
Completes ICU Admission/Transfer Summary Sheet and/or Discharge Summary.
Transcribes physician's orders in patient chart accurately and timely.
Seeks clarification of physician's orders that are unclear or inappropriate.
Interprets clinical data and notifies the physician promptly if immediate changes in management are indicated.
Auscultate chest to assess the need for appropriate therapy, e.
g.
, suctioning, chest physiotherapy and/or mechanical ventilation.
Establishes IV access and maintains line.
Performs phlebotomy duties as necessary.
Administers intravenous medications as per policy.
Titrates medicated infusions as per physician's prescriptives, protocols, and standards.
Assesses and coordinates patient's pain management.
Monitors patient's nutritional status and collaborates with multi-disciplinary team to ensure adequate nutrition to meet metabolic needs (e.
g.
, reports to physician on changes in patient condition, suggests initiation of enteral feeding).
Transports patients to and from the OR as per hospital policy.
Recognizes arrhythmias and institutes appropriate measures.
Performs CPR and defibrillation/cardioversion.
Responds appropriately in crisis situations by demonstrating knowledge of emergency procedures, remaining calm, and functioning properly in emergencies.
Recognizes and reports malfunction or failure of equipment used in the ICU/CCU to Biomedical Engineering; takes appropriate action to replace such equipment (e.
g.
, ventilators, cardiac monitors, defibrillators, suction apparatus, pumps, Doppler, oxygen tank, NIPP, and pacemaker).
Checks to ensure that emergency equipment is on hand, in good working order.
Checks that all monitoring equipment and ventilator alarms are set according to standards.
Assembles appropriate equipment, monitors arterial, pulmonary artery and left atrial lines; obtains specimens and records and interprets findings.
Obtains cardiac output using thermodilution catheter.
Removes peripheral, central venous, and percutaneous arterial lines.
Monitors intracranial pressure.
Maintains patient's airway.
Actively participates in weaning patient from mechanical ventilation.
Operates Intraaortic Balloon Pump (IABP) when indicated.
Performs peritoneal dialysis.
Performs continuous arteriovenous hemofiltration.
Extubates patients when ordered by a physician.
Administers blood and blood products.
Inserts nasogastric tubes.
Performs 12-lead electrocardiograms.
Provides appropriate assessment and care for patient on left ventricular assist device.
Provides appropriate assessment and care for patients with pacemakers.
Assesses and manages patients with ventricular drains in place.
Participates in patient care rounds by presenting findings on patients.
Applies principles of infection control and safety.
Assists in the orientation of new personnel.
Provides clinical supervision of LPNs, Certified Nurse Aides, and other ancillary staff.
Assists in data collection and analysis of quality assurance monitors; participates in problemidentification and criteria development.
Participates in continuing education activities:
attends scheduled inservice programs.
Participates in implementation of follow-up action for Q.
A.
monitors.
Effectively utilizes the hospital computer system as it pertains to job responsibilities and in accordance with hospital policy.
Relieves nursing leadership when necessary.
Orients patient's family to new environment; develops rapport with patient's family.
Assists other personnel as needed.
Keeps up-to-date with current trends pertinent to area of assignment; shares information gained at conferences with colleagues.
Participates in nursing committees as required.
Attends monthly staff meetings.
Recommended Skills Cpr Cardioversion Clinical Practices Clinical Works Critical Care Data Collection Estimated Salary: $20 to $28 per hour based on qualifications.
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