Adv. Skills RN - ICU (FT - Nights)

ScionHealth•Dayton, OH

25d•Onsite

About The Position

Provides quality nursing care to critically ill patients through assessment, planning, intervention, and evaluation. Serves as a patient advocate and supervises care delivered by other caregivers. Develops and coordinates nursing care plans with patients, families, and interdisciplinary staff, applies critical thinking to promote positive clinical outcomes, provides patient education, and participates in discharge planning. The role maintains nursing standards and hospital policies; assesses patients and develops and updates care plans; documents assessments and care in the electronic medical record; administers medications and responds to changes in patient condition and emergencies; coordinates care and communicates with physicians, patients, families, and staff. The RN also assists with procedures, supports and evaluates nursing staff, helps maintain a clean and safe environment, and meets ongoing professional, education, safety, and compliance requirements. Kindred Hospital Dayton and Behavioral Health Unit is a 97-bed hospital, including 51 LTACH beds and a 46-bed behavioral health unit. The hospital is located in downtown Dayton near the I-75 and I-35 junction.

Requirements

Graduate of an accredited Registered Nursing program.
Current state licensure as a Registered Nurse.
Current BCLS and ACLS certifications.
At least one year of training and experience in Critical Care.
Excellent oral and written communication and interpersonal skills.
Knowledge of medications and their correct administration based on patient age and clinical condition.
Basic computer knowledge.
Ability to organize tasks, develop action plans, set priorities, and function under stressful situations.
Ability to maintain good working relationships with coworkers.
Fluent in reading, writing, and speaking English.
Good and regular attendance.

Responsibilities

Maintain nursing standards and implement hospital and nursing department policies and procedures.
Assess patients on admission and as required, make referrals based on assessment findings, and develop and update nursing care plans in coordination with patients, families, and the interdisciplinary team.
Ensure patients are properly positioned and aligned, and manage restraints as appropriate.
Document patient assessments, reassessments, care plans, and other relevant information completely in the electronic medical record.
Use biomedical equipment safely and correctly, including defibrillators, suction machines, IV and feeding pumps, PCA pumps, and blood glucose monitoring machines.
Obtain informed consent for procedures and blood transfusions; receive and verify physician orders, ensure accurate transcription and entry, and follow through on orders.
Recognize and respond to changes in patient condition, initiate emergency actions, notify physicians, obtain orders, and assist with emergency measures such as responding to cardiac or respiratory arrest and sepsis.
Administer medications according to ICU policies and procedures, demonstrating knowledge of medication actions, side effects, dosages, routes, and the seven rights of medication administration.
Recognize cardiac rhythms and institute the appropriate arrhythmia protocols; apply current ACLS certification and protocols, provide lifesaving first aid, and make appropriate referrals.
Direct, supervise, and evaluate nursing care provided to patients, assist team members, participate in orientation of new personnel, and contribute to performance evaluations of nursing staff.
Assist physicians with special tests and procedures, including thoracentesis, paracentesis, arterial line placement, and bronchoscopy.
Coordinate nursing care when patients are scheduled for therapy or procedures with other departments.
Manage tubes and devices, including catheters, feeding tubes, chest tubes, drains, T-tubes, ostomies, and continuous bladder irrigation.
Set up and monitor hemodynamic systems, including Swan-Ganz catheters, arterial catheters, and cardiac output monitoring.
Verify telemetry lead placement, validate telemetry strips every four hours and as needed, and document appropriately.
Recognize critical laboratory values and normal ranges, and report and document findings appropriately.
Participate in economical use of supplies and maintain equipment and the care environment in a clean and safe manner.
Assess and meet patient and family education needs; provide complete handoff reports and ensure documentation, physician orders, and patient rooms are in order.
Communicate pertinent information to RNs, physicians, patients, and other appropriate individuals.
Maintain confidentiality, professional conduct, current licensure and certifications, and required annual health, safety, and education requirements; attend mandatory in-services and staff meetings.