Experienced Registered Nurse ICU

Mount Sinai Medical Center of Florida•Miami Beach, FL

13d

About The Position

The Experienced Registered Nurse ICU provides critical care nursing for intensive care patients, including patients who are hemodynamically compromised after cardiac surgery. The role monitors and evaluates patients receiving advanced therapies and support, such as pacemakers, critical care drips, hemodynamic monitoring, CRRT, ventilators, and intracranial pressure monitoring. The nurse assesses patients, develops and implements individualized interdisciplinary care plans, administers and evaluates treatments, documents patient status and progress, and supports safe transfers and discharge planning. The position also includes patient and family education, coordination with physicians and the interdisciplinary team, adherence to hospital policies and infection-prevention practices, and participation in staff development, unit improvement, and leadership activities. The scheduled shift is 7 p.m. to 7 a.m.

Requirements

Current Florida Nursing License.
Current Basic Life Support certification.
Current Advanced Cardiac Life Support certification.
Graduated from an accredited school of nursing.
At least one year of RN experience for Level II.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred.
Critical Care Registered Nurse (CCRN) certification preferred.

Responsibilities

Monitor and evaluate patients with external or transvenous pacemakers and patients receiving specific drips, including Diprivan, vasopressors, and paralytics.
Monitor, evaluate, document, and troubleshoot hemodynamic responses and critical care equipment, including IABP and CRRT.
Monitor, evaluate, and document patients with femoral line catheters, pulmonary artery catheters, CRRT, ventilator support, and intracranial pressure monitors.
Safely care for hemodynamically compromised cardiac surgical patients.
Obtain initial vital signs and admission history, introduce the patient and family to the unit, assess the chief complaint, and notify a physician within 15 minutes of arrival to the unit.
Complete and document a nursing admission assessment, including physiological and psychological factors, and develop an interdisciplinary plan of care within eight hours of admission.
Perform and document an accurate system assessment at the beginning of each shift and respond to diagnostic data with appropriate action or intervention.
Assess patient education needs on admission and daily thereafter, and assess psychosocial needs specific to the patient's age, growth, and development.
Initiate an interdisciplinary plan of care within eight hours of admission and prioritize care according to patient needs.
Understand the patient diagnosis and interdisciplinary plan of care, and safely initiate and document nursing interventions in emergencies.
Perform a 24-hour chart check at the beginning of each shift.
Administer, observe, and document intravenous therapy according to hospital policy.
Administer medications within 30 minutes of the scheduled time, document effectiveness, and immediately recognize and report adverse reactions.
Provide patients and significant others with individualized instructions about the plan of care each shift.
Use unit-specific equipment safely and correctly and ensure patients' daily general hygiene needs are met.
Perform pre-operative and post-operative care and instruction for assigned surgical patients during the shift.
Follow standard precautions, including hand hygiene, and use aseptic technique for dressing changes and urinary catheter insertion.
Document patient valuables on the designated form and arrange appropriate storage.
Collect and label specimens as ordered and perform bedside glucose monitoring according to policy.
Administer enteral feedings through nasogastric, gastrostomy, or jejunostomy tubes.
Immediately report abnormal findings to the physician and implement skin and wound protocols when risk is identified.
Provide ostomy care, including irrigation, appliance use, and reinforcement of teaching.
Administer oxygen therapy according to physician orders and use restraints safely according to policy.
Transfer patients into and out of the unit efficiently, obtain complete and correct physician orders, complete transfer summaries, and ensure referral forms and handoff reports accompany intra-facility transfers.
Document and report patient responses and outcomes related to nursing interventions, treatments, procedures, interactions, and patient or family education.
Evaluate and document progress toward established goals each shift and update care problems and individualized care standards based on responses, progress, or changes in medical status.
Evaluate length of stay and transfer or discharge planning needs based on anticipated problems, resources, and support systems.
Complete mandatory hospital and unit-specific in-services annually before the evaluation date, document clinical competency at least annually, and attend staff meetings as required.
Plan, present, and document unit in-services as required by level; present at least one in-service and two patient care conferences; and attend 75% of staff meetings.
Use established communication channels to resolve problems and interpersonal conflict.
Function as a Charge Nurse by maintaining clinical knowledge of unit patients and triaging and assigning beds to promote patient flow.
Attend a Charge Nurse course within the year and serve as a preceptor or clinical resource.
Actively participate in unit-based performance improvement.