ICU RN - Intensive Care Registered Nurse

Trinity Health • Dubuque, IA

27d • Onsite

About The Position

At MercyOne, health care is more than just a doctor’s visit or a place to go when you’re in need of medical attention. Our Mission is based on improving the health of our communities – that means not only when you are sick but keeping you well. MercyOne Dubuque is the leading hospital in the tri-states, offering the only comprehensive cardiology center and level II regional neonatal intensive care unit in the area as well as the newly constructed MercyOne Dubuque Cancer Center. Other services include a trauma center, a CARF-accredited inpatient rehabilitation unit, home health care, orthopedics, retail pharmacies, palliative care, and a wide range of outpatient and community services. MercyOne operates two hospital-based skilled nursing units and a 40-bed nursing home. In recognition of the strength of its nursing service and the overall quality of patient care, MercyOne Dubuque has been designated a Magnet® hospital four consecutive times - the nation's most prestigious award for nursing excellence. Want to learn more about MercyOne Dubuque? Click here: Find a Location Dubuque, Iowa (IA), MercyOne Dubuque Join the MercyOne Family! We are looking to hire a Registered Nurse in our Intensive Care Unit! As a Registered Nurse at MercyOne, you will be a collaborative member/leader of the healthcare team and is accountable for practicing both the art and science of nursing, delivering care as prescribed by the ANA Standards of Practice & Professional Performance described below. In addition, registered nurses are accountable to practice in accordance with standards established/endorsed by MercyOne leadership and by external regulators and accreditation agencies. The RN actively promotes MercyOne Nursing and the nursing profession and supports advancing practice as defined by the MercyOne Nursing Vision Statement and annual Patient Care Services goals. ESSENTIAL FUNCTIONS Conducts an initial assessment to gather data. Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit. Completes all areas of the admission assessment database within 24 hours of admission. Identifies patient problems and develops them into an outcome/goal-based plan of care. Initiates the patient problem list and incorporates relevant medical history into the plan of care. Analyzes and interprets the assessment data to identify desired patient outcomes/goals. Determines nursing interventions to achieve those outcomes/goals. Prioritizes patient care needs/ activities. Identifies and makes appropriate referrals (i.e., Patient/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator, etc.), and education needs. Collaborates with other health care disciplines to plan interventions/ patient outcomes/goals. Implements the outcome/goal- based plan of care. Assigns and coordinates patient care incorporating patient acuity and the skills, knowledge and abilities of the team members. Organizes and prioritizes care for the patients within the team. Delegates tasks appropriately to other team members. Implements the plan of care including procedures, treatments, physicians orders, nursing orders, education plan and medications. Coordinates implementation of plan of care with the Case Manager, Social Worker and other health care disciplines. Assists to decrease the patient’s length of stay by helping the patient and family identify and secure appropriate services to satisfy health-related needs upon discharge. Uses nursing judgment to determine the appropriate frequency and components of reassessment. Reassesses at regular intervals to determine patient response(s) to interventions (minimum RN reassessment every 24 hours). Focuses ongoing reassessment on actual and potential problems/needs of the patient including education and discharge needs. Participates in develop discharge plan. Documents discharge instructions for patient and/or significant other and/or other care provider. Evaluates patient progress and revises the outcome/goal-based plan as needed. Evaluates patient response(s) to interventions. Communicates relevant clinical information to the team to optimize patient outcomes/goals. Reports progress toward outcomes/goals and/or changes in condition to other health team members. Maintains ongoing communication with interdisciplinary team members throughout the shift, at shift change, and transfer of care. Documents completely, comprehensively and legibly and in accordance with policy. Demonstrates clinical competence. Utilizes the Patient Care Policies and Procedure as references to guide nursing practice. Assures medication safety by following the “5 Rights” of medication administration. Prioritizes and implements intervention according to patient assessment. Receives, transcribes and processes and implements physician orders per policy including dating, timing and verifying accuracy. Maintains communication with the manager/house supervisor and staffing office regarding admissions, unit needs, acuity numbers and significant events. Completes assigned shift duties and assures resolution of discrepancies. Adheres to all safety, infection control and colleague health policies and procedures. Appropriately and consistently uses the personal protective equipment required of the job. Knows and can demonstrate departmental emergency procedures for fire, disaster and other emergency situations Maintains a safe working environment and practices safe working habits. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior

Requirements

• Associate degree required, BSN preferred.
• No experience required; critical care nursing experience preferred.
• Current Iowa RN license, (current IL license if working in IL).
• BLS, Mandatory Reporter.
• ACLS within 12 months of hire.
• Cardiac monitoring course and/or select units of advance Nursing / Critical Care Course or comparable training
• TNCC Non-Violent Crisis Intervention Training (NVCI) within 6 months of hire
• High language, intermediate to high math, high critical thinking ability.
• Basic computer skills required.
• Ability to work with diverse groups of people.
• Ability to work under pressure and with a large degree of independence and accountability.
• Ability to lead/direct others in a high stress situation/environment.

Nice To Haves

• critical care nursing experience preferred.
• BSN preferred.

Responsibilities

• Conducts an initial assessment to gather data.
• Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.
• Completes all areas of the admission assessment database within 24 hours of admission.
• Identifies patient problems and develops them into an outcome/goal-based plan of care.
• Initiates the patient problem list and incorporates relevant medical history into the plan of care.
• Analyzes and interprets the assessment data to identify desired patient outcomes/goals.
• Determines nursing interventions to achieve those outcomes/goals.
• Prioritizes patient care needs/ activities.
• Identifies and makes appropriate referrals (i.e., Patient/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator, etc.), and education needs.
• Collaborates with other health care disciplines to plan interventions/ patient outcomes/goals.
• Implements the outcome/goal- based plan of care.
• Assigns and coordinates patient care incorporating patient acuity and the skills, knowledge and abilities of the team members.
• Organizes and prioritizes care for the patients within the team.
• Delegates tasks appropriately to other team members.
• Implements the plan of care including procedures, treatments, physicians orders, nursing orders, education plan and medications.
• Coordinates implementation of plan of care with the Case Manager, Social Worker and other health care disciplines.
• Assists to decrease the patient’s length of stay by helping the patient and family identify and secure appropriate services to satisfy health-related needs upon discharge.
• Uses nursing judgment to determine the appropriate frequency and components of reassessment.
• Reassesses at regular intervals to determine patient response(s) to interventions (minimum RN reassessment every 24 hours).
• Focuses ongoing reassessment on actual and potential problems/needs of the patient including education and discharge needs.
• Participates in develop discharge plan.
• Documents discharge instructions for patient and/or significant other and/or other care provider.
• Evaluates patient progress and revises the outcome/goal-based plan as needed.
• Evaluates patient response(s) to interventions.
• Communicates relevant clinical information to the team to optimize patient outcomes/goals.
• Reports progress toward outcomes/goals and/or changes in condition to other health team members.
• Maintains ongoing communication with interdisciplinary team members throughout the shift, at shift change, and transfer of care.
• Documents completely, comprehensively and legibly and in accordance with policy.
• Demonstrates clinical competence.
• Utilizes the Patient Care Policies and Procedure as references to guide nursing practice.
• Assures medication safety by following the “5 Rights” of medication administration.
• Prioritizes and implements intervention according to patient assessment.
• Receives, transcribes and processes and implements physician orders per policy including dating, timing and verifying accuracy.
• Maintains communication with the manager/house supervisor and staffing office regarding admissions, unit needs, acuity numbers and significant events.
• Completes assigned shift duties and assures resolution of discrepancies.
• Adheres to all safety, infection control and colleague health policies and procedures.
• Appropriately and consistently uses the personal protective equipment required of the job.
• Knows and can demonstrate departmental emergency procedures for fire, disaster and other emergency situations
• Maintains a safe working environment and practices safe working habits.
• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior

Benefits

• Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!
• Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees