RN-Rapid Response Nurse- DAYS

Kaweah Health•Visalia, CA

1d•$49 - $74

About The Position

The Rapid Response Nurse uses the nursing process to coordinate and provide safe therapeutic nursing care to at-risk, non-critical-care patients early in their course and to mobilize appropriate multidisciplinary resources. The nurse also responds to patients in crisis. When a Rapid Response Team (RRT) is activated, the nurse leads the multidisciplinary team in assessing the patient, making clinical judgments and decisions, notifying the attending physician or intensivist, and acting on routine and complex patient issues under the Rapid Response Team Standardized Procedures. The nurse documents interventions and debriefs bedside nursing staff as an educational opportunity. This position responds to Code Blue, RRT, Sepsis Alert, Trauma Alert, and Stroke Alert pages; performs rounds for at-risk inpatients; and provides critical-care assessment, stabilization, coordination, and support through transfer or handoff. The nurse also serves as a resource for nurses, assists with education and mock codes, and participates in quality improvement and RRT committee activities. The role is full-time and benefit eligible, with a day, 12-hour shift.

Requirements

Current California RN license.
BLS certification.
ACLS certification.
NIHSS stroke certification from the American Stroke Association within 60 days of hire or transfer.
Kaweah Health-approved crisis intervention training within 60 days of hire or transfer.
CCRN certification from the American Association of Critical-Care Nurses within one year of hire or transfer.
Minimum of two years of RN experience in critical care.
Critical-care clinical knowledge and experience managing patients in crisis.
Ability to handle emergency and life-threatening situations.
Effective communication in a multidisciplinary setting.
Teamwork orientation.
Positive, caring, customer-service-oriented attitude.

Nice To Haves

Trauma Nursing Core Course (TNCC) provider card.
PALS certification.
BSN, MSN, or current enrollment in an RN-BSN program.

Responsibilities

Identify high-risk patients and initiate appropriate interventions, including involving ancillary departments.
Deliver ethical, respectful, confidential, nonjudgmental, and nondiscriminatory care that advocates for patient autonomy, dignity, and rights.
Use the nursing process, including assessment, diagnosis, planning, outcome identification, implementation, and evaluation.
Use quality and performance-improvement findings to monitor care, recommend improvements, assist with policies and practice guidelines, participate in interdisciplinary teams and studies, and share findings.
Provide respectful customer service and maintain effective relationships.
Collaborate and communicate with patients, families, and healthcare providers; formulate plans of care with patient involvement and make referrals as needed.
Assess and interpret diagnostic data, including laboratory results, monitoring data, and interdisciplinary notes, and apply relevant clinical knowledge to patient diagnoses, procedures, medications, complications, and equipment.
Respond to Code Blue, RRT, Sepsis Alert, Trauma Alert, and Stroke Alert pages.
Direct patient care using advanced critical-care assessment skills and standardized procedures to stabilize medically compromised patients.
Communicate critical information to primary care physicians and in-house intensivists using SBAR, follow recommendations, ensure orders are carried out, and use the medical staff chain of command when necessary.
Coordinate with the primary nursing team and direct care until the patient is stabilized or transferred.
Assist with patient transport using appropriate emergency medical equipment and personnel, and assist with transfer handoffs until adequate resources are available.
Debrief nurses involved in RRTs, evaluate the response process, and provide feedback and education.
Serve as a resource for RNs on duty and perform daily rounds for at-risk patients on inpatient units.
Serve as an impact nurse in critical-care areas (ICU, CVICU, ED, and ICCU) when requested by team leads or the house supervisor.
Provide bedside care and accept patient assignments when census needs require it.
Attend at least 75% of RRT Quality Focus Team committee meetings and RRT staff meetings.
Assist with data collection and process-improvement initiatives and report data to appropriate committees.
Conduct in-services and mock codes to educate inpatient staff about emergency situations.
Attend quarterly staff meetings for assigned inpatient departments to share feedback from STARRS University and recent debriefings.
Maintain ongoing RRT education.
When acting as lead, coordinate the RRT, quality-improvement work, resident and RN observation scheduling, RRT shift scheduling, staff education, and multidisciplinary collaboration.
Provide care appropriate to the population served, considering patients’ cultural, linguistic, spiritual, gender, and age-specific needs.
Perform other duties as assigned.