Registered Nurse - Critical Care - Night

WellSpan Health•Chambersburg, PA

20h•Onsite

About The Position

The Critical Care Unit is a 24-bed unit specializing in the care of critical patients, with 24-hour intensivist/pulmonary/APP coverage. We offer an individualized, comprehensive 16-week orientation program that includes the Essentials of Critical Care Orientation (ECCO), ACLS certification, and NIHSS certification for new nurses. A mentorship program is available after orientation to support new nurses, and a residency program is offered for new graduates. This role provides opportunities for committee participation, a voice in nursing practice, and professional growth through a Clinical Ladder. There is leadership presence on every shift, and it provides a strong foundation for an advanced practice degree. Certification for Critical Care RN (CCRN) is achievable after 2 years of experience. This is a full-time position (72 hours biweekly) with a night shift (7pm-7am, 12-hour shifts) and requires working every third weekend. Eligible for shift and weekend differential.

Requirements

Graduate of an accredited School of Nursing required.
Evidence of participation in educational programs to update and maintain current knowledge and clinical skills.
Experience applying customer service behaviors and communication skills required.
Eligible for or currently licensed as a Registered Professional Nurse in Pennsylvania.
CPR certification required.

Nice To Haves

Bachelor of Science in Nursing is preferred.
Previous nursing experience in specialty area preferred.
Certification in specialty preferred.
ACLS required for Cardiovascular Services, CCU, Device Clinic, Emergency, IMCU, FBS, Tele Observation, PACU/SDS, or achieved within one year of start date.
ACLS required for Cardiac Rehab or achieved within 3 months of hire/transfer.
Proficiency in cardiac monitor interpretation, conscious sedation, and ACLS required for Cath Lab or achieved within 6 months of hire/transfer.
ACLS required for Float Pool.
PALS required for Emergency, PACU, and Pediatric trained staff within one year from start date.
PALS and Conscious Sedation is required for SDS, or must be achieved within four months of hire/transfer.
CNOR preferred for OR.
CPAN/CAPA preferred for PACU/SDS.
CRRN preferred for Rehabilitation Medicine.
NRP required for Level II NICU.
NRP and Fetal Monitoring education required for Family Birthing Services within one year from start date.
PMH-BC preferred for BHS (IP and OP).
Proficiency in cardiac monitor interpretation required for PACU/SDS, IMCU, Tele Observation, CCU, Cardiac Rehab, Cardiovascular Services, Cath Lab, and Emergency.
WOCNCB or CWCN preferred for Wound Care Center.

Responsibilities

Responsible and accountable for implementing, directing and coordinating the care of patients through the nursing process: assessment, planning, implementation, and evaluation.
Recognition and treatment of the physical and psychosocial changes unique to the age/population group served on the specific unit.
Demonstrates safe medication practice.
Maintains a professional image that reflects the employee’s role in health care, with confidence and a positive impression.
Completes chart check to ensure no missed orders.
Accurately transcribes physician’s orders.
Demonstrates therapeutic communication skills.
Demonstrates ability to assess patient education needs and use of patient education resources.
Demonstrates involvement in unit by attending 50% of staff/committee meetings and in-services for area.
Demonstrates leadership through the nursing process and supervision while maintaining accountability for treatment and patient outcomes.
Acts as a resource person regarding patient care, specialty area, orientation, and teaching of staff.
Responds to delays in a calm manner, apologizes for inconveniences, and gives alternatives.
Analyzes assessment data, identifies priority problems, and documents on Plan of Care in PCS for patients and families and significant others.
Uses effective problem-solving skills to plan patient care.
Identifies critical factors evidencing changes in patient condition and responds appropriately.
Completes and documents discharge assessment against plan of care goals.
Initiates and maintains Intravenous Therapy according to IV standards.
Responds appropriately to emergency situations.
Utilizes proper body mechanics to prevent injury to self and others. Safely positions, transfers, and transports patients.
Functions as a virtual nurse as assigned, which includes, but is not limited to, admissions, discharges, education, documentation through a virtual platform, and working collaboratively with the bedside nursing staff.
Utilizes appropriate nursing assessment as established by the department standards of patient care.
Sets up equipment and assists with the insertion of Swan-Ganz catheter/arterial line and/or multilumen.
Cares for a patient with a Swan-Ganz, including cardiac outputs.
Assists with temporary pacemaker insertion.
Demonstrates proper application of external pacemaker.
Defibrillates patient.
Assists with cardioversion procedure.
Demonstrates proper administration of thrombolytic agents.
Cares for a patient receiving thrombolytic agents.
Draws blood from a multilumen, Swan-Ganz, or arterial line.
Discontinues Swan-Ganz, multilumen, temporary pacemaker, or arterial line.
Cares for a patient on mechanical ventilation.
Assists with intubation.
Assesses and evaluates patient response during post-surgical recovery phase for surgical critical care patients.
Describes role and responsibility in assessing and reporting physical, emotional, sexual abuse, and neglect.
Able to demonstrate proper technique for IABP therapy.
Completes cardiac rehab exercises.
Achieves credentialing in conscious sedation by >84% score on exam annually and demonstrates appropriate clinical performance as evidenced by successful observation and chart review.
Completes a 12 lead EKG.
Demonstrates proper initiation of vasopressor agents.
Interprets ECG pattern.
Cares for a patient with Impella catheter assist device.
Cares for post-tracheostomy patients.
Cares for peritoneal dialysis patients.
Collaboratively coordinates with other departments and disciplines to meet patient’s needs.
Completes mandatory education and in-services by due date.
Completes annual health screening.
Demonstrates ability to assist with the insertion of chest tube, including set-up and post-insertion patient care.
Demonstrates proficiency in applying vac dressings.