Registered Nurse – ICU/CCU - Central Staffing Office

Parkland Health

3d•Onsite

About The Position

Provides care to an assigned patient population in accordance with established protocols and a multidisciplinary plan of care, using independent, dependent, and interdependent interventions to restore stability, prevent complications, and achieve and maintain optimal patient responses through patient-centered, patient-valued care. The role is part of the Central Staffing Office and may include duties on inpatient units with a modified patient assignment, as directed by the Centralized Staffing Office. The nurse manages adult ICU patients with neurological, pulmonary, cardiovascular, gastrointestinal, and genitourinary conditions. Responsibilities include continuous assessment and surveillance, timely clinical interventions and communication with providers, safe medication administration, IV access management, point-of-care monitoring, infection control, CRRT, pain management, emergency resuscitation, individualized care planning, documentation, patient and family education, and coordination with the healthcare team. The nurse may direct non-nursing staff and serve as a preceptor or trainer. This is a PRN role requiring at least two shifts per pay period when the hospital has a need. Shifts may include weekends and one major and one minor holiday. The employee must float to qualified areas within their skillset, maintain competency, accept hospital assignments including on-call assignments, and meet the program's scheduling requirements. The hospital does not guarantee work or a minimum number of hours per week. Employees in the RN PRN program are classified in regular relief status and are not eligible for benefits or pay increases with evaluations.

Requirements

Graduate of an accredited school of nursing.
At least two years of ICU/CCU experience; or successful completion of an ICU/CCU Residency program and one year of ICU/CCU experience; or successful completion of a Nurse Internship Program and one year of ICU/CCU experience.
Current RN license or valid temporary permit with the Texas Board of Nursing, or a valid Compact RN license.
Current healthcare provider CPR course completion card from the American Heart Association, American Red Cross, or Military Training Network.
Current ALS or ACLS certification on hire or placement in the role.
Ability to provide care according to the Texas Nurse Practice Act, established protocols, multidisciplinary plans of care, and clinical-area standards.
Ability to provide continuous assessment, consult with team members, and deliver patient-centered, patient-valued nursing care.
Ability to exercise independent judgment in providing nursing care.
Effective interpersonal skills and good oral and written communication skills.
Ability to communicate effectively with patients, families, and hospital staff according to established policies and procedures; may be required to use the overhead paging system.
Ability to direct non-nursing staff and serve as a preceptor.
Ability to manage adult ICU patients with neurological, pulmonary, cardiovascular, gastrointestinal, and genitourinary disorders or conditions, including safe medication administration, IV management, point-of-care monitoring, infection control, and CRRT.
Two years of prior work experience in the specialty area and two years of overall nursing experience to participate in the RN PRN program.
Ability to meet the scheduling requirements, float to qualified areas within the employee's skillset, and maintain competency.

Nice To Haves

Bachelor of Science in Nursing preferred.
Additional specialty certifications may be required.

Responsibilities

Provide care to the assigned patient population according to the Texas Nurse Practice Act, established protocols, the multidisciplinary plan of care, and clinical-area standards.
Serve as a patient advocate, protecting patient needs, rights, confidentiality, and religious and cultural preferences.
Maintain positive working relationships with internal and external customers and serve as a resource to patients and healthcare team members on clinical care issues.
Provide patient-care education and training to patients and family members.
Perform patient assessments and continuous surveillance; recognize changes in condition, provide appropriate interventions, consult team members, notify providers, and implement orders promptly.
Exercise independent judgment to provide safe nursing care to critically ill or stable patients.
Manage adult ICU patients with neurological, pulmonary, cardiovascular, gastrointestinal, and genitourinary disorders or conditions.
Administer medications safely using the patient's six rights; maintain and manage IV access; perform point-of-care monitoring, infection-control practices, and CRRT for adult ICU patients.
Support pain management, provide emergency resuscitation care for adults, and develop individualized plans of care.
Maintain knowledge of applicable rules, regulations, policies, laws, guidelines, sanitation, infection control, safety, supplies, equipment, and appropriate resource utilization; support compliance with applicable requirements.
Complete accurate and timely documentation in patient-care records and hospital documents in accordance with departmental and hospital standards.
Work with staff to provide direction to non-nursing staff; participate in information exchanges; seek guidance from experienced staff as needed; provide appropriate handoffs; and serve as a preceptor or trainer as needed.
Identify opportunities to improve work processes and patient and customer satisfaction, make recommendations to the supervisor, and implement and monitor results as appropriate.
Stay current with developments in nursing practice through seminars or workshops, professional journals, and professional organizations; maintain RN licensure and required certifications and apply acquired knowledge to practice.
Perform duties on inpatient units with a modified patient assignment when directed by the Centralized Staffing Office.
Work a minimum of two shifts per pay period when the hospital has a need; shifts may include weekends and one major and one minor holiday.
Float to clinical areas within the employee's skillset as needed, maintain competency, accept assignments given by the hospital, and accept on-call assignments.