Registered Nurse - ICU | FT Nights

White Rock Medical Center•Dallas, TX

About The Position

White Rock Medical Center is a community-based hospital serving the Dallas, Garland, Mesquite, and surrounding areas. It provides medical/surgical care, bariatric and cardiology services, outpatient care, and emergency medicine. The hospital describes its mission as delivering exceptional healthcare with compassion and excellence, and offers a supportive, patient-focused environment for employees to advance their skills. The ICU Registered Nurse makes decisions regarding nursing care for patients on the designated unit and shift, working independently within established hospital and departmental policies and goals. The role provides physical and supportive care and health teaching to adolescent, adult, and geriatric patients while safely managing the care environment. The nurse collaborates with staff, physicians, other departments, patients, and families, and appropriately supervises and delegates care to licensed and non-licensed staff.

Responsibilities

  • Communicate effectively with patients, families, and healthcare team members using verbal, non-verbal, and written methods.
  • Document patient-care data in the EMR, including assessment results, interventions, medications, responses, and treatment changes.
  • Obtain and record glucose-monitoring and ACT Plus analyzer results; run and document quality-control checks and accurately date control bottles and test cartridges.
  • Manage pain relief and sedation using pharmacological and non-pharmacological interventions, monitor responses, and adjust care plans as needed.
  • Administer blood and blood-product transfusions and intravenous infusions, monitoring for adverse reactions.
  • Transport ICU and ventilatory patients to radiology and other areas, and recover patients from the operating room.
  • Set up, operate, or monitor equipment and devices including smart pumps, epidural pumps, pacemakers, warming and cooling machines, intra-aortic balloon pumps, SCDs, and mechanical ventilators.
  • Perform emergency procedures and stabilizing interventions, including BLS and ACLS.
  • Discuss illnesses and treatments with patients and families, advocate for their needs, and provide emotional support.
  • Use critical thinking to identify clinical problems and define interventions; prioritize nursing care for critically ill patients based on assessment data and needs.
  • Administer medications by intravenous, injection, oral, gastric-tube, or other routes, with fewer than three errors for the year.
  • Document medical histories, medication reconciliation, and admission assessments, and complete admission documentation in the EMR.
  • Collaborate with healthcare professionals and service providers to coordinate high-quality care with the interdisciplinary team.
  • Demonstrate knowledge of tissue and organ donation protocols and advance directives.
  • Titrate drips, including sedatives, vasoactive medications, insulin, paralytics, and anti-arrhythmic medications.
  • Demonstrate leadership in the Registered Nurse role and support and facilitate change in alignment with institutional goals and objectives.
  • Provide preventive skin care and help prevent ventilator-associated pneumonia, DVT, falls, infections, and other complications.
  • Enter ESRM reports for wounds present on admission.
  • Respond to and participate in rapid response team calls and lead Code Blue teams.
  • Meet core-measure requirements and complete daily ICU dashboard sheets according to protocols.
  • Assist physicians with bedside procedures.
  • Remove femoral arterial and venous sheaths, chest tubes, Swan-Ganz catheters, arterial lines, and central venous catheters according to protocol.
  • Supervise and appropriately delegate care to licensed and non-licensed staff.
  • Safely manage the care environment while providing patient care.

Benefits

  • Competitive salary and benefits
  • Employee programs and events
  • Paid Time Off
  • Five company holidays and two floating holidays
  • Employer-paid life insurance
  • Additional voluntary benefits, including short-term disability and long-term disability
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