Registered Nurse - ICU Days PRN

ScionHealth•San Antonio, TX

14d•Onsite

About The Position

Provides quality patient care to critically ill patients, through the nursing process of Assessment, Planning, Intervention, and Evaluation. Serves as a patient advocate at all times. Supervises the nursing care provided to each patient by other caregivers. Develops the plan for nursing care as a result of coordination with the patient, family and staff of other disciplines as necessary. Applies critical thinking in order to promote positive clinical outcomes. Ensures patient education. Participates in discharge planning.

Requirements

Graduate from an accredited Registered Nursing program
Health Services\RN - Registered Nurse - State Licensure and/or Compact State Licensure Upon Hire Required
Health Services\BCLS - Basic Life Support Facility-Specified Required
Health Services\ACLS - Advanced Cardiac Life Support Facility-Specified Required
Minimum one year training and experience in Critical Care
Able to communicate effectively in English- both written and verbal

Responsibilities

Maintains the standard of nursing care and implements the policies and procedures of the hospital and the nursing department
Assesses the patient on admission within the required time frame
Makes referral to other disciplines based on the assessment, such as rehabilitation and nutritional services
Develops a nursing care plan for assigned patient on admission and updates the plan of care as needed
Ensures the plan is discussed and developed as a result of the coordination of patient and family and the interdisciplinary team
Able to release, remove, and reapply restraints to patient
Ensures patient is in proper position and alignment
Documents patient admission assessment and reassessments, patient care plans, and other pertinent information completely in the patient’s electronic medical record
Demonstrates correct use of Biomedical equipment such as defibrillator, Suction machine, IV and feeding pumps, PCA pump, blood glucose monitoring machine
Demonstrates safe and effective delivery of patient care such as completing team/patient assignments on time, making effective use of available time, showing initiative and teamwork
Obtains consents for procedures and blood transfusions, ensuring patient has necessary information to make an informed decision
Receives physician’s orders, ensures transcription is accurate, and order entry is accurate
Follows through to ensure order is carried out
Recognizes and responds appropriately to patient change in condition such as Cardiac rhythm, respiratory distress, GI bleed, pulmonary emboli/ edema, diabetic Ketoacidosis, adverse drug reaction and Blood transfusion reaction, etc.
Institutes emergency action, notifies physician, obtains orders, etc.
Completes and documents patient admission assessment and reassessments as required according to policy
Reports pertinent observations and reaction regarding patients to the appropriate person (i.e., physician, supervisor, charge nurse) and records these observations accurately
Administers medications with verbalized knowledge of the action, side effects, correct dosages and route according ICU policies and procedures
Demonstrates ability to recognize and Institute arrhythmia protocol for the following Cardiac rhythms V-tach, V-fib, PVC’s, asystole, 1st, 2nd and 3rd degree heart block, atrial fibrillation, and atrial flutter
Directs, supervises, and evaluates nursing care provided to patients
Administers medications utilizing the seven “rights” of medication administration\: right patient, route, time, medication, dose, reason and documentation
Assist physicians with special tests and procedures such as thoracentesis, paracentesis, arterial line and bronchoscopy
Participates in economical utilization of supplies and ensures that equipment is maintained in a clean and safe manner
Participates in orientation of new personnel and performance evaluations of nursing staff
Assists team members in giving care to patients or administers direct care when professional nursing skills and judgment are needed
Coordinates nursing care of patients when scheduled for therapy or procedures by other departments
Assists with or institutes emergency measures for sudden adverse developments in patients such as cardiac arrest, respiratory arrest, or sepsis
Participates in the maintenance of a clean and safe environment
Is knowledgeable about the emotional and rehabilitative aspects of care and is capable of applying appropriate therapeutic interventions
Provides assessment utilizing current ACLS certification and protocols renders lifesaving first aid and makes appropriate referral to the nearest organization that is capable of providing needed services
Demonstrates ability to manage various types of tubes and other devices such as Foley /straight catheter, feeding tubes, chest tubes, JP drains, Hemovacs. T-tubes, wound drains, ostomy care, suprapubic catheter, continuous bladder irrigation
Demonstrates correct set up and performance monitoring of hemodynamic systems such as Swan-ganz catheter, arterial catheter, and cardiac output
Demonstrates accurate knowledge of critical Lab values and their normal ranges
Reports and documents appropriately
Demonstrates ability to verify correct lead telemetry placement
Validates telemetry strips every 4 hours and PRN. Documents appropriately.
Participates in assessing and meeting patient and family education needs
Provides complete patient report to oncoming RN, ensures documentation is complete, physician orders are signed off, and patient rooms are in order
Communicates pertinent information to RN, physician, and patients as needed
Adheres to dress code, appearance is neat and clean and wears appropriate identification while on duty
Completes annual health, safety, and education requirements. Maintains professional growth and development
Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected
Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served
Attends all mandatory in-services and staff meetings
Represents the organization in a positive and professional manner
Complies with all organizational policies regarding ethical business practices
Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department
Maintains current licensure/certification for position, if applicable
Demonstrates Guest Relation’s skills to patients, physicians, visitors, employees, and any other individuals with whom they may come in contact
Follows departmental and hospital Health, Safety, Security, Hazardous Materials policies and procedures
Performs other related duties as assigned