Registered Nurse - IMCU - Day

WellSpan Health•Chambersburg, PA

1d•Onsite

About The Position

The Intermediate Care Unit (IMCU) is a 30-bed unit providing care to high acuity patients, including those undergoing Cardiac and EP procedures, experiencing respiratory failure (CPAP, BiPAP), managing cardiac arrhythmias, and sepsis/DKA. The position offers 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. There are opportunities for committee participation, a voice in nursing practice, and professional growth through a Clinical Ladder. Leadership presence is maintained on every shift, providing a strong foundation for advanced practice degrees. Certification for Progressive Care Nursing (PCCN) is achievable after 2 years of experience, and this role serves as a stepping stone to ICU/CCU career goals. This is a full-time position (72 hours biweekly) with a 12-hour Day shift (7 am-7 pm), requiring work every third weekend. The Registered Nurse is responsible and accountable for implementing, directing, and coordinating patient care through the nursing process (assessment, planning, implementation, and evaluation), including recognition and treatment of physical and psychosocial changes unique to the age/population group served on the specific unit.

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.
Proficiency in cardiac monitor interpretation required for PACU/SDS, IMCU, Tele Observation, CCU, Cardiac Rehab, Cardiovascular Services, Cath Lab, and Emergency.

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).
Temporarily reassigned personnel will work in a limited scope of practice consistent with credentials and be supervised by appropriately credentialed staff.
WOCNCB or CWCN preferred for Wound Care Center.

Responsibilities

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.
Provides basic dysrhythmia interpretation and treatment.
Provides basic and advanced life support.
Drug dosage calculation, continuous medication infusion administration, and patient monitoring for medication affects (e.g., vasoactive agents, platelet inhibitors, ant arrhythmic agents, insulin.).
Monitoring patients using standardized procedures for preoperative, intraoperative, and postoperative procedures (e.g., cardiac catheterization with percutaneous coronary intervention, chest tube insertion).
Cares for patients with a tracheotomy.
Hemodynamic monitoring including equipment setup and troubleshooting, monitoring, and recognition of signs and symptoms of patient instability.
Recognition of the signs and symptoms of cardiopulmonary emergencies and initiation of standardized interventions to stabilize the patient awaiting transfer to critical care.
Interpretation of arterial blood gas analysis and communication of findings.
Recognizes indications for and management of patients requiring noninvasive oxygen delivery systems including oral airways, bi-level positive airway pressure, and continuous positive airway pressure.
Recognition of indications for and complications of enteral and parenteral nutrition.
Assessment, monitoring, and management of patients requiring renal therapeutic interventions (e.g., hemodialysis, peritoneal dialysis, stents, continuous bladder irrigation, urostomies).
Completes a 12 lead EKG.
Completes cardiac rehab exercises.
Draws blood from an arterial line.
Describes role and responsibility in assessing and reporting physical, emotional, sexual abuse, and neglect.
Maintains general cleanliness of department.
Demonstrates proper application of external pacemaker.
Recognition of and evaluation of the family’s need for enhanced involvement in care to facilitate the transition from hospital to home.