Registered Nurse RN - Cardiac Intermediate Care (Step Down) - Full Time Nights

Northeast Georgia Health System•Gainesville, GA

3d•Onsite

About The Position

The Cardiovascular Intermediate Care Unit (CVIMC) is a 24-bed unit that is monitored at the bedside and through the Central Monitoring Unit, with a nurse-to-patient ratio of 3:1 or 4:1. This unit cares for patients undergoing pre and post open cardiovascular and thoracic surgery, pre and post cardiac catheterization, pre and post cardiac intervention (including pacemaker insertions and ICD implantations), and patients requiring arterial and venous sheath care, monitoring, and removal. Nurses manage patients with cardiac arrhythmia, pre and post electrophysiology and ablation therapy, pre and post valve replacement (including TAVR), and pre and post vascular surgery (including Carotids, TCAR, Femoral Popliteal Bypass, AAA). Nurses also manage patients on drips such as inotropes, antiarrhythmics, and insulin, including DKA and HHS. This role is for an experienced RN who is capable, with previous specialty experience preferred, and focused on expanding knowledge and skills. The nurse will consistently provide effective direct care as part of the interdisciplinary team to a variety of complex patients, seeking and providing feedback for improved clinical practice. The role assumes a beginning clinical bedside leadership role and seeks mentoring in this process. Participation on PNGC councils and Nursing Quality Teams is expected, as is active participation on Unit Council to improve nursing sensitive indicators, RN Satisfaction, Employee Engagement, Culture of Safety, and Patient Experience data. The nurse will work with other care team members to recruit and retain an excellent nursing care team. For new graduate clinical RNs, the focus is primarily on developing knowledge and skills and showing growth in ability to care for increasingly complex patients. The role is responsible for providing direct and safe patient care based on the nursing process, and for coordinating care for assigned patients on a shift to promote the achievement of clinical outcomes. Consultation with more experienced clinicians and acceptance of feedback as a constructive professional development tool is required.

Requirements

Licensed to practice as an RN in Georgia.
Associate's Degree, ADN or Diploma required
At least 1 year of RN experience – Demonstrated competence in RN I performance expectations or meets experience requirements upon hire
Basic computer skills necessary to operate computer systems used on unit

Nice To Haves

BSN
Previous specialty experience preferred

Responsibilities

Delivery of safe, effective, efficient care that meets population specific guidelines
Actively works to make own and related teams successful, effectively communicates with patients, families and colleagues at all levels, shows consideration and respect or others and fosters customer service
Effectively prioritizes, recognizes problems, and utilizes evidence based practice
Demonstrates personal mastery, leadership of self and others, as appropriate, delegates appropriately, and supports NGHS shared governance model
Basic computer skills necessary to operate computer systems used on unit
Serves as a highly engaged and full partner on the care team and responds willingly to care team member needs for assistance.
Adapts to change and demonstrates flexibility
Leads interdisciplinary rounds to facilitate appropriateness of care and smooth transitions across the continuum
Positively impacts the work environment by displaying respect for individuals and the organization
Effectively applies the nursing process within the framework of the organization’s professional model of care, using the nursing process to meet the clinical, psychosocial, and spiritual needs of the patient and family
Demonstrates initiative and seeks formal and informal opportunities to improve clinical practice within specialty area
Demonstrates critical thinking in the identification of clinical, social, safety, psychological, ethical and spiritual issues within the episode of care
Effectively delegates care as appropriate while retaining accountability for the quality of care given to patients and families
Demonstrates the ability to communicate clearly and effectively with all members of the healthcare team including physicians and advanced practice providers; incorporates Safety behavior and error prevention tools
Incorporates Sister Simone Roach’s 7 Cs of Caring: Ctheory by incorporating the seven Cs of Caring: Compassion, Competence, Confidence, Conscience, Commitment, Comportment, Creativity into daily work and practice
Creates an environment of open dialogue, inquiry, and continuous development by asking for feedback and improving practice
Identifies opportunities for quality improvement to colleagues and management.
Applies evidence-based practice as a regular aspect of professional practice
Ensures improvements in the practice setting by assuming responsibility for self-development in life-long learning.
Serves as a resource for students
Demonstrates an understanding of cultural intelligence, diversity, equity, and inclusion, lateral violence, and impairment and holds peers accountable for healthy relationships
Demonstrating deep interdependence by valuing team member contributions, talents, and skills
Models safe work hours, time management, efficiency, and stewardship
Supports unit-based shared governance activities while on duty
Actively participates in unit-based selfcare activities.
Continually evaluate work processes with the goal of improvement, to achieve our strategic initiatives
Achieves and maintains de-escalation training certification as appropriate for work unit
Supports in quality of care activities, evaluates the quality and effectiveness of nursing practice
Supports unit-based activities aimed at the ownership improving the patient’s experience, employee engagement, and/or nurse sensitive indicators on the unit with a focus on improvement