Registered Nurse RN - Heart Failure Intermediate Care Unit - Full Time Nights

Northeast Georgia Medical Center•Gainesville, GA

6d•Onsite

About The Position

The Woody Stewart Heart Failure Intermediate Care Unit is a 24-bed unit specializing in the care of patients with Left Ventricular Assistive Devices (LVADs), low ejection fraction (EF), and those requiring IV diuretics or cardiac drips. Patients on this unit often have PA catheters requiring CVP monitoring and are continuously monitored at the bedside and central nurses' station. Telemetry monitoring is provided by the Central Monitoring Unit. Key aspects of patient care include early ambulation and strict intake and output monitoring. The unit focuses on assessing, educating, monitoring, and treating patients, with a significant emphasis on patient education to help them adjust to life with heart failure. Patients admitted or transferred to this area include hemodynamically stable heart failure patients with PA catheter or CVP monitoring, acute decompensated heart failure patients without shock, those with stable respiration on chronic bipap or acute need for bipap, pre and post cardiac catheterization patients, pre and post cardiac intervention patients (including pacemaker insertions and ICD implantations), interventional peripheral and renal angioplasty patients requiring sheath care and removal, hemodynamically stable LVAD patients and post-implantation surgical patients, patients with a venous or arterial sheath requiring care, monitoring and removal, pre-op open-heart surgical patients, and patients receiving treatment of cardiac arrhythmia and hypotension including critical drips such as antiarrhythmic medications and vasopressors, as well as pre and post electrophysiology procedure care.

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

Previous specialty experience preferred.
BSN Preferred.

Responsibilities

Consistently provides effective direct care as part of the interdisciplinary team to a variety of complex patients.
Seeks as well as provides feedback for improved clinical practice.
Assumes a beginning clinical bedside leadership role and seeks mentoring in this process.
Participates as a member on PNGC councils and Nursing Quality Teams as appropriate.
Actively participates on Unit Council helping with plans to improve NDNQI nursing sensitive indicators, RN Satisfaction, Employee Engagement, Culture of Safety, and Patient Experience data.
Works together with other care team members to recruit and retain an excellent nursing care team.
For the new graduate clinical RN: focuses primarily on developing knowledge and skills and showing growth in ability to care for increasingly complex patients.
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.
Requires consultation with more experienced clinicians and accepts feedback as a constructive professional development tool.
Demonstrates competence in RN I performance expectations in addition to: 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.
Demonstrates competence in RN I performance expectations in addition to: 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.
Demonstrates competence in RN I performance expectations in addition to: 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 competence in RN I performance expectations in addition to: 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.
Demonstrates competence in RN I performance expectations in addition to: 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.