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

Northeast Georgia Health System•Gainesville, GA

1d•Onsite

About The Position

Woody Stewart Heart Failure is a 24 bed Intermediate Care Unit. Our patients consist of LVAD patients, patients with a low EF, heart failure patients that need IV diuretics (Lasix drips and Bumex) and Cardiac drips. The majority of patients have PA catheters that require CVP monitoring. Patients are monitored with bedside and central nurses’ station continuous cardiac monitoring. Telemetry monitoring is provided by the Central Monitoring Unit. Early ambulation and strict I's and O's are a part of every patient's treatment plan as both are very important with heart failure patients. Patients admitted or transferred to this area are assessed, educated, monitored, cared for and treated. Education is a big part of what we do. Heart Failure doesn't just go away so we educate each patient on how to adjust to a life with heart failure. Patients on this unit include: Hemodynamically stable heart failure patients with pulmonary artery (PA) catheter or CVP monitoring, Patients with acute decompensated heart failure without shock, Acute decompensated heart failure patients 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, Patients who have a Left Ventricular Assistive Device (LVAD) and are hemodynamically stable, (LVAD) post-implantation surgical patients, Patients with a venous or arterial sheath requiring care, monitoring and removal, Pre-op open-heart surgical patients, Patients receiving treatment of cardiac arrhythmia and hypotension including critical drips such as antiarrhythmic medications, and vasopressors, Patients receiving pre and post electrophysiology procedure care. The role is for a capable clinician with previous specialty experience preferred, focused on expanding knowledge and skills. This role consistently provides effective direct care as part of the interdisciplinary team to a variety of complex patients, seeks and provides feedback for improved clinical practice, and assumes a beginning clinical bedside leadership role, seeking mentoring in this process. The RN participates as a member on PNGC councils and Nursing Quality Teams as appropriate, and actively participates on Unit Council to improve NDNQI nursing sensitive indicators, RN Satisfaction, Employee Engagement, Culture of Safety, and Patient Experience data. The RN also works 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 RN 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, requiring consultation with more experienced clinicians and accepting feedback as a constructive professional development tool.

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
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 for 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

Nice To Haves

Responsibilities

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
Focuses primarily on developing knowledge and skills and showing growth in ability to care for increasingly complex patients (for new graduate clinical RNs)
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 (for new graduate clinical RNs)
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: 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