Registered Nurse RN Surgical ICU Step Down

Banner Health•Sun City, AZ

1d•Onsite

About The Position

This position assesses, plans, implements, evaluates and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. This position isUtilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of assigned patients. The Registered Nurse RN Surgical ICU Step Down will be part of the exceptional Banner Boswell team which has been rated as one of the top 50 cardiovascular hospitals in the country! Your primary focus will be to provide care for cardiovascular and cardiothoracic surgical patients. Patients include CABG, AVR, MVR, TAVR, Mitraclip, Esophagectomy, Thoracotomy, CEA, AAA, post cardiac cath and MI to name a few. General PCU patients may also be part of the patient population. Patient ratios on this unit are typically 4:1. On our Cardio Thoracic Surgical Stepdown unit, you will work within a fun environment with a close knit, strong cohesive team who work closely together to impact their own environment. There is a teamwork mindset, and we have a beautiful state of the art unit! We have a team that feels like family, achieved through our shared leadership model, and our nurses choose this highly sought after unit because of the people and leadership. There is a strong ‘One Team’ culture that is held to a high expectation. This unit is ideal for those passionate about caring for higher acuity patients and is also a great way to transition to ICU. Banner Boswell Medical Center has provided exceptional health care to the communities in the northwest area of metro-Phoenix for over five decades. Today, our 410-bed acute-care hospital is nationally recognized by U.S. News and World Report as one of Arizona’s Best Hospitals. Banner Boswell offers a full range of acute care services, including cardiology, vascular, thoracic, oncology, orthopedics, neurology, general surgery, robotic surgery, rehabilitation, emergency, stroke, intensive care, pulmonary, urology, and inpatient wound management. We've earned the Society of Thoracic Surgeons highest quality award for CABG & aortic valve replacement and the Joint Commission’s Advanced Certification as a Primary Stroke Center.

Requirements

Must possess a current, valid RN license in state of practice, temporary/interim RN license in state of practice, or compact RN licensure for current state of practice.
BLS certification is required.
Additional certification or continuing education may be required based on area of practice.
Relates throughout the interview process the experience, training and education needed to perform the job.
Experience in the clinical area for which he or she is applying is desired.
Must maintain clinical performance competencies appropriate to the area in which they work as demonstrated through annual validations.
Banner Registry and Travel acute care positions require a minimum of one year experience in an acute care hospital setting.
Experience must include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area.
Banner Registry and Travel physician practice positions require a minimum of one year experience as a Registered Nurse in a physician practice or an acute care setting.
Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, Banner Home Care/Hospice or Boswell Skilled Nursing Facility must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.
Employees working at Banner MD Anderson on the Banner University Medical Center Phoenix campus must possess a State of Arizona Department of Public Safety Level One Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. This is a requirement of the Whole Family Counseling Program held at this specific facility.
Employees working in the Banner McKee Senior Behavioral Health Inpatient Unit must possess an Colorado Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.

Nice To Haves

The Cardiothoracic Surgical Step-Down Unit at Banner Boswell Medical Center is currently seeking experienced nurses, but at this time will also consider those with Telemetry, ICU, or any other surgical acute care or critical care background.
Candidates with in-patient/acute hospital experience and/or surgical patients are preferred.
Bachelor's degree preferred.
Professional certification preferred.
Additional related education and/or experience preferred.

Responsibilities

Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs. Reviews patient history and physical with patient/family and assures completion within appropriate timeframe. Reviews available information obtained by other health care team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessments according to patient need and as outlined in policy.
Formulates a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input. Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care. Goals for patient are realistic, measurable and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient in the plan of are. Plans care in collaboration with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient’s status.
Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately, and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided.
Evaluates the patient's and family's response to care and teaching, and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient's response and the effectiveness of patient teaching.
Documents assessment, planning, implementation and evaluation in the patient record. Documentation is legible, timely and in accordance with policy. Documentation reflects objective/subjective data, nursing interventions and patient's response to treatment. Notes physician orders accurately and in a timely manner.
Provides care based on the best evidence available and may participate in research activities within clinical practice. Participates in unit or facility shared leadership. Interacts and participates in the education, role development, and orientation of facility personnel, patients, students, families and visitors. Promotes/supports growth of others through precepting and mentoring when appropriate.
Contributes to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care. Actively participates in the improvement of national nursing quality indicators and outcomes. Such activities may include participating in professional organizations.
In some roles, this position may supervise staff and work flow of the department.
Interacts with all levels of staff in a variety of departments, physicians, patients, families and external contacts, such as employees of other health care institutions, community providers and agencies, concerning the health care of the patient. Interacts with other health care providers in numerous settings in order to report and ask for or clarify information. Also works with clergy to provide spiritual support. Synthesizes and prioritizes data from multiple sources to provide support for the human response of the patient and family to changes in health status.