Registered Nurse (RN) - Acute Care, Neurosurgical ICU, FT, Nights

Prisma Health•Richland, WA

1d•Onsite

About The Position

Provides clinical direction for all aspects of patient care in an acute inpatient setting, fostering patient- and family-centered care. Demonstrates clinical competency by using evidence-based practices and research throughout the nursing process, including assessment, planning, implementation, evaluation, and outcomes. Incorporates safety protocols, cost containment, quality improvement, patient and unit priorities, and organizational requirements into care. Complies with organizational policies and procedures, including requirements related to licensure, training, employee health screenings, time and attendance, dress code, confidentiality, infection control, and medication administration. Demonstrates knowledge of regulatory requirements and practices within the scope of the South Carolina Nurse Practice Act. This position is in Prisma Health Richland Hospital's 16-bed Neurosurgical Intensive Care Unit, which cares for critically ill patients with nervous system injuries or diseases. Common diagnoses include patients recovering from craniotomies or tumor resections, interventional radiology procedures, ischemic or hemorrhagic stroke (including SAH), TPA administration, brain tumors, and AVMs. The nurse-to-patient ratio is 1:2. Nurses work with a multidisciplinary team and receive continued education focused on neuroscience patients. They assist practitioners and monitor patients during bedside procedures, including IVD placement, CVC insertion, and intubations. The RN assesses patients, develops and updates individualized care plans with patients, families, providers, and interdisciplinary team members, provides direct care, delegates tasks appropriately, monitors care quality and patient safety, evaluates outcomes, and revises plans as needed. The RN supports patient and family education, discharge planning, continuity of care, and communication across the healthcare team. The role also includes maintaining professional competency and licensure, completing required education and performance-improvement activities, and serving as a patient advocate and care coordinator. The acute inpatient setting may require scheduled weekend, holiday, and on-call work.

Requirements

Associate degree in Nursing; a nursing diploma with RN licensure is accepted in lieu of an associate degree.
One year of experience as a registered nurse, or an accepted equivalent: successful completion of Prisma Health's Nurse Residency Program or a comparable residency, or one year of LPN experience for internal candidates within the same service line.
Current RN compact/multistate license recognized by the NCSBN Compact State, or a license to practice as an RN in the state where the team member works.

Nice To Haves

Bachelor's degree in Nursing preferred.

Responsibilities

Collect patient data, complete nursing assessments and documentation, recognize changes in patient status, and establish nursing priorities.
Develop individualized plans of care in collaboration with patients or families, providers, and the interdisciplinary healthcare team; update plans as patient conditions change.
Identify measurable patient goals and outcomes, validate them with patients or families, and plan for discharge and continuity of care.
Provide direct nursing care consistent with the established plan and perform tasks within organizational policies and the RN scope of practice.
Delegate appropriate nursing tasks to healthcare team members and ensure assigned tasks are completed.
Monitor the quality of care and provide appropriate surveillance of assigned patients.
Coordinate care according to patient and unit priorities, use available resources and technology, and incorporate cost-containment principles.
Maintain patient safety and a safe care environment by following safety procedures, protocols, and patient-care standards.
Collect and monitor performance-indicator data, complete assigned audits, and incorporate quality-improvement recommendations into care.
Evaluate patient responses and progress toward outcomes, document findings, revise care plans as needed, and report changes or unresolved problems to appropriate team members.
Assess patient and family learning needs, provide and evaluate education, encourage participation, and communicate education needs to others in the healthcare continuum.
Maintain competency through education and professional activities, maintain professional licensure, and complete mandatory education on time.
Communicate pertinent information in written documentation and verbally, including shift-to-shift reporting.
Advocate for patients and coordinate care collaboratively with providers and other healthcare team members.
Perform other duties as assigned.