Temporary Registered Nurse, ICU

Heywood Hospital•Gardner, MA

2d•$40 - $79

About The Position

The Registered Nurse works under the supervision of the Nurse Manager or designee as a professional participant in the health care team. The RN provides direct and indirect care to patients, families, and significant others using the nursing process and in accordance with the philosophy, goals, and objectives of Nursing Services. This is a temporary ICU position scheduled for 24 hours per week: two 12-hour night shifts from 7:00 p.m. to 7:30 a.m., Sunday through Saturday, with every third weekend and holiday required. The stated pay range is $39.58–$78.93. Final compensation depends on factors including relevant experience, skills, qualifications, and internal equity. The role involves comprehensive assessment, planning, implementation, and evaluation of patient care, including specialized critical-care responsibilities such as cardiac rhythm and EKG interpretation, ventilation and airway care, hemodynamic monitoring, vasoactive medication administration, and post-operative monitoring.

Requirements

Graduate of an accredited school of nursing.
Complete the MOAB class within 60 days of hire.
Current Massachusetts Registered Nurse license.
Hold ACLS upon hire, or hold an active BLS card and obtain AHA ACLS within 60 days of hire.

Nice To Haves

One year of medical-surgical experience preferred.
Previous telemetry experience preferred.
ICU experience preferred.
CCRN preferred.

Responsibilities

Assess and reassess patients, plan and implement nursing interventions and plans of care, and evaluate patient goals.
Provide patient care according to standards of care and practice, protocols, and established policies and procedures.
Respect each patient as an individual and provide care that supports dignity and positive self-regard.
Teach patients and families based on learning needs, readiness, and barriers to learning.
Collaboratively plan and prepare patients and families for discharge, incorporating support systems and resources as necessary.
Delegate and supervise nursing interventions performed by others appropriately.
Prioritize patient care, seek assistance from appropriate resources, reassign personnel when necessary, and recognize the need for emergency intervention.
Document pertinent data, therapeutic interventions, and patient responses thoroughly, accurately, and on time.
Provide timely, thorough reports on assigned patients to other health care team members to support coordinated services and continuity of care.
Promote learning for colleagues and self, including serving as a preceptor, instructor, or trainer and attending professional development programs.
Identify risks to patient safety and opportunities to reduce medical and health care errors, including reporting errors and incidents appropriately.
Identify ethical issues in care and develop plans to address them.
Safely administer medications and intravenous therapy in accordance with physician orders, protocols, policies, and procedures.
Assess pain on admission and as necessary using the numerical pain scale; reassess pain control, notify physicians as needed, and document assessments and responses to medication.
Accurately and promptly identify cardiac arrhythmias and interpret EKG configuration changes, including PR interval and ST segment changes.
Institute, monitor, and document thrombolytic and anticoagulation therapy according to standards and protocols.
Apply knowledge of mechanical ventilation modes, settings, and adjuncts.
Initiate, maintain, and care for intubated patients, including suctioning, troubleshooting, and weaning.
Interpret arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange or airway clearance.
Understand hemodynamic monitoring procedures, set up equipment, and assist with arterial artery and central vein cannulation.
Safely administer vasoactive medications, demonstrating understanding of dosage, action, use, side effects, and titration parameters for critical drips.
Assess and monitor patients in the immediate post-operative phase according to established standards and protocols.
Provide appropriate interventions for potential problems or complications during recovery from general, regional, spinal, or conscious sedation.
Obtain supporting information and complete required medication reconciliation documentation for use by the Attending MD.
Implement components of the VAP bundle consistently and according to protocol, and alert the Nurse Manager, Director, or Nursing Supervisor to deviations by the Attending MD for case review and follow-up as indicated.
Participate actively in daily multidisciplinary rounds to plan, coordinate, implement, and evaluate patient care.
Perform other job-related duties as requested.