Registered Nurse ICU FT Days

Kindred Healthcare•Westminster, CA

1d•$50 - $63•Onsite

About The Position

The Registered Nurse provides quality care to critically ill patients through assessment, planning, intervention, and evaluation, and serves as a patient advocate. The nurse supervises care provided by other caregivers, coordinates nursing plans with patients, families, and interdisciplinary staff, applies critical thinking to promote positive clinical outcomes, provides patient education, and participates in discharge planning. This position is in the 16-bed ICU at Kindred Hospital Westminster, a 109-bed long-term acute care hospital. The nurse maintains hospital and nursing department standards and policies; completes and documents admission assessments, reassessments, and care plans; administers medications; monitors and responds to changes in patients’ conditions; and coordinates care, procedures, and discharge planning. The role also includes supervising and supporting nursing staff, maintaining a safe environment, communicating with patients and care teams, and completing required training and professional development.

Requirements

Graduate from an accredited Registered Nursing program.
Registered Nurse state licensure and/or compact state licensure upon hire.
Facility-specified Basic Life Support (BCLS) certification required.
Facility-specified Advanced Cardiac Life Support (ACLS) certification required.
Minimum one year of training and experience in critical care.
Effective written and verbal communication in English; must read, write, and speak fluent English.
Excellent oral and written communication and interpersonal skills.
Knowledge of medications and their correct administration based on patient age and clinical condition.
Basic computer knowledge.
Ability to organize tasks, develop action plans, set priorities, and function under stressful situations.
Ability to maintain good working relationships with coworkers.
Good and regular attendance.

Responsibilities

Provide quality nursing care to critically ill patients through assessment, planning, intervention, and evaluation, while advocating for patients.
Maintain nursing care standards and follow hospital and nursing department policies and procedures.
Assess patients on admission and as required; refer patients to other disciplines based on assessment findings.
Develop and update nursing care plans in coordination with patients, families, and the interdisciplinary team.
Document assessments, reassessments, care plans, and other pertinent information in the electronic medical record.
Use biomedical equipment safely and correctly, including defibrillators, suction machines, IV and feeding pumps, PCA pumps, and blood glucose monitoring machines.
Obtain procedure and blood transfusion consents and ensure patients have information needed to make informed decisions.
Receive and accurately transcribe and enter physician orders, then ensure the orders are carried out.
Recognize and respond to changes in patients’ conditions, initiate emergency actions, notify physicians, obtain orders, and document and report pertinent observations.
Administer medications according to ICU policies and procedures, with knowledge of medication actions, side effects, dosages, and routes, and observe the seven rights of medication administration.
Recognize cardiac rhythms and initiate the appropriate arrhythmia protocol; validate telemetry strips every four hours and as needed, and document appropriately.
Direct, supervise, and evaluate nursing care provided to patients; assist team members and provide direct care when professional nursing judgment is needed.
Assist physicians with special tests and procedures, including thoracentesis, paracentesis, arterial line placement, and bronchoscopy.
Use supplies economically and keep equipment clean and safe; help maintain a clean and safe care environment.
Participate in the orientation of new personnel and performance evaluations of nursing staff.
Coordinate nursing care when patients are scheduled for therapies or procedures by other departments.
Assist with or initiate emergency measures for sudden adverse developments, including cardiac arrest, respiratory arrest, or sepsis.
Provide age-appropriate care and apply appropriate therapeutic interventions, including attention to emotional and rehabilitative needs.
Use current ACLS certification and protocols to assess patients, provide lifesaving first aid, and make appropriate referrals.
Manage tubes and devices, including Foley and straight catheters, feeding tubes, chest tubes, JP drains, Hemovacs, T-tubes, wound drains, ostomies, suprapubic catheters, and continuous bladder irrigation.
Set up and monitor hemodynamic systems, including Swan-Ganz catheters, arterial catheters, and cardiac output monitoring.
Recognize critical laboratory values and normal ranges, and report and document findings appropriately.
Assess and meet patient and family education needs.
Provide a complete report to the oncoming RN; ensure documentation is complete, physician orders are signed off, and patient rooms are in order.
Communicate pertinent information to nurses, physicians, patients, and others as needed.
Maintain confidentiality of patient and employee information and comply with ethical, safety, security, and hazardous-material policies.
Maintain current licensure and certification, complete annual health, safety, and education requirements, and attend mandatory in-services and staff meetings.
Maintain professional appearance and identification, regular attendance, professional growth, and positive, professional conduct.
Demonstrate guest-relations skills and communicate the hospital’s mission, ethics, goals, and department focus.
Perform other related duties as assigned.