Registered Nurse- ICU FT Nights

Kindred Healthcare•Greensboro, NC

13h

About The Position

The Registered Nurse provides quality care to critically ill patients using the nursing process of assessment, planning, intervention, and evaluation. The RN serves as a patient advocate, supervises care provided by other caregivers, develops individualized nursing care plans in coordination with patients, families, and the interdisciplinary team, applies critical thinking to promote positive clinical outcomes, provides patient education, and participates in discharge planning. The position is in the ICU at Kindred Hospital Greensboro, a 101-bed long-term acute care hospital with a six-bed ICU and seven negative-pressure rooms. The RN assesses and monitors patients, documents care in the electronic medical record, administers medications, responds to changes in condition and emergencies, coordinates care and procedures, and communicates with physicians, patients, families, and other staff. The role also includes supervising and supporting nursing staff, maintaining a safe environment, and complying with hospital policies and professional requirements.

Requirements

Graduate from an accredited Registered Nursing program.
Current Registered Nurse state licensure and/or compact state licensure upon hire.
Basic Life Support (BLS) certification, facility specified.
Advanced Cardiac Life Support (ACLS) certification, facility specified.
At least one year of training and experience in Critical Care.
Excellent oral and written communication and interpersonal skills.
Knowledge of medications and 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.
Fluent in written and spoken English.
Good and regular attendance.

Responsibilities

Maintain nursing care standards and implement hospital and nursing department policies and procedures.
Assess patients on admission and as required; make referrals to other disciplines based on assessment findings.
Develop and update nursing care plans in coordination with patients, families, and the interdisciplinary team.
Manage restraints and ensure patients are positioned and aligned appropriately.
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 monitors.
Deliver safe and effective care, completing assignments on time and using available time effectively while demonstrating initiative and teamwork.
Obtain consents for procedures and blood transfusions and ensure patients have information needed to make informed decisions.
Receive and accurately transcribe and enter physician orders, and ensure orders are carried out.
Recognize and respond to changes in patient condition, initiate emergency action, notify physicians, and obtain orders as needed.
Report and document pertinent patient observations and reactions to the appropriate personnel.
Administer medications according to ICU policies, demonstrating knowledge of medication actions, side effects, dosages, and routes, and following the seven rights of medication administration.
Recognize cardiac rhythms and institute applicable arrhythmia protocols.
Direct, supervise, and evaluate nursing care provided to patients.
Assist physicians with special tests and procedures, including thoracentesis, paracentesis, arterial line placement, and bronchoscopy.
Use supplies economically and maintain equipment in a clean and safe condition.
Participate in orientation of new personnel and performance evaluations of nursing staff.
Support team members and provide direct care when professional nursing skills and judgment are needed.
Coordinate patient nursing care when patients are scheduled for therapies or procedures by other departments.
Assist with or institute emergency measures for adverse developments such as cardiac arrest, respiratory arrest, or sepsis.
Maintain a clean and safe environment and apply appropriate therapeutic interventions addressing emotional and rehabilitative aspects of care.
Use current ACLS certification and protocols to assess patients, provide lifesaving first aid, and make appropriate referrals.
Manage tubes and devices, including catheters, feeding tubes, chest tubes, drains, ostomies, 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 their normal ranges, and report and document findings appropriately.
Verify telemetry lead placement, validate telemetry strips every four hours and as needed, and document appropriately.
Assess and address patient and family education needs.
Provide complete reports to oncoming RNs, ensure documentation and physician orders are complete, and ensure patient rooms are in order.
Communicate pertinent information to RNs, physicians, and patients as needed.
Meet appearance and identification requirements, complete annual health, safety, and education requirements, and maintain professional growth and development.
Protect the confidentiality of patient and employee information.
Provide age-appropriate care based on knowledge of growth and development across the lifespan.
Attend mandatory in-services and staff meetings and represent the organization professionally.
Comply with ethical business practices, organizational policies, hospital health and safety requirements, and departmental goals and mission.
Maintain required licensure and certification and demonstrate guest relations skills.
Perform other related duties as assigned.