Registered Nurse, PRM/Dayshift (Cardiac Pre-Post)

Orlando Health•Orlando, FL

8d•Onsite

About The Position

The Registered Nurse administers patient care in a hospital or inpatient setting where patients have advanced illnesses or injuries requiring timely, intense, and complex care. The role calls for highly trained team members with advanced skills and a lower caregiver-to-patient ratio. The nurse assesses and responds to patient needs, provides evidence-based care, monitors specialized equipment, and collaborates with medical staff and interdisciplinary teams. For trained Advanced Care Registered Nurses serving as ECMO Specialists, the role also includes staffing extracorporeal life support services. ECMO Specialists work under unit leadership, intensivist services, and perfusion services to support adequate perfusion, acid-base balance, and hemodynamic stability for patients on ECMO. They operate and monitor ECMO equipment, manage treatment and emergencies, and coordinate care with physicians, perfusionists, and other healthcare team members.

Requirements

Graduate of an approved school of nursing.
Meet Orlando Health and unit/department mandatory, developmental, and performance competency requirements.
Maintain a current State of Florida RN license or valid eNLC multistate RN license.
Maintain current BLS/Healthcare Provider certification.
Have 1 year of experience.
ACLS, NRP, PALS, or TNCC certification is required for certain areas; NRP is required for the Neonatal Intensive Care Unit.

Responsibilities

Provide complex nursing assessment, therapies, high-intensity interventions, and continuous vigilance for patients.
Use information and assessment data to anticipate and respond to changing patient conditions.
Prioritize information and take immediate, decisive, evidence-based, patient-focused action.
Monitor and adjust specialized patient equipment and interpret and record electronic displays, including cardiac rhythms and pressure readings.
Respond to life-saving situations according to nursing standards and protocol.
Observe, monitor, and assess patients; recognize serious situations and notify a physician or take preplanned emergency measures.
Assess patient needs, develop or revise individualized plans of care, and evaluate progress toward expected outcomes.
Build respectful relationships with team members and customers, advocate for patients and families, and provide a compassionate, therapeutic environment.
Provide age-appropriate care and apply knowledge of growth and development across the life span.
Serve as a preceptor, charge nurse, unit educator, and/or nurse clinician.
Communicate and collaborate with medical staff and interdisciplinary teams to plan and manage unit or department care.
Coordinate care for a defined group of patients and delegate tasks in accordance with patient needs and team members’ qualifications and capabilities.
Document patient care—including assessments, education, medication administration, treatments, and safety—in compliance with regulatory standards.
Demonstrate competency in nursing skills and unit-specific patient-care equipment.
Prioritize care according to evidence-based standards and resolve problems effectively.
Communicate relevant patient-condition or unit information to healthcare team members.
Collaborate with education staff and nursing leaders to transition and support new team members and students.
Maintain regular, punctual attendance and comply with Orlando Health policies and procedures.
For trained ECMO Specialists, provide scheduled, unscheduled, and emergency ECLS services in the hospital and maintain continuous ECLS coverage.
Operate ECMO equipment under the direction of physicians and perfusion providers; monitor and optimize the ECMO circuit and related equipment.
Administer ordered blood products and medications through the ECMO circuit and manage equipment connected in-line with the circuit.
Manage ECLS during transport and attend mandatory quarterly simulations.
Contribute to colleagues’ knowledge and skills and to ongoing improvement in healthcare quality and organizational outcomes.
Participate in or lead nursing practice and performance improvement committees, and take part in peer review, mentoring, and coaching.
Use supplies efficiently and maintain a clean, safe, organized work area.
Attend staff development in-services, department meetings, and/or nursing committee meetings.
Partner with nursing leadership to identify professional development needs and take responsibility for continuing education.
Maintain ECMO/perfusion equipment and supplies and provide relevant information to the supervisor or director in conjunction with biomedical staff or vendors.
Provide critical nursing resource support to the CVICU or other areas as directed by leadership when not providing ECLS services.
Perform other duties as assigned.