RN, Jewish Hospital, CVICU, 7p-7a

UofL Health•Louisville, KY

1d•Onsite

About The Position

The Registered Nurse (Hospital-Based) is a competent registered nurse that will deliver nursing care to patients of varying age groups by utilizing the nursing process and nursing practice standards. The Registered Nurse (Hospital-Based) uses: • Nursing Practice Competencies to intervene to achieve safe, optimal patient and family centered care health outcomes; • Leadership Competencies to coordinate patient care and communicate with the care team; • Professional Profile Competencies to develop professionally as a life-long learner, and • Practice Outcomes Competencies to evaluate care based on evidence, the UofL Health quality model, and patient safety goals. The Registered Nurse (Hospital-Based) demonstrates competency caring for complex patients and participates on the care team to improve the quality of care in the clinical area. About the unit CVIC/OHRR is a 17-bed Open Heart Recovery & Cardiothoracic ICU that serves patients who undergo such cardiac, vascular, and thoracic surgical procedures as CABG, valve replacement/repair, heart transplantation, and lung transplantation. Patients include those who require re-do sternotomy, as well as mini-sternotomy, aortic aneurysm repair, and CABG/valve combination procedures. Nurses care for patients who require a variety of mechanical circulatory support devices, as well as ECMO. About Jewish Hospital Jewish Hospital, part of UofL Health, is an internationally renowned, high-tech tertiary referral center, developing leading-edge advancements in hand and microsurgery, heart and lung care, orthopedics and sports medicine, neuroscience, organ transplantation and outpatient care. The hospital is the site of the world’s first successful hand transplant and AbioCor® implantable replacement heart procedures, in addition to the first trial of adult cardiac stem cells in chronic heart failure. Jewish Hospital continues to be recognized for its specialized heart care procedures, including the implantation of ventricular assist devices (VAD), and transcatheter aortic valve replacement. The UofL Health – Trager Transplant Center is in a select group of hospitals nationwide that perform heart, lung, liver, kidney, pancreas and hand transplantation. The center also includes a Pancreas Disease Center, a GI Motility Clinic, and Advanced Heart Failure and VAD programs. Under the supervision of a clinical nurse manager, this position will provide nursing care to patients, and:

Responsibilities

Conducts systematic, continuous and comprehensive assessments of patient health status from admission or encounter to discharge across the care continuum to ensure patient safety, collaborating with the healthcare team, patient and family; care addresses all aspects of the individual and family, including age, gender, spiritual, cultural, physical, psychosocial and patient preferences and proactively uses safety surveillance to prevent adverse outcomes
Independently administers medications per licensure authority, assesses and reassesses the effects of these medications, and documents administration in a timely manner per policies, procedures and regulatory requirements; consistently adheres to patient safety guidelines regarding all aspects of medication administration
In collaboration with patient and family, plans care using current scientific knowledge, theory, and care standards within the nursing interventions and outcomes framework and national patient safety goals; constructs individualized, age-specific plans for optimal patient and family outcomes, as appropriate to the practice setting; incorporates data from the multi-disciplinary care team into the plan of care to assure continuity and appropriate patient teaching
In collaboration with patient and family, identifies and prioritizes patient problems based on subjective and objective assessment data, patient safety considerations, patient and family goals and preferences, and nursing interventions and the medical plan of care
Implements nursing care interventions to meet patient and family center health care needs. Demonstrates competent skills, appropriate clinical judgments and chain of command to promote patient safety and reach planned care goals and outcomes
Competently and consistently assesses, conducts and evaluates the outcomes of patient and family teaching, from admission, or episode of care, to discharge, teaching reflects sensitivity to age, learning needs and cultural background
Evaluates care by performing regular and systematic reviews of patient /family responses to interventions; revises the multi-disciplinary plan of care in collaboration with other care Team members to promote desired outcomes; recognizes care variances and takes steps to prevent or intervene with potential or real adverse events to promote safe care
Serves as an advocate for the patient and family, demonstrates respect for their rights, responsibilities, and sensitivity to their preferences; prepares the patient and family for discharge; obtains feedback to promote positive patient satisfaction outcomes
Works collaboratively, with appropriate monitoring and delegation, with unlicensed assistive healthcare providers, per regulatory and legal requirements, assuring safe patient care delivery
Demonstrates professional conduct and appearance and is accountable for actions and outcomes
Orients new members of the healthcare team as well as supervises students in the performance of assigned duties
May act in the role of relief charge nurse when the unit need arises
Maintains professional competency through continuing education, ongoing competency demonstration, licensure and professional activities; demonstrates valuing life-long learning
Participates in evidence-based practice activities, such as journal clubs, and discusses outcomes of care with colleagues, demonstrating knowledge of care indicators; takes steps to improve care delivery by self and team and remains up-to-date with compliance, regulatory and accreditation standards
Actively participates as a collaborative member of the healthcare team by communicating constructively using core behavioral standards. Identifies clinical and interdepartmental problems, resolving conflicts appropriately on behalf of the care team and patients; demonstrates ability to give and receive peer review and feedback, incorporating this into his or her practice
Performs duties in a cost-effective manner, striving to avoid wasting hospital resources without jeopardizing quality of care and service
Maintains compliance with all company policies, procedures and standards of conduct
Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
Performs other duties as assigned