RN Registered Nurse - ICU - Full Time

Guthrie Enterprise•Cortland, NY

About The Position

The Registered Nurse delivers patient care through assessment, planning, implementation, and evaluation; directs and guides patient teaching and ancillary personnel; and maintains professional nursing standards. The nurse follows GCMC compliance policies and stays current with applicable federal, state, and GCMC regulations and policies. The role includes assessing and monitoring patients, administering medications and treatments safely, educating patients and families, planning for safe discharge, assisting providers, using equipment appropriately, documenting care, and supporting infection control and emergency preparedness. The nurse contributes to quality improvement and professional nursing activities, participates in clinical learning experiences, and helps ensure continuity of care through effective handoffs and interdisciplinary planning. Employees may be asked to perform duties outside the specific functions listed.

Requirements

Current New York State license to practice as a registered professional nurse.
Current BLS-CPR certification, or obtain it within the first 30 days of employment.
For the ICU specialty unit, obtain ACLS within 6 months of hire.
Demonstrate the core and unit-specific competencies required for the position.

Nice To Haves

At least 1 year of medical-surgical nursing experience is preferred for specialty units.

Responsibilities

Perform and document patient admission, skin-risk, pain, and other assessments accurately and within required timeframes.
Monitor patients according to their condition and department policy, document vital signs and systems, recognize and report changes, call the CAT team when criteria are met, and take steps to maintain patient safety.
Administer and document medications, IV fluids, and blood products safely in accordance with policy, including medication scanning, IV care, and appropriate handling of controlled substances.
Assess and address patient and family education needs, provide appropriate teaching materials, document education, and evaluate learner understanding.
Contribute to discharge planning from the day of admission, participate in interdisciplinary planning, complete pre-discharge checklists, and provide appropriate instructions and follow-up information.
Assist providers with procedures and treatments in accordance with unit and hospital policies; communicate critical values and telephone orders using read-back, and use SBAR to report changes in patient condition.
Use equipment safely and effectively, including IV pumps, alarms, and patient-lift equipment.
Perform nursing treatments and procedures competently, conduct and document hourly rounds using the 4 P's, and use room whiteboards to communicate with patients and families.
Participate in emergency-preparedness procedures, drills, and actual events.
Document patient care activities and responses accurately, completely, and in a timely manner.
Participate in professional nursing activities, quality improvement, customer satisfaction efforts, committees or teams, staff meetings, clinical updates, and mandatory in-services.
Follow infection-control requirements, including appropriate PPE, hand hygiene, and isolation procedures.
Use the nursing process to identify needs, develop and update individualized care plans, implement interventions, document interventions, and provide discharge instructions.
Support clinical learning experiences for orientees, nursing and ancillary staff, and students, including serving as a preceptor; participate in Nursing Grand Rounds at least quarterly.
Support continuity of care through safe patient handoffs, interdisciplinary planning, SBAR, and Ticket to Ride communication.
Perform other duties as assigned.