RN Acute Care Unit

Cary Medical Center•Caribou, ME

6d•$35 - $51

About The Position

Cary Medical Center is hiring a Registered Nurse for its Acute Care Unit. The RN delivers quality nursing care in accordance with ANA Standards of Clinical Practice, the Maine Nurse Practice Act, and hospital policies. The role supports the organization’s mission and vision, provides care informed by patients’ age, culture, and learning needs, maintains organizational and unit requirements, and contributes to a collaborative environment focused on customer service. The RN assesses and monitors patients, interprets clinical and diagnostic information, develops and updates individualized care plans, administers medications and IV therapy, and responds to changes in patient condition. The position works collaboratively with patients, families, the multidisciplinary team, and other staff to support safe and effective care. The role is scheduled for 36 hours per week on days, 7 a.m.–7 p.m.; based on staffing needs, the RN may be asked to work nights, weekends, and holidays.

Requirements

Hold an active, valid Maine RN license.
Meet the unit’s annual competency training requirements.
Obtain BLS certification within six months and maintain it thereafter.
Complete the Basic Cardiac Course within one year of hire to the department.
After successfully completing the Basic Cardiac Course, obtain ACLS certification within six months and maintain it thereafter.
Demonstrate competence in nursing assessment, diagnosis, planning, implementation, and evaluation.
Exhibit leadership skills and teamwork.
Promote patient advocacy, support the learning needs of staff and students, and collaborate with other disciplines to support effective and efficient care and desired patient outcomes.

Responsibilities

Complete admission assessments and identify actual and potential health problems, including completing the admission assessment within 8 hours.
Complete timely nursing assessments of assigned patients, within one hour, to support patient safety and continuity of care.
Verify medication lists on admission and review allergies.
Continuously assess patients’ responses to illness and interventions, use critical thinking to solve problems, and document completely and accurately.
Use telemetry and camera systems effectively.
Interpret clinical and diagnostic data, recognize significant deviations from normal, and expedite appropriate interventions.
Take appropriate action in response to abnormal or significant assessment, laboratory, or diagnostic findings.
Prioritize patient needs and document care provided.
Initiate an individualized problem list within 24 hours of admission and revise it as patient needs and goals change.
Update the patient care plan, Braden assessment, and fall-risk flowsheet within one hour of the start of the shift.
Support multidisciplinary care planning and communicate with case managers and other disciplines about patient needs, problems, and responses to interventions; document interactions.
Provide care according to nursing standards and hospital policy, using critical thinking, nursing knowledge, and sound judgment.
Complete medically ordered interventions, clarify questionable orders promptly, collaborate with the charge RN or supervisor as needed, and routinely review and update Medact.
Participate in Interdisciplinary Team meetings.
Administer medications and IV therapy safely and accurately according to nursing standards, hospital policy, and applicable medication-safety practices; observe, report, and document patient responses and provide and document site care as required.
Recognize critical changes in patient condition and initiate appropriate interventions and supportive care while awaiting assistance or orders.
Demonstrate correct use of paging and fire alarm systems and function as an effective code-team member unless medically exempt.
Respect patient rights, privacy, and dignity, and ensure informed consent before procedures while evaluating patient understanding and concerns in light of age, culture, and life stage.
Use Docushare to access policies, procedures, physician privileges, and related information.
Comply with local, state, and federal laws and regulations.
Perform other work-related duties as assigned.