RN, Advanced Care-ENDOSCOPY, First Shift-Orlando Health Watson Clinic Lakeland Highlands Hospital-Lakeland, FL

Orlando Health•Lakeland, FL

2h•Onsite

About The Position

The Advanced Care Registered Nurse administers patient care in a hospital or inpatient setting for patients with advanced illnesses or injuries requiring timely, intense, and complex care to stabilize and support their medical conditions. These areas have lower caregiver-to-patient ratios and require highly trained team members with advanced skills. The position is on the first shift at Orlando Health Watson Clinic Lakeland Highlands Hospital in Lakeland, Florida. Endoscopy experience of at least one year is highly preferred. The hospital is part of the Orlando Health System of Care and is being developed through a partnership between Orlando Health and Watson Clinic. It is a state-of-the-art, seven-story, multi-specialty hospital planned to include more than 300 inpatient beds, 69 emergency and observation beds, 11 operating rooms, four cardiac interventional suites, labor and delivery services, a neonatal intensive care unit, and cardiovascular, neurology, oncology, and advanced surgical services. Orlando Health describes benefits that begin on day one, including paid parental leave, education and tuition support, childcare and elder-care assistance, fertility and adoption benefits, nursing licensure and certification support, and professional development resources.

Requirements

Graduate of an approved school of nursing.
One year of experience is required unless approved by an AVP-level leader or above.
Maintain a current Florida RN license or valid eNLC multistate RN license.
Maintain current BLS/Healthcare Provider certification.
Meet Orlando Health and unit/department mandatory, developmental, and performance competency requirements.
Endoscopy experience of at least one year is highly preferred.
ACLS, NRP, PALS, and TNCC are required for certain areas; NRP is required for the NICU.

Nice To Haves

At least one year of endoscopy experience is highly preferred.

Responsibilities

Provide complex nursing assessment and therapies, high-intensity interventions, and continuous nursing vigilance.
Use information and assessment data to anticipate and respond to changes in patient conditions.
Prioritize information and take timely, decisive, evidence-based, patient-focused action.
Monitor and adjust specialized patient equipment and interpret and record electronic displays, including pressures, cardiac rhythms, and respiratory equipment displays.
Respond to life-saving situations according to nursing standards and protocols.
Observe, monitor, and assess patients; recognize and interpret serious situations; and contact a physician or take preplanned emergency measures when a physician is not immediately available.
Assess patient needs, develop or revise individualized plans of care, and evaluate progress toward expected outcomes.
Build respectful relationships with team members and customers, respect diversity, and advocate for patients and families.
Provide age-appropriate care using advanced knowledge and skills relevant to the assigned unit or department.
Serve as a preceptor, charge nurse, unit educator, and/or nurse clinician.
Collaborate with medical staff and interdisciplinary teams to plan and manage unit or department care.
Model professional practice and support hospital and nursing department goals and strategies.
Apply knowledge of growth and development across the lifespan and interpret information according to patients’ age-specific needs.
Coordinate care and delegate appropriately for an assigned group of patients.
Document patient assessments, education, medication administration, treatments, and safety in accordance with required and regulatory standards.
Demonstrate competency in nursing skills and unit-specific patient-care equipment.
Prioritize care in accordance with evidence-based standards of care and use effective problem identification and resolution.
Delegate tasks according to patient needs and team members’ capabilities and qualifications.
Communicate relevant patient-condition and unit information to healthcare team members.
Provide a compassionate, therapeutic environment for patients and families and demonstrate awareness of legal issues and patients’ rights.
Collaborate with education staff and nursing leadership to transition and support new team members and students.
Maintain punctual attendance and comply with Orlando Health policies and procedures.
Contribute to others’ knowledge and skills and to continuous improvement of healthcare quality and organizational outcomes.
Participate in, and potentially lead, nursing practice and performance-improvement committees.
Participate in peer review, mentoring, and coaching related to professional practice or role performance.
Use supplies efficiently and maintain a clean, safe, organized work area.
Attend staff-development sessions, department meetings, and/or nursing committee meetings.
Work with nursing leadership to identify professional-development needs and take responsibility for personal development and continuing education.
Perform other duties as assigned.
For specially trained Advanced Care RNs working as ECMO specialists: provide staffing for extracorporeal life support services and work under unit leadership, intensivist services, and perfusion services in collaboration with bedside staff.
For ECMO specialists: support adequate perfusion, acid-base balance, and hemodynamic stability within ordered parameters; perform scheduled, unscheduled, and emergency ECLS; operate ECMO equipment under physician or perfusion-provider direction; monitor and optimize the ECMO circuit and related equipment; administer ordered blood products and medications through the circuit; manage equipment connected in-line with the circuit; support ECLS during transport; maintain continuous ECLS coverage; attend mandatory quarterly simulations; and maintain ECMO/perfusion equipment and supplies.
Provide critical nursing resource support to the CVICU or other areas as directed when not providing ECLS services.