RN, Advanced Care-EMERGENCY SERVICES-1p-1a-Orlando Health Watson Clinic Lakeland Highlands Hospital-Lakeland, FL

Orlando Health•Lakeland, FL

3h•Onsite

About The Position

The RN, Advanced Care 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 condition. These areas have lower caregiver-to-patient ratios and require highly trained team members with advanced skills. The position is full time, 36 hours, working a mid-shift from 12:45 p.m. to 1:15 a.m. Previous emergency department experience is required. The role includes advanced assessment, complex therapies, high-intensity interventions, continuous nursing vigilance, patient and family advocacy, care planning, documentation, and collaboration with physicians and the interdisciplinary team. Nurses may also serve as preceptors, charge nurses, unit educators, or nurse clinicians. For trained Advanced Care Registered Nurses functioning as ECMO specialists, responsibilities include staffing extracorporeal life support services, operating and monitoring ECMO equipment, supporting perfusion and hemodynamic stability, managing emergencies and transport, and collaborating with physicians, perfusionists, and bedside staff. ECMO specialists work in the Cardiac Intensive Care Unit and provide continuous ECLS coverage.

Requirements

Graduate of an approved school of nursing.
One year of experience required unless an exception is approved by an AVP-level leader or above.
Previous emergency department experience is required.
Maintain a current State of Florida RN license or valid eNLC multistate RN license.
Maintain current BLS/Healthcare Provider certification.
Meet all mandatory, developmental, and performance competency requirements for Orlando Health and the unit or department.
ACLS, NRP, PALS, and TNCC are required for certain areas; NRP is required for the Neonatal Intensive Care Unit.

Responsibilities

Provide complex assessment and therapies, high-intensity interventions, and continuous nursing vigilance for patients requiring advanced care.
Use patient information and assessment data to anticipate changes and respond to rapidly changing 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 intracranial, central venous, pulmonary artery, and cardiac monitoring data, as well as respirators, ventilators, and oxygen pumps.
Respond to life-saving situations according to nursing standards and protocol.
Observe and assess patients, identify serious situations, and notify a physician or take preplanned emergency measures when a physician is unavailable.
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 and delegate appropriately for a defined group of patients.
Document patient assessments, education, medication administration, treatments, and safety in accordance with required and regulatory standards.
Use patient care and unit equipment competently and prioritize care according to evidence-based standards.
Delegate tasks according to patient needs and team members’ capabilities and qualifications.
Communicate relevant patient-condition and unit information to healthcare team members.
Recognize and resolve problems effectively, and demonstrate awareness of legal issues and patient rights.
Work with education staff and nursing leadership 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 daily staffing for extracorporeal life support services under the direction of unit leadership, intensivist services, and perfusion services, in collaboration with bedside staff.
For trained ECMO specialists, support adequate perfusion, acid-base balance, and hemodynamic stability within ordered parameters.
For trained ECMO specialists, perform scheduled, unscheduled, and emergency ECLS in the hospital setting.
For trained ECMO specialists, operate ECMO equipment under the direction of physician and perfusion providers, and monitor and optimize the ECMO circuit and related equipment.
For trained ECMO specialists, administer ordered blood products and medications through the ECMO circuit and manage equipment connected in-line with the circuit.
For trained ECMO specialists, manage ECLS during transport, ensure continuous ECLS coverage, attend mandatory quarterly simulations, and anticipate and manage crises and emergencies according to policy and procedure.
Contribute to others’ knowledge and skills and to continuous improvement in healthcare quality and organizational outcomes.
Participate in, and potentially lead, nursing practice and performance-improvement committees; participate in peer review, mentoring, and coaching.
Use supplies efficiently and maintain a clean, safe, organized work area.
Attend staff-development sessions, department meetings, and/or nursing committee meetings; identify development needs with nursing leadership and pursue continuing education.
For trained ECMO specialists, maintain ECMO/perfusion equipment and supplies and provide relevant information to supervisors or directors in coordination with biomedical services 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.