RN, Advanced Care-EMERGENCY SERVICES-Part Time NIGHTS-Orlando Health Watson Clinic Lakeland Highlands Hospital-Lakeland, FL

Orlando Health•Lakeland, FL

2d•Onsite

About The Position

The RN, Advanced Care administers patient care in a hospital or inpatient setting for patients with advanced illnesses or injuries who routinely require timely, intense, and complex care to stabilize and support their medical condition. These care areas require lower caregiver-to-patient ratios and highly trained team members with advanced skills. This position is part-time nights, 24 hours per week, and requires emergency department experience. The role involves assessing and responding to changing patient conditions, delivering evidence-based care, coordinating with the interdisciplinary team, and supporting patients and families. Nurses may serve as preceptors, charge nurses, unit educators, or nurse clinicians. For nurses specifically trained as ECMO specialists, duties include providing ECLS services, operating and monitoring ECMO equipment, and supporting patient perfusion, acid-base balance, and hemodynamic stability under the direction of clinical leadership and providers. The position is with Orlando Health Watson Clinic Lakeland Highlands Hospital, a new multi-specialty hospital in Lakeland, Florida. Benefits begin on day one and include education, well-being, and family support programs.

Requirements

Graduate of an approved school of nursing.
One year of experience required unless approved by an AVP-level leader or above.
Emergency department experience required.
Maintain a current State of 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.
ACLS, NRP, PALS, and TNCC are required for certain areas; NRP is required for the NICU.

Responsibilities

Provide complex patient assessment and therapies, high-intensity interventions, and continuous nursing vigilance.
Use information and assessment data to anticipate and respond to rapidly changing patient 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 pressure readings and cardiac rhythms.
Respond to life-saving situations according to nursing standards and protocols.
Observe, monitor, and assess patients; recognize serious situations and contact 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, respect diversity, and advocate for patients and families.
Provide age-appropriate care and apply knowledge of growth and development across the lifespan.
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.
Coordinate care and delegate appropriately for a defined group of patients.
Document assessments, education, medication administration, treatments, and patient safety in accordance with required and regulatory standards.
Prioritize care using evidence-based standards, identify and resolve problems, and delegate duties according to patient needs and team-member qualifications.
Communicate relevant patient-condition and unit information to healthcare team members.
Provide a compassionate and therapeutic environment, and demonstrate awareness of legal issues and patients’ rights.
Collaborate with education and nursing leadership to transition and support new team members and students.
Maintain punctual attendance and comply with Orlando Health policies and procedures.
For trained ECMO specialists: provide staffing for ECLS services and collaborate with unit leadership, intensivists, perfusion services, bedside staff, and other healthcare team members.
For trained ECMO specialists: perform scheduled, unscheduled, and emergency ECLS; operate ECMO equipment under the direction of physicians 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, manage equipment connected in-line with the circuit, and manage ECLS during transport.
For trained ECMO specialists: ensure continuous ECLS coverage, attend mandatory quarterly simulations, and perform technical skills safely and efficiently while anticipating and managing emergencies.
Participate in or lead nursing practice and performance-improvement committees, peer review, mentoring, and coaching.
Use supplies efficiently and maintain a clean, safe, organized work area.
Attend staff development, department meetings, and/or nursing committee meetings; identify professional development needs with nursing leadership and maintain continuing education.
Maintain ECMO/perfusion equipment and supplies and provide pertinent information to a supervisor or director in coordination with biomedical staff or vendors.
Provide critical nursing resource support to the CVICU or other areas as directed when not providing ECLS services.
Perform other duties as assigned.