RN, Advanced Care-Orlando Health North Lakeland Freestanding ED-First Shift- Lakeland, FL

Orlando Health•Lakeland, FL

2d•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 that routinely require timely, intense, and complex care to stabilize and support their medical conditions. These areas require a lower caregiver-to-patient ratio and highly trained team members with advanced skills. The position is based at 963 Lakeland Park Center Dr, Lakeland, Florida, and is listed for the first shift, 7 a.m. to 7 p.m. The employer notes that at least one year of ED, freestanding ED, or urgent care experience is highly preferred. The posting also describes additional responsibilities for trained Advanced Care Registered Nurses who serve as ECMO Specialists. These nurses provide ECLS staffing and work under unit leadership, intensivist services, and perfusion services in collaboration with bedside staff. They manage ECMO-related care and equipment, monitor the circuit, support patient stability, and perform scheduled, unscheduled, and emergency ECLS activities, including during transport. Orlando Health describes day-one benefits and support including paid parental leave, education and tuition programs, childcare and elder care, fertility and adoption benefits, certification support, and nursing career development resources.

Requirements

Graduate of an approved school of nursing.
At least one year of experience is required unless an exception is approved by an AVP-level leader or above.
Maintain a current Florida RN license or a 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, or TNCC certification is required in certain areas; NRP is required for the Neonatal Intensive Care Unit.
Demonstrate the nursing knowledge, skills, and judgment required to care for patients needing complex assessments, therapies, and high-intensity interventions.

Nice To Haves

At least one year of emergency department, freestanding emergency department, or urgent care experience is highly preferred.

Responsibilities

Provide complex nursing assessment, therapies, and high-intensity interventions while maintaining continuous vigilance for patients’ changing conditions.
Use assessment information to anticipate patient needs and respond to rapidly changing conditions with evidence-based, patient-focused action.
Monitor and adjust specialized patient-care equipment and interpret and record electronic displays, including pressures and cardiac rhythms.
Respond to life-saving situations according to nursing standards and protocols.
Observe and assess patients, recognize serious situations, and contact a physician or take preplanned emergency measures when needed.
Assess patient needs, develop or revise individualized plans of care, and evaluate progress toward expected outcomes.
Advocate for patients and families and provide compassionate, therapeutic care that respects diversity.
Provide age-appropriate care and apply knowledge of growth and development across the lifespan.
Coordinate care and delegate appropriately to other team members for an assigned group of patients.
Document assessments, education, medication administration, treatments, and patient safety in accordance with regulatory standards.
Prioritize care using evidence-based standards, identify and resolve problems, and delegate tasks according to patient needs and team-member qualifications.
Communicate patient conditions and unit concerns and collaborate with medical staff and interdisciplinary teams to plan and manage care.
Serve as a preceptor, charge nurse, unit educator, and/or nurse clinician, and support new team members and students in collaboration with nursing leadership and education staff.
Model professional practice and support hospital and nursing department goals and strategies.
Maintain regular and punctual attendance and comply with Orlando Health policies and procedures.
For trained ECMO Specialists: provide staffing for extracorporeal life support services and collaborate with unit leadership, intensivists, perfusion services, bedside staff, physicians, and other healthcare team members.
For trained ECMO Specialists: perform scheduled, unscheduled, and emergency ECLS; 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, manage equipment connected in-line, and manage ECLS during transport while ensuring continuous coverage.
For trained ECMO Specialists: attend mandatory quarterly simulations and maintain ECMO/perfusion equipment and supplies, sharing relevant information with supervisors or directors and biomedical staff or vendors.
Contribute to professional knowledge, quality improvement, organizational outcomes, peer review, mentoring, and coaching; attend staff development and meetings; and assume responsibility for professional development and continuing education.
Use supplies efficiently and maintain a clean, safe, and organized work area.
Provide critical nursing resource support to the CVICU or other areas as directed when not providing ECLS services.
Perform other duties as assigned.