RN/Advanced Skills

Kindred Healthcare•Perris, CA

5d•$55 - $70

About The Position

Kindred Hospital Riverside is a 40-bed long-term acute care hospital located in Perris, California. The RN/Advanced Skills role provides quality nursing care to critically ill patients through assessment, planning, intervention, and evaluation. The nurse advocates for patients, develops and coordinates nursing care plans with patients, families, and the interdisciplinary team, supervises care provided by other caregivers, applies critical thinking to promote positive clinical outcomes, provides patient education, and participates in discharge planning. The role includes comprehensive clinical responsibilities in critical care, including responding to changes in patient condition and emergencies, administering medications, managing a range of tubes and devices, monitoring cardiac rhythms and hemodynamic systems, and assisting physicians with tests and procedures. The nurse maintains accurate electronic medical records, communicates pertinent patient information, supports a clean and safe care environment, and contributes to staff orientation and evaluation. The position requires an accredited nursing program, current nursing licensure, BCLS and ACLS certifications, and at least one year of critical care training and experience. The stated pay range is $54.81–$69.52 per hour.

Requirements

Graduate from an accredited Registered Nursing program.
Registered Nurse state licensure and/or compact state licensure required upon hire.
Basic Life Support (BCLS) certification required.
Advanced Cardiac Life Support (ACLS) certification required.
Minimum of one year of training and experience in Critical Care.
Fluent in English, with effective written and verbal communication skills.
Excellent oral, written, and interpersonal communication skills.
Knowledge of medications and correct administration based on patient age and clinical condition.
Basic computer knowledge.
Ability to organize tasks, develop action plans, set priorities, and function under stressful situations.
Ability to maintain good working relationships with coworkers.
Good and regular attendance.

Responsibilities

Maintain nursing care standards and implement hospital and nursing department policies and procedures.
Assess patients on admission and make referrals to other disciplines as indicated.
Develop and update nursing care plans in coordination with patients, families, and the interdisciplinary team.
Manage restraints and ensure proper patient positioning and alignment.
Document assessments, reassessments, care plans, and other relevant information in the electronic medical record.
Use biomedical equipment safely, including defibrillators, suction machines, IV and feeding pumps, PCA pumps, and blood glucose monitoring machines.
Deliver safe and effective patient care, complete assignments on time, and work effectively with the care team.
Obtain informed consents for procedures and blood transfusions.
Receive and accurately transcribe and enter physician orders, and ensure they are carried out.
Recognize and respond to changes in patient condition, initiate emergency actions, notify physicians, and obtain orders as needed.
Report and accurately document pertinent patient observations and reactions.
Administer medications according to ICU policies and procedures and the seven rights of medication administration.
Recognize cardiac arrhythmias and institute the appropriate arrhythmia protocol.
Direct, supervise, and evaluate nursing care provided to patients.
Assist physicians with tests and procedures, including thoracentesis, paracentesis, arterial line placement, and bronchoscopy.
Use supplies economically and maintain equipment in a clean and safe manner.
Participate in orientation of new personnel and performance evaluations of nursing staff.
Assist team members with patient care and provide direct care when professional nursing skills and judgment are required.
Coordinate patient nursing care with therapy and procedures performed by other departments.
Assist with or institute emergency measures for adverse developments such as cardiac arrest, respiratory arrest, or sepsis.
Maintain a clean and safe environment and apply appropriate therapeutic interventions addressing emotional and rehabilitative needs.
Use current ACLS certification and protocols to assess patients, provide lifesaving first aid, and refer patients to appropriate organizations when needed.
Manage tubes and devices, including catheters, feeding tubes, chest tubes, drains, T-tubes, wound drains, ostomies, and continuous bladder irrigation.
Set up and monitor hemodynamic systems, including Swan-Ganz and arterial catheters and cardiac output monitoring.
Recognize critical laboratory values and normal ranges and report and document findings appropriately.
Verify telemetry lead placement, validate telemetry strips every four hours and as needed, and document appropriately.
Assess and meet patient and family education needs.
Provide complete handoff reports to the oncoming RN and ensure documentation, physician orders, and patient rooms are in order.
Communicate pertinent information to nurses, physicians, and patients as needed.
Follow dress, identification, confidentiality, health, safety, security, hazardous materials, ethical business practices, and organizational policy requirements.
Complete annual health, safety, and education requirements; maintain professional development and current licensure or certification.
Attend mandatory in-services and staff meetings and represent the organization professionally.
Demonstrate guest relations skills and communicate the hospital's mission, ethics, goals, and departmental focus.
Perform other related duties as assigned.