RN Cardiac Telemetry-Days

Trinity Health•Des Moines, IA

About The Position

Provides and directs safe, effective, culturally competent care for patients with acute medical and surgical conditions. Uses evidence-based practice and critical thinking to assess, plan, implement, and evaluate outcome-based care for a diverse patient population, including post-operative, medical, telemetry, and neurologic patients. Supervises and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members, and facilitates communication with physicians, patients and families, and interdisciplinary colleagues. Adheres to MercyOne performance expectations and upholds its Mission, Vision, and Values. The RN manages patient assessments and care plans, implements and evaluates interventions, coordinates discharge planning, and communicates relevant clinical information across the care team. For telemetry patients, the RN monitors and interprets cardiac rhythms, recognizes arrhythmias and changes in condition, and provides appropriate interventions. The role also includes age-appropriate care, safety and infection-control practices, accurate documentation, and compliance with applicable laws, policies, and procedures. This is a full-time, 12-hour day-shift position. A sign-on bonus of up to $20,000 and a relocation bonus are mentioned; the sign-on bonus varies by experience: $10,000 for 0–1 years, $15,000 for 1–3 years, and $20,000 for 3 or more years.

Requirements

Associate degree in nursing.
Current Iowa RN license; current Illinois license is required if working in Illinois.
American Heart Association Basic Life Support (BLS) certification.
American Heart Association Advanced Cardiac Life Support (ACLS) certification if the unit has telemetry monitoring capabilities.
Proof of completion of Mandatory Reporter training for child and/or dependent adult abuse within three months of hire.
High language ability, intermediate-to-high math ability, and high critical-thinking ability.
Basic computer skills.
Ability to comply with Trinity Health policies and procedures.
Ability to lift, carry, push, and pull an average of 50–100 pounds for 76–100% of the time.
Ability to stand and walk or move about for 76–100% of the time.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred.

Responsibilities

Conduct initial patient assessments, including assessing new admissions within 30 minutes and completing the admission assessment database within 24 hours.
Identify patient problems, establish outcome- and goal-based plans of care, prioritize needs, and determine appropriate nursing interventions and referrals.
Assign, coordinate, and delegate patient care based on patient acuity and team members’ skills, knowledge, and abilities.
Implement care plans, including procedures, treatments, physician and nursing orders, education, and medications.
Coordinate care with case managers, social workers, and other disciplines; support patients and families in securing services for discharge.
Reassess patients at appropriate intervals, at least every 24 hours, evaluate responses to interventions, and revise care plans as needed.
Participate in discharge planning and document discharge instructions for patients, significant others, or other care providers.
Communicate patient conditions, progress, and changes to physicians and other team members, including during shift changes and transfers of care.
Document completely, comprehensively, legibly, and in accordance with policy.
Use patient care policies and procedures to guide practice; administer medications according to the Five Rights; process physician orders accurately; and complete assigned shift duties.
Manage telemetry and cardiac monitoring when applicable, interpret rhythms, recognize and respond to arrhythmias and other changes, and provide appropriate interventions for cardiac events.
May assist with data collection and quality-improvement initiatives, serve as a resource to other hospital services, participate in unit committees, and provide staff education as requested.
Provide care and communicate in ways appropriate to patients’ age-related needs and use equipment appropriately for those needs.
Follow safety, infection-control, colleague-health, and emergency procedures; use required personal protective equipment; report unsafe equipment; and seek assistance as needed.
Maintain working knowledge of applicable laws, regulations, organizational integrity standards, standards of conduct, and policies and procedures.