RN Circulator-Days-Orlando Health Watson Clinic Lakeland Highlands Hospital

Orlando Health•Lakeland, FL

2d•Onsite

About The Position

The RN Circulator administers patient care in a hospital or inpatient setting where patients have 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. Operating room experience is highly preferred, and the position includes rotating call and rotating weekend call. This role provides complex assessment and therapies, high-intensity interventions, and continuous nursing vigilance. The nurse assesses patients, develops and revises individualized plans of care, responds to changing conditions and emergencies, coordinates and documents care, and collaborates with physicians and interdisciplinary teams. The nurse may also serve as a preceptor, charge nurse, unit educator, or nurse clinician. For nurses trained as Advanced Care Registered Nurse ECMO Specialists, additional duties include staffing extracorporeal life support services, managing ECMO equipment and circuits, supporting patient perfusion and hemodynamic stability, and providing ECLS coverage including during transport. ECMO Specialists work under unit leadership and in collaboration with intensivists, perfusionists, bedside staff, and other healthcare team members.

Requirements

Graduate of an approved school of nursing.
At least 1 year of experience, unless approved by an AVP-level leader or above.
Current State of Florida RN license or valid eNLC multistate RN license.
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 for certain areas; NRP is required for the Neonatal Intensive Care Unit (NICU).

Nice To Haves

Two years of operating room experience is highly preferred.

Responsibilities

Provide care for patients requiring complex assessment and therapies, high-intensity interventions, and continuous nursing vigilance.
Use patient information and assessment data to anticipate and respond to changes in patient condition.
Identify and prioritize information to take timely, decisive, evidence-based, patient-focused action.
Monitor and adjust specialized patient 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 a physician is not immediately available.
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 lifespan.
Serve as a preceptor, charge nurse, unit educator, and/or nurse clinician as applicable.
Collaborate with medical staff and interdisciplinary teams to plan and manage unit or department care.
Coordinate care and delegate appropriately to team members based on patient needs and team member qualifications and capabilities.
Document assessments, education, medication administration, treatments, and patient safety in accordance with required and regulatory standards.
Maintain competency in nursing skills and unit equipment, prioritize care according to evidence-based standards, and identify and resolve problems.
Communicate patient conditions and unit concerns to appropriate healthcare team members.
Collaborate with education and nursing leadership to support and transition new team members and students.
Maintain punctual attendance and compliance with Orlando Health policies and procedures.
For trained ECMO Specialists, provide scheduled, unscheduled, and emergency ECLS services and ensure continuous ECLS coverage.
Operate ECMO equipment under the direction of physicians and perfusion providers; monitor and optimize the ECMO circuit and related equipment.
Administer ordered blood products and medications through the ECMO circuit and manage equipment connected in-line with the circuit.
Manage ECLS during transport and attend mandatory quarterly simulations.
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, in-services, department meetings, and nursing committee meetings; identify professional development needs and pursue continuing education.
Maintain ECMO/perfusion equipment and supplies and provide relevant information to supervisors or directors 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.