RN ICU FT Days

Kindred Healthcare•Round Rock, TX

About The Position

Cornerstone Specialty Hospitals Round Rock is a long-term acute care hospital serving patients recovering from post-intensive care and medically complex conditions. The hospital offers LTACH, inpatient rehabilitation, and outpatient wound care, including intensive care and telemetry services. Its acute rehabilitation unit provides intensive therapy, and its outpatient wound care service includes a hyperbaric oxygen suite. The Registered Nurse provides quality care to critically ill patients using the nursing process of assessment, planning, intervention, and evaluation. The RN advocates for patients, supervises care delivered by other caregivers, coordinates individualized plans with patients, families, and the interdisciplinary team, applies critical thinking to promote positive outcomes, provides patient education, and participates in discharge planning.

Requirements

  • Graduate of an accredited Registered Nursing program.
  • Current RN state licensure and/or compact state licensure upon hire.
  • Facility-specified Basic Life Support (BCLS) certification.
  • Facility-specified Advanced Cardiac Life Support (ACLS) certification.
  • At least one year of training and experience in critical care.
  • Effective written and verbal communication in English; must read, write, and speak fluent English.
  • Excellent oral, written, and interpersonal communication skills.
  • Knowledge of medications and their 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 as required, make referrals to other disciplines, and document assessments and reassessments.
  • Develop and update nursing care plans in coordination with patients, families, and the interdisciplinary team.
  • Safely manage restraints and ensure patients are positioned and aligned appropriately.
  • Document assessments, care plans, and other pertinent information completely in the electronic medical record.
  • Use biomedical equipment correctly, including defibrillators, suction machines, IV and feeding pumps, PCA pumps, and blood glucose monitors.
  • Deliver safe and effective care, complete assignments on time, and demonstrate initiative and teamwork.
  • Obtain informed consents for procedures and blood transfusions.
  • Receive and accurately transcribe and enter physician orders, and ensure orders are carried out.
  • Recognize changes in patient condition, initiate emergency actions, notify physicians, and obtain orders as appropriate.
  • Report and document pertinent patient observations and reactions accurately.
  • Administer medications in accordance with ICU policies and procedures, demonstrating knowledge of medications and using the seven rights of medication administration.
  • Recognize cardiac rhythms and initiate the applicable arrhythmia protocol.
  • Direct, supervise, and evaluate nursing care provided to patients.
  • Assist physicians with special 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 nursing skills and judgment are required.
  • Coordinate nursing care around therapy and procedures scheduled by other departments.
  • Assist with or institute emergency measures for sudden adverse developments, including cardiac arrest, respiratory arrest, or sepsis.
  • Help maintain a clean and safe environment and apply appropriate therapeutic interventions with awareness of emotional and rehabilitative needs.
  • Use current ACLS certification and protocols to assess patients, provide lifesaving first aid, and make appropriate referrals.
  • Manage tubes and devices, including urinary catheters, feeding tubes, chest tubes, drains, ostomy care devices, 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 report and document them 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 a complete report to the oncoming RN, complete documentation and physician order sign-offs, and ensure patient rooms are in order.
  • Communicate pertinent information to nurses, physicians, patients, and others as needed.
  • Follow dress code and identification requirements, complete annual health, safety, and education requirements, and maintain professional development.
  • Maintain confidentiality of patient and employee information and provide age-appropriate care based on knowledge of growth and development across the lifespan.
  • Attend mandatory in-services and staff meetings and represent the organization professionally.
  • Comply with ethical business practices and organizational policies, and communicate the hospital's mission, ethics, goals, and departmental focus.
  • Maintain current licensure and certifications required for the position.
  • Demonstrate guest-relations skills and follow departmental and hospital health, safety, security, and hazardous-materials policies and procedures.
  • Perform other related duties as assigned.
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