RN ICU

Winfield, Kansas•Winfield, KS

About The Position

Provides direct and indirect patient care in the critical care setting and performs general nursing duties in other departments with adequate supervision. Communicates with physicians about changes in patients’ clinical conditions, including hemodynamic monitoring, diagnostic results, and symptoms, and responds promptly and accurately to changes in condition or response to treatment. Participates in performance improvement and quality improvement activities. The RN assesses and reassesses patients across pediatric, adult, and geriatric populations; monitors cardiac rhythms and hemodynamic status; manages pain, medications, and critical-care infusions; and operates clinical equipment safely. The role coordinates patient care, supports patients and families, provides and documents education, assists physicians with procedures, and collaborates with other departments. Additional duties include maintaining unit performance-improvement materials, ordering supplies, performing unit clerk duties, and assisting with staff orientation and training. Employees are expected to follow William Newton Hospital’s Standards of Behavior—Integrity, Patient-Centered care, Accountability, Compassion, and Excellence—and comply with applicable hospital policies, regulatory requirements, confidentiality standards, and safety and infection-control procedures.

Requirements

  • Current registered nurse licensure for the State of Kansas.
  • One to two years of previous critical care experience or three years of acute care nursing experience.
  • Successful completion of a Critical Care Course.
  • Current ACLS and BLS provider status.
  • Required TNCC.
  • Complete annual ICU competency and medication testing, mandatory education, in-services, laboratory testing, and TB testing according to hospital policy.
  • Maintain patient confidentiality and comply with applicable state, federal, and CMS regulations and hospital policies.

Nice To Haves

  • CCRN certification is encouraged.
  • PALS certification is encouraged.
  • ENPC certification is encouraged.

Responsibilities

  • Perform head-to-toe assessments and reassessments for pediatric, adult, and geriatric patients according to policy.
  • Complete shift risk assessments, including fall, aspiration, DVT, skin, and malnutrition risks, and take appropriate action or arrange consultation.
  • Monitor cardiac rhythms, identify dysrhythmias, and respond according to ACLS guidelines and hospital policy.
  • Monitor patients’ hemodynamic status and interpret results.
  • Assess pain and provide individualized pain management as required.
  • Safely and correctly operate clinical equipment, including equipment related to central lines, PA lines, cardiac output, arterial lines, and Medtronic interrogation.
  • Interpret bedside glucose test results and take appropriate action.
  • Administer medications according to patient age and clinical condition, follow the five rights of medication administration, and document correctly on the MAR.
  • Manage vasoactive, anti-dysrhythmic, insulin, and other special IV infusions for critically ill patients.
  • Treat patients and families with respect and dignity and address psychosocial needs.
  • Develop discharge teaching plans based on assessed learning needs, evaluate learning effectiveness, include family as appropriate, and document education consistently.
  • Coordinate and direct patient care, consult other departments when appropriate, and revise plans of care in response to patient treatment and condition.
  • Communicate clearly and appropriately with physicians, staff, the Director of Nursing, and the administrative team.
  • Assist physicians with procedures in the ICU and other departments.
  • Maintain cooperative working relationships within the department and across departments.
  • Participate in performance improvement and CQI activities and keep departmental PI worksheets up to date.
  • Order unit supplies as needed while avoiding overstocking.
  • Perform unit clerk duties.
  • Assist with staff orientation and in-service training and participate in guidance and education programs.
  • Complete annual education, competency activities, required testing, and in-services; attend staff and performance improvement meetings as appropriate.
  • Maintain patient confidentiality and comply with hospital policies, regulatory requirements, ethical practices, fire and safety procedures, and infection-control requirements.
  • Report to work as scheduled, complete work within designated time, wear identification while on duty, and use the computerized time system correctly.
  • Represent the organization professionally and communicate the hospital’s mission, vision, values, ethics, and goals.
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