RN ICU FT Days

ScionHealth•San Antonio, TX

1d•Onsite

About The Position

Provides quality nursing care to critically ill patients using the nursing process of assessment, planning, intervention, and evaluation. Advocates for patients, supervises care provided by other caregivers, and develops nursing care plans in coordination with patients, families, and the interdisciplinary team. Applies critical thinking to support positive clinical outcomes, provides patient education, and participates in discharge planning. The role includes assessing and reassessing patients, documenting care in the electronic medical record, administering medications, responding to changes in condition and emergencies, supporting procedures, and monitoring patients and equipment. The nurse also coordinates care with other departments, supports and evaluates nursing staff, maintains a safe environment, and follows hospital policies and professional standards.

Requirements

Graduate from an accredited Registered Nursing program.
Registered Nurse state licensure and/or compact state licensure upon hire.
Facility-specified Basic Life Support (BCLS) certification.
Facility-specified Advanced Cardiac Life Support (ACLS) certification.
Minimum one year of training and experience in critical care.
Excellent oral and written communication and interpersonal 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.
Fluent English reading, writing, and speaking skills.
Good and regular attendance.

Responsibilities

Maintain nursing care standards and implement hospital and nursing department policies and procedures.
Complete admission assessments and reassessments within required time frames; make referrals to other disciplines as appropriate.
Develop and update nursing care plans in coordination with patients, families, and the interdisciplinary team.
Document assessments, care plans, observations, and other pertinent information completely in the electronic medical record.
Provide safe and effective patient care, manage assigned tasks, and demonstrate initiative and teamwork.
Obtain informed consents for procedures and blood transfusions.
Receive and accurately transcribe physician orders, verify order entry, and ensure orders are carried out.
Recognize and respond to changes in patient condition; initiate emergency actions, notify physicians, and obtain orders as appropriate.
Administer medications according to ICU policies and the seven rights of medication administration.
Recognize cardiac rhythms and implement applicable arrhythmia protocols.
Direct, supervise, and evaluate nursing care provided to patients; assist team members and provide direct care when nursing judgment is needed.
Assist physicians with tests and procedures, including thoracentesis, paracentesis, arterial line procedures, and bronchoscopy.
Use supplies economically and keep equipment clean and safe.
Participate in orientation of new personnel and performance evaluations of nursing staff.
Coordinate patient care around therapies and procedures performed by other departments.
Provide or initiate emergency measures for events such as cardiac arrest, respiratory arrest, or sepsis.
Maintain a clean and safe care environment and provide appropriate emotional and rehabilitative support.
Assess patients using current ACLS certification and protocols, provide lifesaving first aid, and make appropriate referrals.
Manage tubes and devices, including catheters, feeding tubes, chest tubes, drains, ostomies, and continuous bladder irrigation.
Set up and monitor hemodynamic systems, including Swan-Ganz and arterial catheters, and cardiac output.
Recognize critical laboratory values, report them, and document 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.
Give a complete report to the oncoming RN and ensure documentation, physician orders, and patient rooms are in order.
Communicate pertinent information to nurses, physicians, and patients.
Meet dress, identification, annual health, safety, education, licensure, and professional development requirements.
Maintain patient and employee confidentiality and provide age-appropriate care.
Attend mandatory in-services and staff meetings; represent the organization professionally and comply with its policies and ethical practices.
Demonstrate guest relations skills and follow health, safety, security, and hazardous materials policies and procedures.
Perform other related duties as assigned.