RN ICU

William Newton Hospital•Winfield, KS

20d

About The Position

This full-time, hourly Registered Nurse provides direct and indirect patient care in the critical care setting. The RN communicates changes in patients’ clinical conditions to physicians, including hemodynamic monitoring, diagnostic results, and symptoms, and responds promptly and accurately to changes in condition or treatment response. The position may also perform general nursing duties in other departments with adequate supervision and participates in performance improvement and quality improvement activities. The role includes assessing and monitoring patients across pediatric, adult, and geriatric populations; administering medications and specialized infusions; operating critical-care equipment; coordinating and documenting care; educating patients and families; assisting physicians with procedures; and supporting unit operations and staff training. The RN is expected to follow hospital policies, regulatory requirements, professional standards, and William Newton Hospital’s Standards of Behavior: Integrity, Patient-Centered care, Accountability, Compassion, and Excellence.

Requirements

Current registered nurse licensure for the State of Kansas.
1–2 years of previous critical care experience or 3 years of acute-care nursing experience.
Successful completion of a Critical Care Course.
Current ACLS provider status.
Current BLS provider status.
Required TNCC.
Complete annual education requirements, including mandatory marbled packets, the annual ICU Competency Checklist, and the annual ICU/ER/HS medication test.
Complete required in-services, annual laboratory testing, and TB testing according to hospital policy.
Maintain regulatory requirements, including state, federal, and CMS regulations.
Maintain patient confidentiality and comply with hospital policies and procedures.
Report to work on time as scheduled and complete work within designated time.
Wear identification while on duty and use the computerized time system correctly.
Adhere to the dress code and maintain a neat, clean appearance.
Attend staff meetings and Performance Improvement Meetings as appropriate.
Maintain cooperative working relationships and represent the organization professionally.

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; conduct shift-based risk assessments and take appropriate action or arrange consultations.
Monitor cardiac rhythms, identify dysrhythmias, and respond according to ACLS guidelines and hospital policy.
Monitor patients’ hemodynamic status and interpret results correctly.
Assess pain and provide individualized pain management as needed.
Safely operate and manage critical-care equipment, including equipment for central lines, PA lines, cardiac output, arterial lines, and Medtronic interrogation.
Interpret bedside glucose test results and take appropriate action.
Administer medications safely according to patient age and clinical condition, following the five rights and documenting on the MAR.
Manage vasoactive, anti-dysrhythmic, insulin, and other specialized IV infusions for critically ill patients.
Treat patients and families with respect and dignity and identify and address psychosocial needs.
Develop discharge teaching plans based on assessed learning needs, evaluate learning effectiveness, involve family as appropriate, and document education, including heart failure education using CPSI.
Coordinate and direct patient care, follow hospital policy, and obtain appropriate nutrition or diabetes consultations.
Adapt and organize care in stressful situations and revise the plan of care in response to patient treatment and condition.
Involve patients and families in the plan of care and update MedAct and education documentation.
Maintain documentation in accordance with hospital standards and policies.
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 effective working relationships within the department and with other departments.
Consult other departments as appropriate for collaborative patient care and performance improvement.
Support department performance improvement activities and keep PI worksheets up to date.
Order unit supplies when needed and avoid overstocking.
Perform Unit Clerk duties for the unit.
Assist with staff orientation and in-service training and participate in guidance and education programs and annual competency activities.
Meet professional and regulatory requirements, maintain patient confidentiality, and comply with hospital policies concerning safety, infection control, ethical practices, and department operations.
Participate in department CQI activities and attend staff and performance improvement meetings as appropriate.