RN ICU FT Days

ScionHealth•Round Rock, TX

About The Position

Provides quality nursing care to critically ill patients through assessment, planning, intervention, and evaluation, while serving as a patient advocate. The RN supervises care provided by other caregivers, develops and coordinates individualized nursing care plans with patients, families, and interdisciplinary staff, applies critical thinking to support positive clinical outcomes, provides patient education, and participates in discharge planning. Cornerstone Specialty Hospitals Round Rock is a long-term acute care hospital specializing in care for patients recovering from intensive care and medically complex conditions. Services include LTACH, inpatient rehabilitation, outpatient wound care, intensive care, and telemetry. The hospital has a 12-bed acute rehabilitation unit and an outpatient wound-care service with two treatment rooms and a hyperbaric oxygen suite with two chambers.

Requirements

Graduate of an accredited Registered Nursing program.
Registered Nurse state licensure and/or compact state licensure required upon hire.
Facility-specified Basic Life Support certification required.
Facility-specified Advanced Cardiac Life Support certification required.
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.
Must read, write, and speak fluent English.
Must have 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 based on assessment findings.
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 and accurately in the electronic medical record.
Provide safe, effective patient care; complete assignments on time and demonstrate initiative and teamwork.
Obtain informed consent for procedures and blood transfusions.
Receive and accurately transcribe and enter physician orders, and follow through to ensure they are carried out.
Recognize changes in patient condition, initiate emergency action as appropriate, notify the physician, and obtain orders.
Administer medications according to ICU policies and procedures, demonstrating knowledge of medications, dosages, routes, and potential effects, and follow the seven rights of medication administration.
Recognize cardiac rhythms and institute the appropriate arrhythmia protocol.
Direct, supervise, and evaluate nursing care provided to patients; assist team members and provide direct care when professional nursing judgment is needed.
Assist physicians with tests and procedures, including thoracentesis, paracentesis, arterial line procedures, 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.
Coordinate patient nursing care with therapy and procedures scheduled by other departments.
Assist with or institute emergency measures for sudden adverse developments, including cardiac arrest, respiratory arrest, or sepsis.
Maintain a clean and safe environment and apply appropriate therapeutic interventions with awareness of emotional and rehabilitative aspects of care.
Use current ACLS certification and protocols to assess patients, 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 monitoring.
Recognize critical laboratory values and report and document them appropriately.
Verify correct telemetry lead placement, validate telemetry strips every four hours and as needed, and document appropriately.
Assess and address patient and family education needs.
Provide complete handoff reports to the oncoming RN and ensure documentation, physician orders, and 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; attend mandatory in-services and staff meetings.
Maintain professional growth, confidentiality, current licensure and certifications, and compliance with ethical practices and hospital policies.
Represent the organization professionally, communicate its mission and goals, and demonstrate guest-relations skills.
Follow departmental and hospital health, safety, security, and hazardous-material policies and procedures.
Perform other related duties as assigned.