RN - ICU

Jackson County Memorial Hospital Authority•Altus, OK

16h

About The Position

Provides direct and indirect patient care in the critical care setting, communicating with physicians about changes in patients’ clinical conditions, including hemodynamic monitoring, diagnostic study results, and symptoms. Responds quickly and accurately to changes in condition or response to treatment, performs general nursing duties in all departments with adequate supervision, and participates in performance improvement and CQI activities. The role includes assessing and caring for patients across age groups, monitoring cardiac and hemodynamic status, assisting physicians with procedures, developing and evaluating individualized care and teaching plans, coordinating and delegating care, and supporting staff. The position also involves maintaining required equipment and safety checks, documentation, communication with the house supervisor, and serving as a resource for staff in resolving patient-care and interdepartmental issues.

Requirements

Current Registered Nurse licensure to practice in Oklahoma, maintained throughout employment.
Current BLS certification; if not current upon hire, it must be obtained during initial orientation.
Current ALS and PALS certifications; if not current upon hire, they must be obtained during the first year of employment.
One or more years of recent critical care experience.
Previous work history demonstrating steady attendance and punctuality.
Ability to read and communicate effectively in English.
Basic computer knowledge.
Math skills.
Near visual and hearing acuity sufficient to perform essential duties.
Ability to meet the physical demands of the position, including vision, hearing, repetitive motion, and environmental demands, as described in the position’s physical-demands description.
Adherence to dress code and neat, clean appearance; completion of annual education and competency requirements; correct use of identification and computerized time clock; timely attendance and completion of work; and participation in at least 50% of staff meetings.

Nice To Haves

Additional languages preferred.

Responsibilities

Provide direct and indirect patient care in the critical care setting and perform general nursing duties in all departments with adequate supervision.
Communicate patient clinical changes, hemodynamic monitoring, diagnostic results, and symptoms to physicians; respond to changes in condition or treatment response.
Monitor patients’ hemodynamic and cardiac status, including arterial and central lines; identify dysrhythmias and provide treatment based on ACLS protocol.
Assist physicians with procedures including Swan-Ganz, TLC, arterial lines, temporary pacemakers, and chest tubes.
Perform initial and ongoing head-to-toe assessments and provide care appropriate to patients’ conditions and ages, including pediatric and geriatric patients.
Formulate individualized plans of care, revise them in response to treatment, and evaluate their effectiveness daily.
Develop and evaluate teaching plans based on learning needs, involving patients and families as appropriate.
Interact professionally with patients and families, involve them in care planning, and maintain respect, dignity, and confidentiality.
Consult other departments and make referrals to support interdisciplinary care.
Coordinate and supervise patient care as necessary; make patient assignments and delegate effectively.
Assist with formal and informal staff training and work professionally with Nurse Techs and Nurse Interns, supervising care in cooperation with instructors.
Ensure required Adult and Pediatric Crash Cart, AutoPulse, refrigerator, DE-FIB, narcotic, and waived testing checks are completed as applicable each shift.
Maintain working relationships within the department and with other departments; communicate clearly with charge nurses, coworkers, and physicians.
Maintain documentation in accordance with current standards and policies.
Assess and care for patients in the post-anesthesia period.
Complete patient classifications accurately and promptly; maximize use of staff time, skills, and knowledge when making assignments.
Demonstrate leadership and judgment when initiating ICU policies, including divert policy.
Keep the house supervisor informed about high-risk patients, potential problems, bed status, and transfers.
Serve as a resource for staff in resolving patient-care and interdepartmental issues.
Participate in performance improvement and CQI activities, annual education and competency requirements, and staff meetings; read and initial monthly minutes.
Follow dress and identification requirements, use the computerized time clock correctly, and report to work on time and as scheduled.
Demonstrate flexibility in scheduling and be available when on call per policy.