REGISTERED NURSE (RN) - CRITICAL CARE (FT-NIGHTS)
Company: Cody Regional Health
Location: Cody
Posted on: October 25, 2024
Job Description:
JOB TITLE: Registered Nurse
DEPARTMENT: Critical Care Services
REPORTS TO: Director of Acute Care/Critical Care
NIGHT SHIFT - ADDITIONAL $3.00/HOUR SHIFT DIFFERENTIAL
JOB SUMMARY
Provides nursing care to critical medical, surgical and traumatized
patients. Supports the patient and family in the dying process.
Performs an admission assessment and subsequent assessments.
Completes required documentation. Address' the patients learning
ability and needs. Develops a care plan. Enter orders by computer
and participates in the daily operation of the Critical Care Unit.
Attends required in-service, yearly education day and mandatory
departmental meetings. Participates in the collection of data for
QI. Adheres to hospital and departmental policies. Practices good
communication between departments, with physicians, each other and
the department manager. The staff member must be able to
demonstrate the knowledge and skills necessary to provide care
appropriate to the age of the patients served on his or her
assigned unit. The individual must demonstrate knowledge of the
principles of growth and development over the life span and possess
the ability to assess data reflective of the patient's status and
interpret the appropriate information needed to identify each
patient's requirements relative to his or her age-specific needs,
and to provide the care needed as described in the
unit's/area's/department's policies and procedures.
JOB REQUIREMENTS
Current or temporary Wyoming Registered Nurse licenseBachelor of
Science in Nursing preferred.
EXPERIENCE
Minimum of one year (two to three preferred) Critical Care and/or
Emergency Nursing experience or three years of clinical nursing in
a medical or surgical unit or a combined medical/surgical unit, and
a course in hemodynamic monitoring that includes both class work
and clinical experience.
SKILLS
Knowledge of medical, surgical, and Critical Care Unit nursing
principles and the nursing process. Knowledge of aseptic technique
and infection control principles. Able to perform effectively in
stressful situations. Must be well motivated, organized and able to
prioritize multiple tasks. Must be able to interact effectively
with a wide variety of people, demonstrating excellent
communication skills. Able to serve as an example to other
employees. Ability to define problems, collect data, establish
facts and draw conclusions.
REQUIRED CERTIFICATIONS
BLS, ACLS, PALS certifications. Encouraged to attain specialty
certification for critical care nursing
ESSENTIAL FUNCTIONS
Nursing Practice
- Complete a head to toe physical assessment and a social
assessment of the patient upon admission.
- Develop a written Care Plan upon admission and review and
update it daily.
- Initiate cardiac monitoring, oxygen therapy, non-invasive blood
pressure, and oximetry. Start/or evaluate IV site. Evaluate
existing drainage systems in place.
- Perform delivery of nursing care via the nursing process:
assessment (collection of data), problem identification (nursing
diagnosis), planning, nursing interventions and evaluation and
updating of planning.
- Re-assess patient to identify progress and trends that require
intervention or reporting to the physician.
- Assist patient, physician and peers in determining long and
short-range goals for patient and formulating a plan to work toward
those goals.
- Recognize cardiac arrhythmias. Monitor telemetry on the Acute
Care and Critical Care Units. Intervene using physician orders,
ACLS Algorithm, or Critical Care standing orders. Post monitor
strips per policy.
- Operate and manage equipment including the following: IV pump,
PCA pump, feeding pump, cardiac monitors (both room and central),
pacemakers, ventilators, CPAP and Bi-PAP machines, pressure
modules, arterial lines, cooling/warming units, defibrillators,
Doppler, and temperature probes.
- Provide routine patient care. Perform blood draw from arterial
and central lines. Interpret computerized monitor trends.
- Administer medications, calculate doses and maintain current
knowledge of medications, including intravenous drips.
- Carry out and document medical and nursing treatment, nursing
care, interventions and outcomes in a timely and accurate
manner.
- Completes documentation necessary for transition between
statuses.
- Maintain knowledge of the patient's status during
hospitalization and work with health care team to adjust and
improve approach to recovery. Utilizes critical thinking skills for
appropriate patient interventions.
- Assist physicians in care of the patients. Makes rounds,
assists with procedures, provides progress reports on patient
status, and assures that orders are carried out.
- Follow procedure for medication administration and narcotics
control. Utilizes EMAR, scans and uses 2 sources of patient ID
before all medications and procedures.
- Assume professional responsibility for assuring patient care is
of the highest standards possible. Communicate questions about
appropriateness of medical or nursing care through chain of
command, as needed, utilizing the SBAR form of communication.
- Ensures that consents are obtained when needed, and that all
records are signed and legally complete. Ensure completion of time
out procedures as appropriate.
- Complete incident and error forms when appropriate.
- Assess patient's learning needs. Educate the patient and
family.
- Treat patients and their families with respect and
dignity.
- Practice within Nursing Standards of Practice and follow
standards of patient care & CRH Policies and Procedures. Adheres to
MD orders. Unit and Hospital Involvement
- Supervise non-professional staff, CNAs, LPNs, and Secondary
Critical Care RNs in the delivery of care to assigned patients.
Assist with priority setting, act as a resource personnel for less
experienced staff.
- Follow procedures to ensure that supply and medication stocks
are rotated and replaced as used. Participate in monthly outdating
of medications and supplies, checking of crash cart, hemodynamic
cart, chest tube cart, and trach box. Check, order and stock
supplies according to par level.
- Adhere to standards of safety and infection control in delivery
of patient care. Follow the standard for infection control: hand
washing, protective eyewear, mask, gown, gloves, head cover, and
shoe cover, as appropriate. Proper disposal of contaminated items
and the use of isolation.
- Exhibit cooperation and a positive attitude toward other
hospital departments, including coordinating smooth transfer of
patients for procedures or diagnostic test. Maintain a positive
attitude toward managers, physicians, co-workers, patients and
visitors. Behave in a professional manner, and maintain good
interpersonal relationships with other staff, departments,
managers, and physicians.
- Participate in in-service programs as both student and teacher.
Take primary responsibility for keeping own knowledge and skills
current.
- Maintain confidentiality.
- Enforce and adhere to all hospital-wide policies and unit
protocols.
- Assist with collection of data for process and quality
improvement, and to meet unit goals.
- Attend mandatory annual education, monthly staff meetings, and
in-service.
- Initiate and coordinate Code Blue responses.
- Participate in orientation of new Critical Care Unit staff.
Provide nursing students with opportunities to observe and
learn.
- Assist with collection of data for process and quality
improvement, and to meet unit goals.
- Assist nursing staff in other departments as requested and
qualified when need arises.
- Perform other related duties as assigned or requested.
Keywords: Cody Regional Health, Billings , REGISTERED NURSE (RN) - CRITICAL CARE (FT-NIGHTS), Healthcare , Cody, Montana
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