Job Objective:
A Registered Nurse who is responsible for the nursing care of patients in the Critical Care setting guided by policies and procedures of the Critical Care Unit and hospital.
Duties and Responsibilities:
A. Nursing Process:
- Applies nursing process in direct patient care
- Assessment of physiological, psycho social, educational, cultural, and spiritual needs of patient as evidenced by written assessment within one hour of admission and visual assessment within fifteen minutes of arrival
- Documents physical assessment every four hours on in the electronic medical record and vital signs/I&O Q2 or more frequently as required by diagnosis/disease process/physician orders.
- Reassesses patient’s needs every four hours and more often when necessary and documents in the electronic medical record and patient care plan. Provides further interventions as necessary and re-evaluates outcomes.
- Care of acutely ill patient
- Monitors vital sign, i.e. EKG, Sa02, etc. and intervenes as necessary
- Initiate and monitor vasoactive drips, ie Dopamine, Dobutamine, Nipride, Norepinephrine etc.
- Monitor invasive lines, i.e. central lines, arterial lines, etc.
- Monitor ventilator patients and intervene when necessary
- Operate various pain management equipment, i.e. PCA, Epidural, etc.
- Assess patient for respiratory depressions and/or arrest and intervene immediately if necessary, i.e. CPR, use ambu bag, chin lift maneuvers airways, etc.
- Responds to codes in unit and responds to codes in other units in the hospital.
- Monitor, assess and intervenes with extremely unstable patients, ie post cardiac surgery, trauma, organ donation, etc.
- Insures that patients have a safe post-operative/post-procedural period from general, regional or local anesthesia, including Moderate Sedation .
- Provide age specific and disease specific care and education to patients/families relating to post-procedural care.
B. Technical Equipment Operation:
- Operates technical equipment safely, efficiently and accurately as per unit competency level.
- Pressure line set up and maintenance
- Cardiac monitors
- Insertion, maintenance, withdrawal of blood form arterial line, and removal of arterial line
- Cardiac output
- Insertion, maintenance and removal of PA lines
- ICP and/or Camino set up, insertion and maintenance
- Crash cart/defibrillator/cardioverison
- Ventilator management
- Peripheral Nerve Stimulator
- Ventricular Assist Device
- Transvenous pacemaker/non-invasive pacing
- Femostop/C-clamp for line removal
Non-Essential Duties:
- Participates on unit or hospital based committees
- Other duties as assigned, within compliance with Title 22, The Joint Commission, and CMS.
Knowledge, Skills and Abilities:
Knowledge
- Demonstrates knowledge of criteria for 1:1 patient
- Demonstrates knowledge of patient classification system
- Demonstrates knowledge of staffing guidelines for Critical Care Unit
- Demonstrates knowledge of Moderate Sedation
- Demonstrates knowledge of Critical Care security policies and procedures.
- Demonstrates knowledge of Critical Care visitation policy.
- Supports and adheres to the values and mission statement established by the AVH Board of Directors
- Conforms to required accreditation standards.
- Conforms with and supports hospital quality management and performance improvement guidelines
Skills
- Meets skills and abilities of a Registered Nurse
- Skill and ability to follow telephone etiquette/standards
- Displays a willingness to work as a team player
- Safely and effectively uses all equipment necessary to carry out duties
Abilities
- Ability to adhere to all established AVH policies and procedures and to interpret and function under these.
- Ability to organize work and establish priorities
- Ability to expand on own initiative in performance of duties
- Ability to function effectively under pressure and meet time parameters
- Ability to relieve clerical staff at desk, or to adopt any function commonly assigned to unlicensed assistive personnel, or as allowed within scope of nursing practice, as needed
Education and Experience:
Education
- Maintains current licensure, certifications, education, and physical health standards
- Participates in mandatory and/or optional educational activities/offerings. Attends staff meetings regularly and as required by assigned unit
- Demonstrates knowledge and competency on hospital information technologies used in the designated patient care area.
- Successfully completes written and practical competencies annually or otherwise as assigned.
- CCRN preferred.
Experience
- Two years acute care nursing preferred, new grad training provided as appropriate.
Required Licensure and/or Certifications:
- Meets all required licensure and/or certifications necessary for Registered Nurse.
- ACLS certification required on file in Department of Education.
Physical Requirements and Working Conditions:
- Work often performed under stressful, emotional, and physical conditions
- Accepts additional workload during times of unexpected circumstances, e.g., high activity, high census, and sudden emergencies.
- May be exposed to contaminated instruments that may cause infections, burns, or cuts.
- May also be exposed to wet and/or humid conditions, fumes or airborne particles, toxic or caustic chemicals, risk of electrical shock, and risk of radiation.
A detailed description of the physical requirements of this job is maintained in the Employee Health Department.
Job Objective:
A Registered Nurse is responsible for the nursing care of patients as established by the Nursing Practice Act of the Board of Registered Nursing of the State of California and as guided by policies and procedures of the hospital.
Duties and Responsibilities:
- Nursing Process
- Applies nursing process in direct patient care:
- Provides accurate assessment and documentation of physiological, psycho social, cultural, developmental, socioeconomic, and spiritual needs of patient as evidenced by assessment within time frame appropriate for level of care
- Provides logical sequence of action, updates nursing care plan as evidenced by notations on care plan, provides evaluation each shift of patient’s progress In relation to the patient care plan, if applicable to area of care
- Provides Information to patient/family relating to educational resources available, Directs patient/family educational process
- Provides discharge planning beginning on admission with appropriate referrals and update as required by the patient
- Adheres to the admission and transfer criteria
- Adheres to all current policies and procedures in providing patient care and seeks clarification if needed.
- Evaluates and documents outcomes of medical, nursing, and ancillary team interventions
- Incorporates time management skills in accomplishing care
- Nursing Care Delivery Process
- Knowledgeable regarding current nursing practices and procedures
- Demonstrates knowledge and use of resources and forms
- Demonstrates knowledge of hospital structure and administrative resources
- Demonstrates ability to interpret rules and regulations
- Knowledge of legal aspects of nursing care
- Demonstrates knowledge of legal documents pertinent to unit/area of care
- Demonstrates knowledge of Patient rights
- Acts as liaison between medical staff and patient care team
- Technical Equipment
- Able to operate technical equipment in area of care, safely, efficiently, and accurately
- Environment
- Assists in maintenance of a safe, comfortable and therapeutic environment
- Assesses safety/cleanliness of patient/unit environment and reports conditions requiring change
- Utilizes resources, equipment, and supplies efficiently and with cost awareness
- Reports hazardous conditions to appropriate department for correction
- Uses clean and aseptic techniques for protection of patients and personal safety
- Prevents contamination and/or transfer of Infection by use of the Exposure Control Plan and Standard Precautions in daily work
- Demonstrates knowledge of emergency codes
- Leadership/Professionalism
- Supervises care provided by others
- Assumes responsibilityfor quality of care given
- Gives accurate and concise patient care report to appropriate persons
- Gives accurate, concise patient care reports
- Demonstrates knowledge of scheduling guidelines
- Maintains professional attitude and effective working relationships with fellow staff members, other departments, patients’ families, medical staff and volunteers
- Functions appropriately and effectively under pressure. Provides care as part of team effort in crisis or emergency situation
- Adheres to all privacy laws when dealing with confidential and protected health information (PHI)
- Maintains the confidentiality of patient, hospital and department information
- Adheres to the Code of Conduct
- Adheres to all Antelope Valley Hospital Compliance & Integrity Program policies and procedures including the duty to report compliance violations and the duty to disclose conflicts of interest
- Completion of all mandatory initial and annual training within assigned time frames per established guidelines
- Demonstrates ethical decision making, integrity, and a willingness to promote a culture of safety
- Communication
- Communicates effectively with patients, families, visitors, and physicians
- Responsible for problem solving and crisis intervention related to physicians, patients, families, and staff
- Follows the Chain of Command and Conflict Management process established by AVH
- Displays a willingness to follow directions and to accept and utilize constructive criticism
- Age Specific & Cultural Requirement
- Demonstrate knowledge regarding special needs and behaviors of age specific and cultural groups
- Participates in age specific and cultural educational and training programs
- Demonstrates proficiency in required age specific and cultural competencies
Non-Essential Duties:
- Participates on unit or hospital based committees
- Other duties as assigned, within compliance with Title 22, The Joint Commission, and CMS.
Knowledge, Skills and Abilities:
Knowledge
- Supports and adheres to the values and mission statement established by the AVH Board of Directors
- Conforms to required accreditation standards.
- Conforms with and supports hospital quality management and performance improvement guidelines
Skills
- Skill and ability to follow telephone etiquette/standards
- Displays a willingness to work as a team player
- Safely and effectively uses all equipment necessary to carry out duties
Abilities
- Ability to adhere to all established AVH policies and procedures and to interpret and function under these.
- Ability to organize work and establish priorities
- Ability to expand on own initiative in performance of duties
- Ability to function effectively under pressure and meet time parameters
- Ability to relieve clerical staff at desk, or to adopt any function commonly assigned to unlicensed
- assistive personnel, or as allowed within scope of nursing practice, as needed
- Ability to give and support the highest level of patient/customer satisfaction at all times
- Ability to be flexible in meeting staffing requirements of the facility
- Ability to meet basic health requirements and physical job standards
AVH Values: All AVH employees will effectively demonstrate these values:
- Patients Come First – We listen actively and communicate with our patients and families, placing safety as a top priority.
- Accountability & Ownership – We fully complete tasks, are transparent, effectively communicate, and recognize that what we do reflects on us.
- Teamwork – We build trusting relationships, promote a sense of community, and are respectful of everyone. Success is about the whole team.
- Integrity & Honesty – We tell the truth at all times, speak up when something is wrong, and do the right thing when no one is looking.
- Excellence – We take pride in our work, are goal-oriented, and on a never-ending quest for top tier quality.
- Initiative & Innovation – Our can-do attitudes, creativity, and resourcefulness empower us to improve the patient’s experience, solve our own problems, make timely decisions, and look for opportunities to add value.
- Tenderness & Compassion – We have genuine empathy, show kindness, and encourage and advocate for each other.
Education and Experience:
Education
- Maintains current licensure, certifications, education, and physical health standards
Participates in mandatory and/or optional educational activities/offerings. Attends staff meetings regularly and as required by assigned unit
- Demonstrates knowledge and competency on hospital information technologies used in the designated patient care area.
- Successfully completes written and practical competencies annually or otherwise as assigned.
Experience
- Two years’ acute care nursing preferred, new grad training provided as appropriate
Required Licensure and/or Certifications:
- Current California Registered Nursing license
- BCLS Certification
- ACLS, PALS, and/or other additional Certifications required for some specialty areas
*Resuscitation credentials such as (BLS, ACLS, PALS, etc) are required before completion of orientation period.
AVH Conduct/Compliance Expectations:
- Ability to adhere with AVH Absenteeism and Tardiness Policy
- Ability to adhere with AVH Leaves of Absence Policy
- Ability to adhere with AVH Paid Time Off (PTO) Policy
- Ability to adhere with AVH Recording of Hours Worked Policy
- Ability to adhere to the department dress code
- Ability to organize work and establish priorities
- Ability to expand on own initiative in performance of duties
- Skill and ability to follow the telephone etiquette/standards
- Conforms to AVH Standards of Excellence
- Ability to function effectively under pressure and meet time parameters
- Ability to communicate effectively while maintaining good working relationships with co-workers, managers and other hospital staff
- Ability to adhere to the normal standards of courtesy and conduct as defined under the rules of hospitality at AVH
- Ability to maintain the confidentiality of patient, hospital and department information
- Ability to adhere to safety rules and regulations
- Safely and effectively uses all equipment necessary to carry out duties
- Ability to interpret and function under hospital and department policies and procedures
- Conforms with required and appropriate The Joint Commission requirements
- Conforms with and supports hospital quality assurance and improvement guidelines
- Ability to participate effectively in department and hospital staff education
- Display a willingness to work as a team player
- Ability to give and support the highest level of patient/customer satisfaction at all times
- Supports and adheres to the values and mission statement established by the AVH Board of Directors
- Ability to demonstrate knowledge and understanding of the Compliance & Integrity Program and its established policies.
- Ability to follow the Code of Conduct
Physical Requirements and Working Conditions:
- Work often performed under stressful, emotional, and physical conditions
- Accepts additional workload during times of unexpected circumstances, e.g., high activity, high census, and sudden emergencies
- May be exposed to contaminated instruments that may cause infections, burns, or cuts
- May also be exposed to wet and/or humid conditions, fumes or airborne particles, toxic or caustic chemicals, risk of electrical shock, and risk of radiation
A detailed description of the physical requirements of this job is maintained in the Employee Health Department.
Education and Experience:
Education
- Maintains current licensure, certifications, education, and physical health standards
- Participates in mandatory and/or optional educational activities/offerings. Attends staff meetings regularly and as required by assigned unit
- Demonstrates knowledge and competency on hospital information technologies used in the designated patient care area.
- Successfully completes written and practical competencies annually or otherwise as assigned.
- CCRN preferred.
Experience
- Two years acute care nursing preferred, new grad training provided as appropriate.
Required Licensure and/or Certifications:
- Meets all required licensure and/or certifications necessary for Registered Nurse.
- ACLS certification required on file in Department of Education.
