Registered Nurse ICU Nights

Position : Registered Nurse ICU Nights %2420k Sign-on bonus\n\nRegistered Nurse – Advanced Skills / ICU Registered Nurse / ICU RN\n\nSummary : Provides quality patient care to critically ill patients, through the nursing process of Assessment, Planning, Intervention, and Evaluation. Serves as a patient advocate at all times. Supervises the nursing care provided to each patient by other caregivers. Develops the plan for nursing care as a result of coordination with the patient, family and staff of other disciplines as necessary. Applies critical thinking in order to promote positive clinical outcomes.\n\nEnsures patient education. Participates in discharge planning.\n

• Maintains the standard of nursing care and implements the policies and procedures of the hospital and the nursing department.\n
• Assesses the patient on admission within the required time frame. Makes referral to other disciplines based on the assessment, such as rehabilitation and nutritional services.\n
• Develops a nursing care plan for assigned patient on admission and updates the plan of care as needed. Ensures the plan is discussed and developed as a result of the coordination of patient and family and the interdisciplinary team.\n
• Able to release, remove, and reapply restraints to patient. Ensures patient. is in proper position and alignment.\n
• Documents patient admission assessment and reassessments, patient care plans, and other pertinent information completely in the patient's electronic medical record.\n
• Demonstrates correct use of Biomedical equipment such as defibrillator, Suction machine, IV and feeding pumps, PCA pump, blood glucose monitoring machine.\n
• Demonstrates safe and effective delivery of patient care such as completing team / patient assignments on time, making effective use of available time, showing initiative and team work.\n
• Obtains consents for procedures and blood transfusions, ensuring patient has necessary information to make an informed decision.\n
• Receives physician's orders, ensures transcription is accurate, and order entry is accurate. Follows through to ensure order is carried out.\n
• Recognizes and responds appropriately to patient change in condition such as Cardiac rhythm, respiratory distress, GI bleed, pulmonary emboli / edema, diabetic Ketoacidosis, adverse drug reaction and Blood transfusion reaction, etc. Institutes emergency action, notifies physician, obtains orders, etc.\n
• Completes and documents patient admission assessment and reassessments as required according to policy.\n
• Reports pertinent observations and reaction regarding patients to the appropriate person (i.e., physician, supervisor, charge nurse) and records these observations accurately.\n
• Administers medications with verbalized knowledge of the action, side effects, correct dosages and route according ICU policies and procedures.\n
• Demonstrates ability to recognize and Institute arrhythmia protocol for the following Cardiac rhythms V-tach, V-fib, PVC's, asystole, 1st, 2nd and 3rd degree heart block, atrial fibrillation, and atrial flutter.\n
• Directs, supervises, and evaluates nursing care provided to patients.\n
• Administers medications utilizing the seven "rights" of medication administration : right patient, route, time, medication, dose, reason and documentation.\n
• Assist physicians with special tests and procedures such as thoracentesis, paracentesis, arterial line and bronchoscopy.\n
• Participates in economical utilization of supplies and ensures that equipment is maintained in a clean and safe manner.\n
• Participates in orientation of new personnel and performance evaluations of nursing staff.\n
• Assists team members in giving care to patients or administers direct care when professional nursing skills and judgment are needed.\n
• Coordinates nursing care of patients when scheduled for therapy or procedures by other departments.\n
• Assists with or institutes emergency measures for sudden adverse developments in patients such as cardiac arrest, respiratory arrest, or sepsis.\n\nEducation\n : \n
• Graduate from an accredited Registered Nursing program.\n\nLicenses / Certification\n : \n
• Current state licensure as Registered Nurse.\n
• BCLS certification and ACLS required.\n\nExperience\n : \n
• Minimum one year training and experience in Critical Care.\n#J-18808-Ljbffr