RN - ICU/CCU

Shift: Days

Job Summary: Provides direct and indirect patient care in the patient care in the critical care setting. Communicates with physicians about changes in patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment. Additionally, is able to perform general nursing duties in all departments with adequate supervision. Participates in performance improvement and CQI activities.

Demonstrates Competency in the Following Areas:

· Knowledge of medications and their correct administration based on age of the patient and their clinical condition.

· Ability to independently monitor hemodynamic and cardiac status of patient including, arterial lines and central lines.

· Demonstrates an ability to assist physicians with procedures including Swan-Ganz, TLC, arterial lines, temporary Pacemakers and chest tubes.

· Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes pediatric, geriatric, and the general patient population.

· Ability to formulate an individualized plan of care, revise plan as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness.

· Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as needed.

· Interacts professionally with patient/family and involves patient/family in the formation of the plan of care.

· Demonstrates knowledge of cardiac monitoring, identifies dysrhythmias and treats appropriately based upon ACLS protocol.

· Communicates appropriately and clearly to charge nurse, co-workers and physicians.

· Consults other departments and makes referrals, as appropriate to provide for an interdisciplinary approach to the patient’s needs.

· Provides care appropriate to disease condition and age of the patient.

· Coordinates and supervises patient care as necessary.

· Treats patients and their family with respect and dignity. Maintains confidentiality.

· Assists with formal and/or informal training of staff members.

· Interacts professionally with Nurse Techs and Nurse Interns and supervises care in cooperation with instructors.

· Assures Adult and Pediatric Crash Carts, AutoPulse, refrigerator checks, and other required checks are completed.

· Maintains a good working relationship both within the department and with other departments.

· Documentation meets current standards and policies.

· Demonstrates an ability to be flexible, organized and function well under stressful situations.

· Ability to assess and care for patients in the post anesthesia period.

· Completes patient classifications accurately and in a timely fashion.

· Utilizes staff, maximizing use of time, skill, and knowledge in making patient assignments.

· Effectively delegates and ensures completion of crash cart, DE-FIB, narcotic, refrigerator and waved testing each shift.

· Demonstrates leadership, knowledge and judgement when initiating ICU policies including divert policy.

· Keeps house supervisor informed of high-risk patients, potential problems, bed status and transfers.

Demonstrates ability to function as a resource person for staff in resolving patient care and interdepartmental issues