Description
The Registered Nurse is directly accountable for the care given to patients. Provides direct communication with the Nurse Manager, Team Leader, Providers and Teammates about the changes in the patient’s clinical condition including results of the diagnostic studies and symptomatology. The RN is able to respond quickly and accurately to changes in the condition and/or response to treatment.
Education and Experience:
- Current and valid Registered Nurse License in the State of Ohio
- BLS on hire and maintain current
- ACLS within 6 months of hire
- Previous Critical Care experience preferred
- Completion of Critical Care Course with in 6 month of hire and maintain current
- Rhythms Interpretation Class within 3 months of hire and maintain current
- Training on CPI within 12 months of hire and maintain current
Responsibilities:
- Ability to thinking critically, and manage patients with ventilator, chest tubes, cardiac drips, and/or central and arterial lines.
- Monitors hemodynamic/cardiac status of patient and correctly interprets the results
- Initiates discharge and family education planning with proper documentation in the EMR
- Adjusts frequency of assessment as appropriate for patient's condition and reassess nursing action for effectiveness in achieving desired outcome. Accurately documents patients’ physical assessments and report abnormalities to the practitioner.
- Establishes priorities of patient care based on essential needs and available resources of time, equipment, personnel and supplies.
- Reviews and implements new orders and keeps physician informed of changes in patients’ clinical status. Consistently follows policy regarding telephone/verbal orders and the using of “read back”.
- Explain all procedures and care to patients.
- Accurately records and/or processes orders in timely manner.
- Administer medications using Rights of Medication Administration. Initiates, titrates and safely monitors all IV medications and blood components. Consistently uses two patient identifiers when drawing labs, medicating, or performing any procedure on a patient and administering blood components
- Follow medication reconciliation policy
- Knowledge of National Patient Safety Goals. Comply with federal, state, and local laws that govern business practices. Comply with all Department of Health Services requirements for CMS, and JCAHO standards that apply to the position.
- Give a thorough, detailed, efficient change of shift report to ensure consistency in the plan of care, utilizing the SBAR method.
- Independently recognize and perform duties which need to be done without being directly assigned. Establish priorities and organizes work and time to meet them.
- Assists physicians with special tests and procedures using time out for bedside procedures.
- Consistently ensures that all clinical alarms (i.e. Cardiac monitor alarms) are set with the appropriate parameters for the patient and are audible at all times.
- Adequately assess and reassess pain, after giving pain medication and upon discharge. Accurately documents information on the patient record
- Does not use unacceptable abbreviations in documentation. Documents evidence of nursing care on the patient’s medical record in a legible, concise, timely and complete manner.
- Avoids and prevents injury to self and patients by applying the principles of body mechanics. Maintains a safe environment, functioning with an awareness and application of safety issues identified within the unit/facility (i.e. suction and oxygen immediately available at all bedside.)
- Ensures Crash cart, including defibrillator function, has been checked per protocol and after each code, appropriate items are immediately replaced and indicated by signature on the cart checklist.
- Comply with information contained in the Infection Manual and demonstrate appropriate use of personal protective equipment and hand washing techniques. Follow standard and transmission-based precautions.
- Participate in Continuous Quality Improvement Program by assisting in finding new and better ways of performing duties and responsibilities. and verbalizing at least one major goal of the performance improvement program within the hospital setting, ability to describe a quality improvement problem solving process (e.g., PDCA) and how its use assists in reaching improving patient outcomes and/or organizational quality improvement goals and verbalize at least one departmental or hospital wide improvement initiative that has occurred within the last 12 months.
- Demonstrates empathy and respect for patients by explaining all procedures providing privacy and allowing patients to express emotional needs. Understands, respects, and displays sensitivity to culture, age and persons with disabilities.
- Displays honesty and respect for others, and respect for the organization as evidenced by:
- Treating internal and external customers as the most important part of the job
- Being sensitive to customers’ emotions, thoughts and feelings
- Refraining from negative comments of any kind where the public or other customers can hear
- Taking appropriate actions to resolve concerns
- Interacts with coworkers, other hospital staff, physicians, and the public in a courteous, professional and efficient manner
- Continually strives for self-improvement in areas of responsibility by attending continuing education classes
- Participate in customer services activities.
- Is knowledgeable in the hospital safety program and takes necessary steps to maintain a safe environment. Adheres to safe work practices in order to prevent injuries and illnesses.
- Is familiar with emergency codes and emergency preparedness procedures and understands his/her role in response to each of the emergency codes (Code Blue, Code Green, Code Adam, Code Yellow, Code Gray, Code Silver, Code Red, Code Violet, etc.)
- Adheres to procedures for the disposal of wastes as well as the proper disposal of sharps.
- Maintains the department in a neat, clean, and orderly manner, especially in own work area.
- Attends scheduled in-services. Communicates ideas to supervisor for a safer layout of equipment, tools, and/or processes.
- Adhere to all hospital and departmental policies governing conduct while at work, including attendance and punctuality requirements. Take corrective action to prevent recurring tardiness or absences.
- Observes dress code policy and wears hospital identification as required by our policies and procedures
Requirements
- Cardiac rhythm interpretation
- Must possess strong computer skills and EMR use
- Must be able to handle stress of working efficiently with frequent interruptions and distractions
- Must be highly motivated and willing to work additional jobs and duties as needed.
- Must be able to prioritize
- Use of telephones and fax/copy machines
- Must be willing to float to other departments to meet patient care needs
- Recognize signs of child and elder abuse and report appropriately to Social Services/Child / Adult Protective Services.
- Assess the health status of assigned patients by data collection through interview, observation, inspection, auscultation, palpation, reports and records.
- Independently recognize and perform duties which need to be done without being directly assigned. Establish priorities; organize work and time to meet them.
- Recognize and respond to priorities, accepts changes and new ideas. Has insight into problems and the ability to develop workable alternatives.
- Accept constructive criticism in a positive manner
- Uses time effectively and constructively. Does not abuse supplies, equipment, and service.
- Facilitates and enhances communication as evidenced by:
- Effective and timely processing of customers' requests according to hospital and departmental policies.
- Utilizing verbal communication methods, which enable others to clearly understand what is being said.
- Utilizing verbal and nonverbal behaviors without being defensive, manipulative, aggressive or controlling.
- Using written communication that is legible, timely and at a level based on the position specific requirements.
- Listening attentively to ensure effective two-way communication
- Expressing and accepting feedback in a professional manner
- Answering the telephone with stating department, name and greeting
- Uses effective collaborative strategies as evidenced to include:
- Developing peer relationships that enable the work group to accomplish the daily workload within the allotted time frame and achieve departmental goals
- Recognizing and understanding that as a member of an interdependent group, collaboration and compromise is required in order to maintain the effectiveness of the group as a whole to effectively resolve problems
- Timely notification to Department Manager of potential problems or concerns. When faced with a problem or concern, is proactive by presenting suggested solutions at the time that the Department Manager is made aware of the problem or concern.
- Displaying teamwork ability to promote cooperation and collaboration; gaining support for programs and goals.
Physical Requirements:
- Frequent Sitting, standing and walking
- Occasionally reaching, bending, pulling, pushing, twisting and squatting
- Occasional hand and wrist deviation
- Occasionally lift/carry up to 50 pounds
- Occasionally be exposed to hazardous chemicals or infections and Ionizing radiation
- Occasionally required to wear Personal Protective Equipment
