Experienced Registered Nurse ICU

About the role

Night shift 7p-7a position in the Intensive Care Unit (ICU).

Responsibilities

• Monitor and evaluate patients on external and transvenous pacemakers
• Monitor and evaluate patients on specific drips (e.g. Diprivan, Vasopressors, Paralytics)
• Monitor, evaluate, document and troubleshoot patients' hemodynamic response and the use of critical care specialty equipment (e.g. IABP, CRRT)
• Monitor, evaluate and document patients with Femoral Line Catheter
• Monitor, evaluate and document patients with Pulmonary Artery Catheter
• Monitor, evaluate and document patients on Continuous Renal Replacement Therapy
• Monitor, evaluate and document patients on Ventilator support
• Monitor, evaluate and document patients on Intracranial Pressure Monitor
• Safely care for Cardio Surgical patients who are hemodynamically compromised
• Perform initial vital signs and admission history including introduction to patient and family; assess chief complaint and notify physician within 15 minutes of arrival to unit
• Obtain and document a complete nursing admission assessment including physiological and psychological factors to develop an interdisciplinary plan of care within eight hours of admission
• Perform and document an accurate system assessment at the beginning of each shift
• Respond to diagnostic data and initiate appropriate action or intervention
• Assess patient education needs upon admission and daily thereafter
• Assess psychosocial needs specific to patient's age, growth, and development
• Initiate an Interdisciplinary plan of care within eight hours of admission
• Establish priorities for patient care based on patient needs, evidenced by completion of assigned duties within shift
• Verbalize understanding of patient diagnosis and interdisciplinary plan of care
• Safely and correctly initiate and document nursing interventions in emergency situations
• Perform 24-hour chart check at the beginning of each shift
• Administer, observe, and document intravenous therapy according to hospital policy
• Administer medications within 30 minutes of scheduled time, observe and document effectiveness, recognize and report adverse reactions immediately
• Provide individualized instructions each shift to patient/significant other regarding the plan of care
• Demonstrate safe and correct use of unit specific equipment
• Ensure that each patient's general hygiene needs are met daily
• Perform pre-operative and post operative care and instruction for each assigned surgical patient during shift
• Adhere to Standard precautions including hand hygiene guidelines at all times
• Document specific patient valuables on designated form when received and immediately arrange for appropriate storage
• Perform dressing changes using aseptic technique
• Collect and label specimens per policy when ordered by physician
• Perform bedside glucose monitoring according to policy
• Administer internal feedings via ng tube, gastrostomy tube, and/or jejunostomy tube
• Report all abnormal findings immediately to physician
• Implement skin and wound protocol upon identification of risk
• Perform ostomy care to include irrigation, appliance usage, and reinforcement of teaching
• Insert intermittent or indwelling urinary catheter using aseptic technique
• Administer oxygen therapy according to physician order
• Transfer patients in/out of the unit in an efficient manner, obtaining a complete and correct set of physician's orders and completing documentation of transfer summary; ensure appropriate completed referral forms accompany intra-facility transfers, including giving/receiving of report
• Demonstrate safe and correct use of restraints as per policy
• Document/report patient responses or outcomes resulting from nursing interventions, treatments/procedures, interpersonal interactions, and patient/family education
• Evaluate and document patient's progress towards established goals/objectives every shift
• Update/revise patient care problem list and individualized patient care standards based on patient/family responses, progress towards goals, and/or change in medical status every shift
• Evaluate patient length of stay and related transfer/discharge planning needs based on anticipated problems, internal or community resources, and support systems
• Obtain 100% of mandatory hospital and unit specific inservices annually, prior to evaluation date
• Plan, present, and document unit inservice as required by level
• Document competency in clinical skills at least annually
• Attend staff meetings as required
• Use established lines of communication for resolution of problems and interpersonal conflict
• Present a minimum of 1 in-services and 2 patient care conferences
• Attend 75% staff meetings
• Function as a Charge Nurse, possess clinical knowledge of all patients on the unit, triage and assign beds to promote patient flow
• Attend a Charge Nurse course within the year / serve as a preceptor/clinical resource
• Actively participate in unit based PI

Qualifications

• Current Florida Nursing License
• Current Basic Life Support (BLS)
• Current Advanced Cardiac Life Support (ACLS)
• Graduated from an accredited school of nursing
• BSN preferred
• CCRN preferred
• Level II: Minimum 1 year RN experience

Benefits

• Health benefits
• Life insurance
• Long-term disability coverage
• Healthcare spending accounts
• Retirement plan
• Paid time off
• Pet insurance
• Tuition reimbursement
• Employee assistance program
• Wellness program
• On-site housing for select positions