Registered Nurse - IMCU - Night

About the role

The Registered Nurse works in the Intermediate Care Unit (IMCU) providing care to high acuity care patients, including those undergoing Cardiac and EP procedures. Responsibilities include respiratory failure management, cardiac arrhythmia treatment, sepsis and DKA management, and leading a mentorship program.

Responsibilities

• Maintains a professional image reflecting the role in health care.
• Completes chart checks and accurately transcribes physician’s orders.
• Demonstrates therapeutic communication skills and assesses patient education needs.
• Attends 50% of staff/committee meetings and in-services.
• Acts as a resource person regarding patient care, specialty area, orientation, and teaching of staff.
• Responds calmly to delays and provides alternatives.
• Documents discharge assessments against plan of care goals.
• Initiates and maintains intravenous therapy according to IV standards.
• Responds appropriately to emergency situations.
• Utilizes proper body mechanics to prevent injury to self and others.
• Safely positions, transfers, and transports patients.
• Functions as a virtual nurse, including admissions, discharges, education, documentation through a virtual platform, and collaborating with the bedside nursing staff.
• Provides basic dysrhythmia interpretation and treatment, basic and advanced life support, drug dosage calculation, continuous medication infusion administration, and patient monitoring.
• Completes a 12 lead EKG, completes cardiac rehab exercises, draws blood from an arterial line, describes role and responsibility in assessing and reporting physical, emotional, sexual abuse, and neglect, and maintains general cleanliness of the department.
• Maintains a professional image reflecting the role in health care.

Requirements

• Graduate of an accredited School of Nursing required; Bachelor of Science in Nursing preferred.
• Evidence of participation in educational programs to update and maintain current knowledge and clinical skills.
• Experience applying customer service behaviors and communication skills required.
• Previous nursing experience in specialty area preferred.
• For Cath Lab, one year of acute care nursing experience (ED, Cath Lab, CCU, IMCU, Tele-Observation) preferred.
• For Cardiac Rehab, two years experience in Critical Care and/or Progressive Care required.
• For Cardiovascular Services, two years of experience reading cardiac monitors and being self-directed in responding to abnormalities or cardiac arrest codes as a team member.
• For Device Clinic, at least one year of device management services required.
• Successful completion of EKG course required.
• At least two years of acute care nursing required (Tele-Observation, IMCU, CCU, Cath Lab, ED).
• For Emergency Department, at least one year of RN experience in ED or Critical Care required.
• For Family Birthing Services, a minimum of 1 year Labor and Delivery experience (within the last five years); For Family Birthing position posted as a trainee position, requirement of at least 1 year of experience as an RN with preferred areas of ICU, CCU, IMCU, ED, or internal nurse intern upon successfully completing accredited nursing program.
• Experience requirement does not apply to an RN in the Family Birthing Services Fellowship Program (FBSFP).
• For Infusion Services, 6 months of infusion nursing experience required, and 6 months Midline and PICC experience required.
• For Wound Care Center, two years experience and expertise in the nursing process related to wound care required. Experience in advanced wound care initiatives preferred.
• For Outpatient Behavioral Health Services, two years experience in Behavioral/Psychiatric nursing is required. Previous experience in a Behavioral Health Outpatient setting preferred.
• Child Abuse Recognition and Reporting Training in accordance with Act31 of 2014 required.
• Federal Bureau of Investigation (FBI) Clearance and finger printing required.
• For Rapid Admission, requires one year acute care experience and successful completion of EKG course within six months of hire.
• For SDS / PACU, must have experience with, and be familiar with, reading cardiac monitors and be self-directed in responding to abnormalities or cardiac arrest as a team member. Must have recent clinical experience with cardiopulmonary resuscitation and have the ability to lead a Code Blue in the absence of a higher level professional.
• For Medical Surgical (Renal, Oncology and Pediatrics), pediatric experience is preferred.
• For Level II NICU, a minimum of one year NICU experience (within the last five years); For Level II NICU position posted as a trainee position, requirement of at least 2 years of experience in: NICU Level 1, Labor and Delivery, Post-Partum, Nursery, PICU, ICU, ED, or CCU. Or, for Level II NICU position posted as a trainee position, requirement of a new graduate RN with (A) practicum/capstone in Labor and Delivery, Nursery, or NICU, or (B) experience as Tech/Aide in Labor and Delivery, Post-Partum Nursery, or NICU.
• Certifications/Licensure: Eligible for or currently licensed as a Registered Professional Nurse in Pennsylvania. Certification in specialty preferred. CPR certification required. ACLS required for Cardiovascular Services, CCU, Device Clinic, Emergency, IMCU, FBS, Tele Observation, PACU/SDS, or achieved within one year of start date. ACLS required for Cardiac Rehab or achieved within 3 months of hire/transfer. Proficiency in cardiac monitor interpretation, conscious sedation, and ACLS required for Cath Lab or achieved within 6 months of hire/transfer. ACLS required for Float Pool. PALS required for Emergency, PACU, and Pediatric trained staff within one year from start date. PALS and Conscious Sedation is required for SDS, or must be achieved within four months of hire/transfer. CNOR preferred for OR. CPAN/CAPA preferred for PACU/SDS. CRRN preferred for Rehabilitation Medicine. NRP required for Level II NICU. NRP and Fetal Monitoring education required for Family Birthing Services within one year from start date. PMH-BC preferred for BHS (IP and OP). Proficiency in cardiac monitor interpretation required for PACU/SDS, IMCU, Tele Observation, CCU, Cardiac Rehab, Cardiovascular Services, Cath Lab, and Emergency.

Qualifications

• Graduate of an accredited School of Nursing required; Bachelor of Science in Nursing preferred.
• Evidence of participation in educational programs to update and maintain current knowledge and clinical skills.
• Experience applying customer service behaviors and communication skills required.
• Previous nursing experience in specialty area preferred.
• For Cath Lab, one year of acute care nursing experience (ED, Cath Lab, CCU, IMCU, Tele-Observation) preferred.
• For Cardiac Rehab, two years experience in Critical Care and/or Progressive Care required.
• For Cardiovascular Services, two years of experience reading cardiac monitors and being self-directed in responding to abnormalities or cardiac arrest codes as a team member.
• For Device Clinic, at least one year of device management services required.
• Successful completion of EKG course required.
• At least two years of acute care nursing required (Tele-Observation, IMCU, CCU, Cath Lab, ED).
• For Emergency Department, at least one year of RN experience in ED or Critical Care required.
• For Family Birthing Services, a minimum of 1 year Labor and Delivery experience (within the last five years); For Family Birthing position posted as a trainee position, requirement of at least 1 year of experience as an RN with preferred areas of ICU, CCU, IMCU, ED, or internal nurse intern upon successfully completing accredited nursing program.
• Experience requirement does not apply to an RN in the Family Birthing Services Fellowship Program (FBSFP).
• For Infusion Services, 6 months of infusion nursing experience required, and 6 months Midline and PICC experience required.
• For Wound Care Center, two years experience and expertise in the nursing process related to wound care required. Experience in advanced wound care initiatives preferred.
• For Outpatient Behavioral Health Services, two years experience in Behavioral/Psychiatric nursing is required. Previous experience in a Behavioral Health Outpatient setting preferred.
• Child Abuse Recognition and Reporting Training in accordance with Act31 of 2014 required.
• Federal Bureau of Investigation (FBI) Clearance and finger printing required.
• For Rapid Admission, requires one year acute care experience and successful completion of EKG course within six months of hire.
• For SDS / PACU, must have experience with, and be familiar with, reading cardiac monitors and be self-directed in responding to abnormalities or cardiac arrest as a team member. Must have recent clinical experience with cardiopulmonary resuscitation and have the ability to lead a Code Blue in the absence of a higher level professional.
• For Medical Surgical (Renal, Oncology and Pediatrics), pediatric experience is preferred.
• For Level II NICU, a minimum of one year NICU experience (within the last five years); For Level II NICU position posted as a trainee position, requirement of at least 2 years of experience in: NICU Level 1, Labor and Delivery, Post-Partum, Nursery, PICU, ICU, ED, or CCU. Or, for Level II NICU position posted as a trainee position, requirement of a new graduate RN with (A) practicum/capstone in Labor and Delivery, Nursery, or NICU, or (B) experience as Tech/Aide in Labor and Delivery, Post-Partum Nursery, or NICU.
• Certifications/Licensure: Eligible for or currently licensed as a Registered Professional Nurse in Pennsylvania. Certification in specialty preferred. CPR certification required. ACLS required for Cardiovascular Services, CCU, Device Clinic, Emergency, IMCU, FBS, Tele Observation, PACU/SDS, or achieved within one year of start date. ACLS required for Cardiac Rehab or achieved within 3 months of hire/transfer. Proficiency in cardiac monitor interpretation, conscious sedation, and ACLS required for Cath Lab or achieved within 6 months of hire/transfer. ACLS required for Float Pool. PALS required for Emergency, PACU, and Pediatric trained staff within one year from start date. PALS and Conscious Sedation is required for SDS, or must be achieved within four months of hire/transfer. CNOR preferred for OR. CPAN/CAPA preferred for PACU/SDS. CRRN preferred for Rehabilitation Medicine. NRP required for Level II NICU. NRP and Fetal Monitoring education required for Family Birthing Services within one year from start date. PMH-BC preferred for BHS (IP and OP). Proficiency in cardiac monitor interpretation required for PACU/SDS, IMCU, Tele Observation, CCU, Cardiac Rehab, Cardiovascular Services, Cath Lab, and Emergency.

Skills

• Safe medication practice.
• Therapeutic communication skills.
• Able to assess patient education needs and use of patient education resources.
• Involvement in unit by attending 50% of staff/committee meetings and in-services for area.
• Leadership through the nursing process and supervision while maintaining accountability for treatment and patient outcomes.
• Resource person regarding patient care, specialty area, orientation, and teaching of staff.
• Response to delays in a calm manner.
• Analyzes assessment data, identifies priority problems, and documents on Plan of Care in PCS for patients and families and significant others.
• Uses