RN (Flex) - Critical Care

About the role

Critical care nurses provide direct and individualized nursing care to patients based on scientific nursing principles. They also utilize the nursing process, including assessment, planning, implementation, and evaluation.

Responsibilities

• Conducts ongoing focused physical, psychosocial, and pain assessments; includes assessment of patient education needs.
• Utilizes the assessment, identifies problems, and makes nursing diagnoses, formulates goals, teaching plans, and outcomes to create an individualized plan of care.
• Identifies individual patient goals, readiness to learn, and incorporates family into the plan of care.
• Prioritizes and implements an efficient nursing plan of care.
• Consistently conducts timely evaluations, recognizes changes in patient conditions, determines when reassessments are needed, and adjusts the plan of care as necessary.
• Evaluates patient’s response to interventions and communicates with other healthcare team members the need to revise or maintain the plan of care.
• Initiates and documents patient education based on treatment plan in the language that the patient understands.
• Documents assessment, interventions, changes in the patient’s condition and response to interventions based on hospital policy on documentation.
• Communicates with colleagues and interdisciplinary team about the prevention, treatment, and patient care needs of the patient that has pressure injuries (reports, dietary consults, communicates with physicians).
• Communicates with colleagues and interdisciplinary team about the treatment and patient care needs of the patient that has pressure ulcers (reports, dietary consults, communicates with physicians).
• Manages patient post-neuro procedure or Neuro patient transferring from Surgical intensive care unit.
• Calculates drug dosage, administering continuous medication infusion, and monitoring patients for effects of medication. IV pump setup. Use of Doppler. Phlebotomy /IV start.
• Cardio pulmonary monitoring/Arrhythmia recognition & treatments. Medication Indication, dosage, action, side effects of anti-platelets/coagulants. Blood and blood product transfusions and assists with Massive blood transfusion.
• Care of mechanically ventilated. Assisting with Emergency Management. Urinary Catheterization - Male and Female.
• Starts standard interventions to stabilize the patient. Communicates with colleagues and interdisciplinary team about the treatment and patient care needs of the patient that has pressure ulcers (reports, dietary consults, communicates with physicians).
• Recognizes and reports errors or unusual occurrences, and initiates corrective action when appropriate.
• Makes accurate, complete, and timely entries into the patient medical record addressing all steps of the nursing process.
• Actively communicates with all members of the healthcare team, patient, and patient family and then assess, plan, implement and evaluate patient care.
• Knows how to start standard interventions to stabilize the patient.
• Communicates with colleagues and interdisciplinary team about the prevention, treatment, and patient care needs of the patient that has pressure injuries (reports, dietary consults, communicates with physicians).
• Manages patient post-neuro procedure or Neuro patient transferring from Surgical intensive care unit.
• Has knowledge of all vasoactive drugs such as Vasopressors, Inotropes, Catecholamines, and Adrenergic. Calculates and administers according to the guideline.
• Initiates patient education plan, as prescribed by physician. Teaches patients and significant others how to manage their illness/injury, by explaining: post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication and rehabilitation.
• Demonstrates efforts in the prevention of hospital acquired conditions (HAC) CAUTI, CLABSI, Pressure injuries and Falls.
• Records all patients’ medical information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms.
• Prepares equipment and assists physician during examination and treatment/procedures of patient at the bedside.
• Participates in the formulation, review and or revision of departmental policies.
• Proactively participates in performance improvement initiatives to continuously improve the quality of patient care.
• Uses hospital resources effectively in providing patient care. Follows the process of reporting broken equipment.
• Recovering patient after sedation analgesia. Transferring patient to floor after verbal report/electronic report using Hand-off.
• Involves Patient and family in discharge teaching. Discharges patients safely if outpatients.
• Performs other duties as assigned within the RN scope of practice.

Qualifications

• Education: Internal & 1199 SEIU Graduate of accredited nursing program(s). Bachelor's degree in Nursing preferred. Non 1199 SEIU Candidates Bachelor’s degree in Nursing or equivalent to BSN program. Master's degree in Nursing, preferred.
• Experience: Minimum two (2) years' Telemetry experience required. Minimum one (1) year Critical Care nursing or equivalent experience preferred.

Skills

• Knowledge of Neuro assessment, and documentation, NIHSS scale.
• Knowledge of critical lab values.
• Critical thinking, math, and computer skills.
• Works as a team player.
• Demonstrates respect and professionalism in all interactions.
• Excellent oral and communication skills.
• Decision making and problem solving.
• Able to read, write, see and hear English.

Licenses, Certifications

• Current NY State RN License required.
• Basic Life Support (BLS) required.
• Advanced Cardiovascular (ACLS) required.
• CCRN (required within one (1) year of hire).
• Basic Arrhythmia Class with Certificate required.
• Stroke Certification required.
• Trauma Care After Resuscitation (TCAR) required.

Physical Requirements

• Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day.
• Exposure to: Adverse indoor environmental conditions, Blood borne pathogens, Blood and body fluids, Physical hazards (e.g., needle pricks, etc.), communicable diseases, chemical hazards, radiation, and repetitive motions.
• Full range of body motion, able to lift up to 100 pounds, if necessary, to assist lifting and moving patients.
• Exposure to: Adverse indoor environmental conditions, Blood borne pathogens, Blood and body fluids, Physical hazards (e.g., needle pricks, etc.), communicable diseases, chemical hazards, radiation, and repetitive motions.