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! RN Charge-ICU
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Wytheville, VA Wytheville, Virginia |
About this job
POSITION SUMMARY:
Under the direction of a nursing director or other supervisor, assumes the responsibility and accountability for developing, evaluating and directing the plan of care for assigned patients. Works in collaboration with all other care disciplines to provide safe, efficient, and coordinated care for assigned patients. Utilizes the nursing process in accordance with the established policies and procedures of WCCH, maintains clinical competencies through continuing education, and delegates patient care priorities commensurate with the education and experience of the available staff. The ICCU Nurse provides care to acutely and critically ill patients, in a highly technical and ongoing monitoring environment. These patients are facing life-threatening problems with varying needs, which require extensive medication best practices and therapies.
POSITION RESPONSBILITIES:
* Provides direct and individualized nursing care to patients based on the application of best practices.
* Collects current symptoms, as well as a detailed patient history and then consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans.
* Provides basic bedside care in a critical care setting , while considering both physical and psychosocial elements.
* Manages basic/advanced life support needs and stabilizes until the attending physician is available, based upon nursing standards and best practices
* Records patients' current vital signs, allergies and medications
* Uses critical thinking and nursing judgements to analyze assessment data to make independent nursing decisions and formulate nursing diagnoses.
* Works directly under physicians, assisting them during exams, diagnostic testing and treatments
* Prepares and administers (orally, subcutaneously, through an IV) and records prescribed medications.
* Reports adverse reactions to medications or treatments in accordance with WCCH policies.
* Applies Hemodynamic, Phlebotomy, and IV best practices
* Monitors and adjusts specialized equipment used on patients, and interprets and records electronic displays , such as central venous pressures, arterial pressures, and cardiac rhythms from cardiac monitors, ventilators, manometers, pulse oximeters, etc.
* Monitors catheters, leads, and tubing for proper placement and functioning
* Initiates corrective action whenever information from monitoring/life support equipment reveals adverse change
* Maintains proper supplies and appropriate medical equipment to care for patients
* 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, as well as provides referrals to other healthcare professionals for follow-up treatment.
* Displays professionalism while completing multiple urgent tasks in a timely manner
* Records all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms.
* Functions as a preceptor or an educational resource in the initial and on-going orientation of new personnel, students, etc.
* Respects and honors cultural and religious differences between patients and self
* Upholds HIPAA regulations
* Is punctual and can be relied upon to report when assigned to work.
* Maintains professional and technical knowledge by completing Life Talent assignments by established deadlines, maintaining certification and license requirements to insure no lapse in expiration
* Puts patient first. Always. Strives daily to give all customers excellent care.
* Involves the patient and/or family in the utilization of processes which respect patient's rights.
* Participates in meetings, committees and continuing education to improve both individual departmental and organizational performance.
* Handles conflicts and concerns in a timely and professional manner, utilizing crisis-de-escalation skills when appropriate
* Promotes cooperative relationships among health care teams by communicating information, responding to requests, building rapport, participating in team problem-solving methods.
* Contributes to the maintenance of a safe working environment and the employee's own personal safety
* Recognizes safety hazards and takes action to maintain a safe environment for patients, staff, visitors and community
* Adheres to Life Safety Codes, MSDS, Infection Control, and all other regulatory and hospital policies
* Participates in performance improvement processes and projects
* Performs job duties in a manner that supports WCCH's core values & Code of Conduct, and in support of the mission of the organization
KNOWLEDGE, SKILLS and ABILITIES:
* Effective Oral and written communication skills, including SBAR and AIDET
* Ability to utilize keyboard, computer, and various pieces of general office equipment
* Ability to work independently or as a team member to ensure quality of patient care
* Ability to prioritize work assignments during periods of stress and high patient volume
* Ability to lift or move patients of various sizes and ages between beds/wheelchairs or gurneys
* Ability to stand for long periods of time
* Corrected hearing and visual acuity to read monitors, hear alarms, etc.
* Knowledge and skills necessary to provide patient care based upon the diverse population of ICCU patients, and based on physical, psycho/social, education, safety and related criteria, appropriate to the age of the patients served.
* Critical thinking, time management, and organizational skills
AGES OF POPULATION SERVED:
Age Specific
Definition
Yes
No
Birth to One Year
Infant
X
2 -- 3 Years
Toddler
X
4 - 5 Years
Pre-Schooler
X
6 -- 11 years
School Age
X
12 - 17 years
Adolescent
X
18 -- 30 years
Young Adult
X
31 -- 64 years
Adult
X
65
Geriatric
X
No responsibility to treat or care for patients
WORKING CONDITIONS:
Exposure to:
None
Some
Frequent
Toxic/caustic chemicals
X
Working outdoors
X
Dust/fumes/gases/helicopter
X
Moving mechanical parts
X
Blood or Body Fluids
X
Communicable Diseases
X
Potential electrical shock
X
X-ray electromagnetic energy
X
Needles or sharp objects
X
Frequent repetitive motions
X
Use/viewing of Computer monitor
X
Unprotected heights
X
Physically or verbally abusive patients
X
Hazards in patients' homes
X
Extreme heat or cold
X
* 50% of time spent traveling
X
Exposure to high pitched noises
X
Blood born pathogen exposure
X
Stressful Environment
X
PHYSICAL DEMANDS/LIFTING REQUIREMENTS:
( ) Sedentary Work: Lifting 10 lbs. maximum and occasionally lifting and/or carrying articles.
( ) Light Work: Lifting 2 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 10 lbs.
( ) Medium Work: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 25 lbs.
( X ) Heavy Work: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 50 lbs.
( ) Very Heavy Work: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of objects weighing 50 lbs. or more.
( X ) Ability to lift, push and pull with assistance of mechanical device or co-worker
Activity
Some
Frequent
Repeated Bending, Stooping, Kneeling, Crouching
X
Working in confined area
X
Ability to distinguish Colors
X
Standing/Walking > 25%
Standing/Walking > 50%
X
Standing/Walking > 75%
Manual hand/finger dexterity
X
Multi-tasking, ability to work with frequent interruptions
X
Hand/eye coordination
X
Sitting > 50%
Use of Computer >75%
Critical Thinking Skills
X
Reaching above shoulder level
X
Climbing on Ladder
Operating Motor Vehicle or motorized equipment
POSITION REQUIREMENTS:
* Current licensure in the Commonwealth of Virginia as a Registered Nurse, and in good standing with the Board
* Diploma RN, ASN, BSN or MSN .
* BCLS and ACLS certification required hire.
* CCRN certification preferred
* PALS certification preferred
* Critical Care class or preceptorship preferred prior to hire
* At least one year of previous experience in an ICCU/CCU as an RN strongly preferred.
* ICCU competency completion required within 90 days
* Ability to regularly accept on-call assignments and ability to report to hospital within 30 minutes of notification.
* Successful completion of an orientation program.
* Ability to accept regular on-call assignments for regularly scheduled shifts when acuity and/or census indicates need. Will be available to report to facility within 30 minutes of notification. This status will be determined by Department Director, House Supervisor or Administrator on call.
Float to various clinical areas, where qualified and competent
Under the direction of a nursing director or other supervisor, assumes the responsibility and accountability for developing, evaluating and directing the plan of care for assigned patients. Works in collaboration with all other care disciplines to provide safe, efficient, and coordinated care for assigned patients. Utilizes the nursing process in accordance with the established policies and procedures of WCCH, maintains clinical competencies through continuing education, and delegates patient care priorities commensurate with the education and experience of the available staff. The ICCU Nurse provides care to acutely and critically ill patients, in a highly technical and ongoing monitoring environment. These patients are facing life-threatening problems with varying needs, which require extensive medication best practices and therapies.
POSITION RESPONSBILITIES:
* Provides direct and individualized nursing care to patients based on the application of best practices.
* Collects current symptoms, as well as a detailed patient history and then consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans.
* Provides basic bedside care in a critical care setting , while considering both physical and psychosocial elements.
* Manages basic/advanced life support needs and stabilizes until the attending physician is available, based upon nursing standards and best practices
* Records patients' current vital signs, allergies and medications
* Uses critical thinking and nursing judgements to analyze assessment data to make independent nursing decisions and formulate nursing diagnoses.
* Works directly under physicians, assisting them during exams, diagnostic testing and treatments
* Prepares and administers (orally, subcutaneously, through an IV) and records prescribed medications.
* Reports adverse reactions to medications or treatments in accordance with WCCH policies.
* Applies Hemodynamic, Phlebotomy, and IV best practices
* Monitors and adjusts specialized equipment used on patients, and interprets and records electronic displays , such as central venous pressures, arterial pressures, and cardiac rhythms from cardiac monitors, ventilators, manometers, pulse oximeters, etc.
* Monitors catheters, leads, and tubing for proper placement and functioning
* Initiates corrective action whenever information from monitoring/life support equipment reveals adverse change
* Maintains proper supplies and appropriate medical equipment to care for patients
* 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, as well as provides referrals to other healthcare professionals for follow-up treatment.
* Displays professionalism while completing multiple urgent tasks in a timely manner
* Records all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms.
* Functions as a preceptor or an educational resource in the initial and on-going orientation of new personnel, students, etc.
* Respects and honors cultural and religious differences between patients and self
* Upholds HIPAA regulations
* Is punctual and can be relied upon to report when assigned to work.
* Maintains professional and technical knowledge by completing Life Talent assignments by established deadlines, maintaining certification and license requirements to insure no lapse in expiration
* Puts patient first. Always. Strives daily to give all customers excellent care.
* Involves the patient and/or family in the utilization of processes which respect patient's rights.
* Participates in meetings, committees and continuing education to improve both individual departmental and organizational performance.
* Handles conflicts and concerns in a timely and professional manner, utilizing crisis-de-escalation skills when appropriate
* Promotes cooperative relationships among health care teams by communicating information, responding to requests, building rapport, participating in team problem-solving methods.
* Contributes to the maintenance of a safe working environment and the employee's own personal safety
* Recognizes safety hazards and takes action to maintain a safe environment for patients, staff, visitors and community
* Adheres to Life Safety Codes, MSDS, Infection Control, and all other regulatory and hospital policies
* Participates in performance improvement processes and projects
* Performs job duties in a manner that supports WCCH's core values & Code of Conduct, and in support of the mission of the organization
KNOWLEDGE, SKILLS and ABILITIES:
* Effective Oral and written communication skills, including SBAR and AIDET
* Ability to utilize keyboard, computer, and various pieces of general office equipment
* Ability to work independently or as a team member to ensure quality of patient care
* Ability to prioritize work assignments during periods of stress and high patient volume
* Ability to lift or move patients of various sizes and ages between beds/wheelchairs or gurneys
* Ability to stand for long periods of time
* Corrected hearing and visual acuity to read monitors, hear alarms, etc.
* Knowledge and skills necessary to provide patient care based upon the diverse population of ICCU patients, and based on physical, psycho/social, education, safety and related criteria, appropriate to the age of the patients served.
* Critical thinking, time management, and organizational skills
AGES OF POPULATION SERVED:
Age Specific
Definition
Yes
No
Birth to One Year
Infant
X
2 -- 3 Years
Toddler
X
4 - 5 Years
Pre-Schooler
X
6 -- 11 years
School Age
X
12 - 17 years
Adolescent
X
18 -- 30 years
Young Adult
X
31 -- 64 years
Adult
X
65
Geriatric
X
No responsibility to treat or care for patients
WORKING CONDITIONS:
Exposure to:
None
Some
Frequent
Toxic/caustic chemicals
X
Working outdoors
X
Dust/fumes/gases/helicopter
X
Moving mechanical parts
X
Blood or Body Fluids
X
Communicable Diseases
X
Potential electrical shock
X
X-ray electromagnetic energy
X
Needles or sharp objects
X
Frequent repetitive motions
X
Use/viewing of Computer monitor
X
Unprotected heights
X
Physically or verbally abusive patients
X
Hazards in patients' homes
X
Extreme heat or cold
X
* 50% of time spent traveling
X
Exposure to high pitched noises
X
Blood born pathogen exposure
X
Stressful Environment
X
PHYSICAL DEMANDS/LIFTING REQUIREMENTS:
( ) Sedentary Work: Lifting 10 lbs. maximum and occasionally lifting and/or carrying articles.
( ) Light Work: Lifting 2 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 10 lbs.
( ) Medium Work: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 25 lbs.
( X ) Heavy Work: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 50 lbs.
( ) Very Heavy Work: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of objects weighing 50 lbs. or more.
( X ) Ability to lift, push and pull with assistance of mechanical device or co-worker
Activity
Some
Frequent
Repeated Bending, Stooping, Kneeling, Crouching
X
Working in confined area
X
Ability to distinguish Colors
X
Standing/Walking > 25%
Standing/Walking > 50%
X
Standing/Walking > 75%
Manual hand/finger dexterity
X
Multi-tasking, ability to work with frequent interruptions
X
Hand/eye coordination
X
Sitting > 50%
Use of Computer >75%
Critical Thinking Skills
X
Reaching above shoulder level
X
Climbing on Ladder
Operating Motor Vehicle or motorized equipment
POSITION REQUIREMENTS:
* Current licensure in the Commonwealth of Virginia as a Registered Nurse, and in good standing with the Board
* Diploma RN, ASN, BSN or MSN .
* BCLS and ACLS certification required hire.
* CCRN certification preferred
* PALS certification preferred
* Critical Care class or preceptorship preferred prior to hire
* At least one year of previous experience in an ICCU/CCU as an RN strongly preferred.
* ICCU competency completion required within 90 days
* Ability to regularly accept on-call assignments and ability to report to hospital within 30 minutes of notification.
* Successful completion of an orientation program.
* Ability to accept regular on-call assignments for regularly scheduled shifts when acuity and/or census indicates need. Will be available to report to facility within 30 minutes of notification. This status will be determined by Department Director, House Supervisor or Administrator on call.
Float to various clinical areas, where qualified and competent