ICU RN Full time position with current NC License. Current BLS and ACLS. ICU clinical experience preferred. Flexibility in scheduling and excellent customer service skills a must.
JOB SUMMARY : A registered nurse responsible for the care of the critically ill adult patient. Complies with standards of nursing set by the North Carolina Board of Nursing, Wilkes Medical Center standards, and the Joint Commission for the Accreditation of Hospitals Organization.
EDUCATION, TRAINING, AND EXPERIENCE :
Graduate of an accredited school of nursing
Special training or licensure :
Current licensure as a Registered Nurse in the state of North Carolina
Current BLS course C and ACLS certification (ACLS required within 6 months of hire if not previously certified.)
CCRN certification preferred but not required
Previous adult critical care experience on a similar level is preferred. .
Maintains current broad-based knowledge of pathophysiology and disease processes of conditions usually represented in the critical care unit.
ESSENTIAL FUNCTIONS :
Provide direct patient care to critically ill patients ranging from simple to complex. Responsible for total care of all patients assigned.
Perform complete and accurate physical and psychosocial assessments at the time of admission and throughout the hospitalization as indicated by patient needs, condition, and critical care protocols.
Correlate significant findings with information obtained from physical assessment, the patient's perception of illness, data from family, medical history of patient and medical chart, to formulate appropriate interventions as needed.
Rapid and accurate assessment of changes in patient's condition. Recognizes when changes necessitate notification of the physician.
Assess patients utilizing information obtained from shift report to make patient assignments.
Assignments are based on needs of patient, qualifications of caregivers and the prescribed medical regimens.
Formulate an individualized plan of care within 8 hours of admission in collaboration with Patient, family and / or other health team members.
Update plans of care based in part on patient assessments, responses to nursing interventions, changes in the patient's condition, anticipated needs at discharge and educational needs.
Apply appropriate interventions in emergency or other crisis situations to ensure optimal patient outcome. Direct personnel accordingly
Accept accountability and responsibility for all actions and their outcomes.
Adhere to administrative and general nursing as well as critical care policies and procedures
Interpret cardiac rhythm strips and treat the rhythms identified according to ACLS protocol
standing arrhythmia orders
Respond to Code Blue situations within the facility. Participate as team leader until arrival of physician and initiates standard ACLS protocols.
Attend three hours of continuing education related to medication administration per year.
Maintain competency as required by unit policy.
Intervenes in and reports unsafe, illegal or unauthorized patient care practices. Follow established protocols to protect patients.
Maintain a safe working environment through removing and / or reporting safety hazards.
Keep unit neat and clean and in proper order. Restock supplies as needed.
Assist with orientation and on the job training of new nursing employees
Participate in cost control measures through monitoring of supplies, equipment, stock drugs and accurate patient charge records.
Maintain emergency cart, trays, and supplies to ensure proper operation of equipment and availability of all necessary supplies.
Participate in quality assurance activities of the department as needed.
Document patient care activities detailing patient's progress, response to interventions, discharge planning, teaching / learning activities and other patient care / assessment data into the patient's record.
Promote continuity of care through collaboration with all health team members.
PHYSICAL REQUIREMENTS :
Standing, sitting and walking most of the shift.
Squatting, bending, kneeling, and reaching up to 40% of the time.
Lifting and / or carrying up to 40 lbs. pushing or pulling up to 100 lbs. or more.
Use of hands for power, grip, and precision
Physical effort with lifting lightweight equipment, materials and supplies.
Occasionally works in difficult or strained positions.
Often assists with lifting or carrying and transport of patients.
Must be able to work with extreme intensive exposure to several disagreeable elements that include but is not limited to : odors, blood, excrements, and hazardous materials listed in the Material Safety
Data Sheets record.
Knowledge base is evidenced by clinical expertise in critical care nursing and competency is evaluated both annually and on an ongoing basis.
Must be able to respond to emergency situations and
Assess the patient's physical and mental health including the patient's reaction to illness or treatment regimen
Must be able to plan, initiate, deliver, and evaluate appropriate nursing acts.
Must be able to teach, delegate to or supervise other personnel in implementing the treatment regimen
MACHINE, TOOLS, AND EQUIPMENT :
Demonstrate knowledge of the location, care and operation of the equipment commonly used in the critical care setting, including but not limited to :
Transvenous and transcutaneous pacemakers
Invasive pressure monitors and lines