RN ACCU (ICU) Registry RUHS

Duties:

Assesses patients on admission within specified time frames to include consideration of physical psychosocial cultural and spiritual needs
Reassess each patients health needs whenever warranted b the patients condition and at least every shift utilizing the nursing processes after obtaining a systematic database
Establishes a plan of care based on indefinite data from all appropriate sources
Reviews and updates the plan of care for each assigned patient utilizing data obtained from reassessments.
Administers oral topical the parental medications utilizing the 7 rights
Assesses and documents effectiveness/untoward effects of medications and treatments.
Performs treatments and procedures with consideration of common nursing practice hospital policy and procedure sterile technique standard precautions and patient privacy
Documents response to are and addresses pain management discharge planning needs educations and progress towards goals.
Documents in a legible and accurate manner to include date and time of entry signature and title.
Educates patient/family based on his/her assessed needs and uses Krames where appropriate
Interprets or analyzes diagnostic data and reports and intervenes appropriately
Promptly communicates change in patients clinical condition to physicians and other health care team members as appropriate.
Uses SBAR communication for all handoffs
Demonstrates consideration of patient rights including confidentiality safety and patient participation in plan of care
Evaluates and documents patient care provided and the effectiveness of patient teaching
Participates in multidisciplinary care planning
Demonstrates knowledge of application criteria for restrains and the ability to manage patients in restraints per policy
Follows the National Patient Safety Goals
Follows hospital policy on use of two patient identifiers
Understands Disaster Plan and own role
Understands how to activate the Rapid Response Team
Completes orientation to Life Safety Standards Code Blue Code Pink (infant abduction Haz Mat Spills Code Red (Fire) Oxygen shut off valve.
Follows hospital infection control policies.
Demonstrates knowledge of blood transfusion policy and documentation
Understand the Chain of Command and accesses it appropriately
Washes hand before and after each patient contact
Follows guidelines for Core Measures and vaccine control

Tasks and Expectation for Critical Care Nurse

Documents appropriately regarding: Initial assessment Multi-Disciplinary Care Plan Progress Note ICU flow Sheet Medication record Medication Reconciliation Critical Values and Telephone Orders
Uses Pyxis appropriately for narcotics
Follows policy for administration of high-risk medications
Able to use: Pressure monitoring Bedside cardiac monitors recognize cardiac dysrhythmias and specialty beds
Manages pain and sedation protocol
Follows early mobility protocol
Follows protocols for the following: Sepsis Ventilator Associate Pneumonia Pressure ulcers and Central lines
Demonstrates knowledge of nurse collected specimens for Type and Cross/Screen
Able to accurately assess plan implement and evaluate the care of the critically ill patient
Accesses appropriate resources when assistance is needed
Locates unit specific policies and accesses them as appropriate

Skills:

ACLS
BLS
CA RN License
Conscious Sedation experience

NIHSS

CCRN - Highly Prefered

1 Year Travel - Highly Prefered
5 yrs Recent ICU RN Experience in acute care facility