PRN Registered Nurse IMCU DayNight

RN- IMCU - PRN

• 30-bed unit providing care to high acuity care patients including
• Cardiac and EP procedures
• Respiratory failure-CPAP BiPAP
• Cardiac arrythmia management
• Sepsis DKA
• Individualized comprehensive 16-week orientation program which includes the Essentials of Critical Care Orientation (ECCO) ACLS certification and NIHSS certification for new nurses.
• Mentorship program after orientation to support new nurses.
• Residency program for new graduates.
• Opportunity for committee participation and a voice in your nursing practice.
• Professional growth through a Clinical Ladder.
• Leadership presence on every shift.
• Strong foundation for advanced practice degree.
• Certification for Progressive Care Nursing (PCCN) after 2 years experience.
• Steppingstone to ICU/CCU career goal.
• PRN - will need to work a min of 24 hours off shift per 6-week schedule.
• 12-hour day/evening/night.
• Weekend and Holiday as needed.
• Shift and Weekend Differential Eligibility.

The Registered Nurse is responsible and accountable for implementing directing and coordinating the care of patients through the use of the nursing process: assessment planning implementation and evaluation. Included is recognition and treatment of the physical and psychosocial changes unique to the age/population group served on the specific unit.

Essential Functions and Responsibilities
Job Class Specifics
safe medication practice.
a professional image that reflects the employees role in health care with confidence and a positive impression.
chart check to ensure no missed orders.
transcribes physicians orders.
therapeutic communication skills.
ability 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.
as a resource person regarding patient care specialty area orientation and teaching of staff.
to delays in a calm manner. Apologizes for inconveniences and gives alternatives.
assessment data identifies priority problems and documents on Plan of Care in PCS for patients and families and significant others.
effective problem-solving skills to plan patient care.
critical factors evidencing changes in patient condition and responds appropriately.
and documents discharge assessment against plan of care goals.
and maintains Intravenous Therapy according to IV standards.
appropriately to emergency situations.
17. Utilizes proper body mechanics to prevent injury to self and others. Safely positions transfers and transports patients.
18. Functions as a virtual nurse as assigned which includes but is not limited to admissions discharges education documentation through a virtual platform and working collaboratively with the bedside nursing staff.

Department: Intermediate Care Unit (IMCU)

basic dysrhythmia interpretation and treatment.
basic and advanced life support.
dosage calculation continuous medication infusion administration and patient monitoring for medication affects (e.g. vasoactive agents platelet inhibitors ant arrhythmic agents insulin.).
patients using standardized procedures for preoperative intraoperative and postoperative procedures (e.g. cardiac catheterization with percutaneous coronary intervention chest tube insertion).
for patients with a tracheotomy.
monitoring including equipment setup and troubleshooting monitoring and recognition of signs and symptoms of patient instability.
of the signs and symptoms of cardiopulmonary emergencies and initiation of standardized interventions to stabilize the patient awaiting transfer to critical care.
of arterial blood gas analysis and communication of findings
indications for and management of patients requiring noninvasive oxygen delivery systems including oral airways bi-level positive airway pressure and continuous positive airway pressure.
of indications for and complications of enteral and parenteral nutrition.
monitoring and management of patients requiring renal therapeutic interventions (e.g. hemodialysis peritoneal dialysis stents continuous bladder irrigation urostomies).
a 12 lead EKG.
cardiac rehab exercises.
blood from an arterial line.
role and responsibility in assessing and reporting physical emotional sexual abuse and neglect.
general cleanliness of department.
proper application of external pacemaker.
of and evaluation of the familys need for enhanced involvement in care to facilitate the transition from hospital to home.

Qualifications and Standards

Education:
Graduate of an accredited School of Nursing required; Bachelor of Science in Nursing is preferred.
Evidence of participation in educational programs to update and maintain current knowledge and clinical skills.

Experience:
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 be self directed in responding to abnormalities or cardiac arrests 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 EDor 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.
Temporarily reassigned personnel will work in a limited scope of practice consistent with credentials and be supervised by appropriately credentialed staff.
WOCNCB or CWCN preferred for Wound Care Center.