MA Gardner, MA Registered Nurse, ICU Department

ESSENTIAL FUNCTIONS Assesses (and reassesses) plans implements and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care standards of practice protocols and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs readiness to learn and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources reassigns personnel as necessary recognizes need for emergency intervention etc.). Provides thorough timely and accurate documentation of all pertinent data therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor instructor trainer attends professional development programs etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician s orders protocols policies and procedures. Assesses patient pain level upon admission and as necessary depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed as well as documents assessment and patients response to medication. Performs accurate and timely identification of cardiac arrhythmias. Performs accurate and timely interpretation of EKG configuration changes (i.e. PR interval ST segment). Institutes monitors and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates knowledge of mechanical ventilation (e.g. modes settings and adjuncts associated with mechanical ventilation. Demonstrates skills associated with initiation maintenance and care of the intubated patient including suctioning troubleshooting and weaning. Accurately interprets arterial blood gases pulse oximetry and clinical features of impaired gas exchange and/or airway clearance. Demonstrates understanding hemodynamic monitoring procedures sets up equipment assists with arterial artery and central vein cannulation. Safely administers vasoactive medications demonstrating understanding of dosage action use side effects and titration parameters associated with maintenance of critical drips. Provides ongoing assessment and monitoring of the patient in the immediate post-operative phase according to established standards and protocols. Demonstrates appropriate interventions related to potential problems/complications during the recovery phase of general regional spinal or conscious sedation. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. Participates actively in daily multi-disciplinary rounds for planning coordinating implementing and evaluating patient care. JOB REQUIREMENTS Minimum Education Graduate of an accredited school of nursing MOAB class required within 60 days of hire Minimum Work Experience 1 yr med-surge experience preferred Previous telemetry experience preferred ICU experience preferred Minimum Licenses and Certifications Current MA Registered Nurses license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire CCRN preferred

Shift: 36 -hour night 3/12-hour shifts.

Specialty Type: Nursing

Sub Specialties: Intensive Care / Coronary Nurse (ICU)

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