This night-shift post on the cardiac ward pairs patient care with mentoring new nurses. This position provides safe and effective nursing care and treatment to patients in the Intensive Care Unit. Employees are part of a managed care team and work collaboratively with ancillary personnel in the provision of proper medical services and treatment. This position provides nursing care and services to patients seeking medical attention and prevents further deterioration of patients' health in accordance with established regulations, policies, nursing standards, and medical instructions.
Responsibilities
Provide nursing care to meet the needs of the patient population served as qualified; i.e., adolescent, adult, and geriatric patients
Deliver patient care within defined hospital and critical care standards for assessment, care planning, interventions, and reassessment, and delegate care appropriately to other team members and support staff
Evaluate patient's care status frequently
Report variances in care and/or medication administration for quality improvement
Perform duties with a clear understanding of the JCAHO Safety Goals and deliver care with patient safety as a goal
Follow hospital policies guiding compliance with National Patient Safety Goals
Perform duties in accordance with pathogen transmission practices; i.e., follow hand washing procedures and utilize protective equipment effectively
Perform nursing care within the guidelines of the Relationship and Results Oriented Healthcare Model utilizing the recommended bundles of best practice
Assess and chart patient's vital signs and notify physician of abnormal ranges as well as any significant changes
Delegate and supervise care appropriately to LPNs, CNAs and Monitor Techs with follow up and feedback procedures to ensure quality of care
Initiate appropriate actions as needed
Develop plan of care and patient focused goals with the patient and family as appropriate, ensuring patient understanding and involvement in their care
Deliver patient care in accordance with established infection control standards for patient placement, IV therapy, medication administration and the performance of all patient procedures; demonstrating adherence to hand washing policy
Follow policies for administration of high risk drugs, patient identification, documentation and taking telephone orders with read back and communication of critical values/diagnostic results
Communicate effectively with other patient care providers and team members for efficiencies and safety of care through appropriate ordering procedures, preparing patients for surgery and other procedures, communicating fall potential and other risk identifiers
Evaluate clinical/diagnostic reports and report variances to the physician and document same
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Follow guidelines for performance improvement and demonstrate understanding of participation in the Core Measures for Lakeside Medical Center, and for documentation review and restraint review process
Work cooperatively with ancillary departments in ensuring the patient's care is safe, following protocols as applicable
Document and maintain all patient care records and related required documentation
Maintain records and communications with respect to patient's privacy
Participate in department's QI activities on a daily basis
Participate in the orientation and mentoring of new staff members recognizing importance of bringing new staff into a friendly and supportive work environment
Utilize and ensure staff uses supplies efficiently, following infection control procedures, avoiding waste and follows patient charging procedures
Follow ACLS protocol for patients as indicated
Order initial lab tests and x-rays by established protocols or per physician orders
Ensure patients are appropriately prepared for tests
Serve as an example for team members in cost saving practices
Assist manager and other staff members to maintain competence and skills for procedures assigned and assist in validation of skills and competence of new staff members prior to delegation of patient care
Participate in the hospital Utilization Management Program by assisting with discharge planning, reporting to case managers, and keeping patient, family, physician, and other personnel informed
Participate with team members and manager to identify opportunities for improvement in patient care processes
Maintain accurate and current record of patient's care and response to care following the guidelines for appropriate electronic documentation
Document the administration of medicines including dosage, medicine route, medicine site, and patient's response as required in the documentation system
Perform time out procedures on all invasive procedures at the bedside as needed
Utilize good communication skills, critical thinking and checkpoints for teamwork
Provide patient information timely and effectively during shift report and with patient's hand-offs
Provide teaching and training to staff members as needed
Perform monitoring and recovery care to PACU patients per Operating Room Department protocol when necessary
Maintain competencies and participate in required training and in-services for unit
Demonstrate understanding and commitment to hospital's mission, philosophy, standards, policies and procedures
Recognize all staff, physicians and visitors, as well as, patients as customers and provide courteous and respectful service
Document and report any complaints from patients, physicians and visitors to supervisor as guided by hospital policies and procedures
Explain all procedures and care plans to patients, and as appropriate to family
Ensure patient and/or family are educated for appropriate health maintenance
Participate in the cleanliness of the work environment
Demonstrate an understanding of responsibility of emergency plans and be available for patient care as needed or scheduled when hospital emergency preparedness plans are activated
Ensure completion of continuing education requirements in subjects pertinent to critical care nursing or position related information
Serve as a leader for change, positively promoting new systems and changes implemented which improves the hospital and the service provided to its patients
Participate in hospital community activities and help portray a positive image of the hospital in the community
Provide nursing care to patients with either hard or soft splinting devices; assess circulation, mobility, and neurological status of patients
Apply splints and bandages per physician's orders
Observe cardiac rhythm and initiate or ACLS protocol as indicated
Complete assessments and documentation of new admissions and discharges including the interim plan of care
Complete discharge instructions with information regarding food and drug interaction
Perform specialized patient assessments as needed
Defibrillate patients safely in accordance with regulations, policy and accepted procedure
Perform monitor/defibrillator checks each shift
Conduct inventory checks, including all medications administered at the time of administration
Reconcile the count with oncoming nurse at the end of the shift
Ensure availability of age appropriate supplies and equipment
Check code cart and emergency box each shift
Perform bedside blood glucose monitoring per physician order and/or hospital policy
Assess lung sound in patients
Start IVs and deliver IV medications to patients as needed
Run and calculate IV drips
Perform NG tube insertion and perform gastric suction per hospital policy and procedures
Evaluate pulmonary status by auscultation
Perform port flushes, injections and blood transfusions as needed
Help with code assistance
Perform respiratory care assessments and specimen collection using the appropriate techniques
Obtain and transcribe physician's orders in a timely and accurate manner ensuring all tests are ordered appropriately and efficiently
Complete pre-operation check-list
Obtain and witness consents for surgery, anesthesia and special procedures as per hospital policy
Transport patients to appropriate care locations
Provide assistance to patients in need of help in bathing, feeding, turning, positioning, oral hygiene and personal hygiene
Dress patient wounds as needed
Assist with emotional needs of patients
Complete control tests on Accu Check machine daily
Conduct walking rounds at the start and end of each shift, visually checking each patient and providing a written end-of-shift report
Determine at-risk patients and follow through with treatment accordingly
Interview patients in preparation for surgery
Float to other units as required
Work with the physical therapy department as indicated to meet the patient's goals
Requirements
Associate's, Bachelor's, or Diploma in Nursing from an accredited nursing school required
Two (2) to four (4) years experience in critical care preferred
BLS certification required
Advanced Cardiovascular Life Support (ACLS) certification required within ninety (90) days of hire
State of Florida Registered Nurse license required
Nice to have:
CCRN preferred
Important Details
Emergency duty may be required of the incumbent that includes working in special needs or Red Cross shelters or to perform other emergency duties including, but not limited to, responses to threats or actual disasters, man-made or natural
