ICU RN - Intensive Care Unit - Nights

Location: King City, CA
Position:  Intensive Care Unit Registered Nurse (ICU RN) - Nights
Location:  King City, CA
Pay Range:  $40-56/HR
Employment type:  Full-time, Perm
Shift:  Nights
Hour:  12 Hours
Department:  Intensive Care Unit  
EDUCATION: 
  • Graduate of an Accredited School of Nursing
  • Bachelor’s Degree in Nursing, Preferred
EXPERIENCE:  
  • Minimum 1-year acute care ICU experience within the last 2 years, Required.
  • 6 months recent experience in Critical Care, Highly Preferred
LICENSE/CERTIFICATIONS:
  • Current CA RN License, Required
  • BLS, ACLS, Required
  • CCRN, Preferred
JOB SUMMARY:
Functions independently in performing the nursing process through assessment, planning, intervention and evaluation of safe therapeutic care for patient’s overt and covert needs and/or complications of treatment during his/her assigned shift.  He/she will individualize patient care based upon the age appropriate and developmental needs.  Should be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients on his/her unit.  Provides ancillary members of the healthcare team.
 
JOB DUTIES:
 
  1. Collects and documents data about patients commonly seen in the Intensive Care Unit through the following methods.
    1. Interviews the patient or other significant source and completes appropriate history information on patient’s clinical record within one hour of admission.
    2. Legibly documents symptoms that indicate risk on clinical record in a legible manner.
    3. Incorporates nursing diagnostic data into written assessment.
    4. Documents information from family, other nurses and physicians in the written assessment.
  1. Documents patient problems requiring nursing interaction.
    1.  Documents identified problems using nursing diagnosis including patient teaching needs and discharge planning on patient’s clinical record.
  2. Develops and contributes to a plan of nursing action based on existing problems and obtainable patient response
    1. Develops and contributes to the nursing care plan using nursing process.
    2. Incorporates medical plan of care when developing nursing care plan.
  3. Utilizes resources (patient, family, nurses, physicians and written material) to formulate the written plan of care.
    1. Uses resources when formulating a written plan of care and involves patients and family in care plan formation.
  4. Communicates the plan of care by using methods that include action plans, goals and time frames.
    1. Updates Kardex and care plans using Nursing diagnosis and outcome criteria.
    2. Aware of time frames when carrying out medical/nursing plan of care
    3. Uses shift report to communicate changes and response to care.
  5. Implements safe therapeutic care for patients.
    1. Documents and sets priorities for care of patients based on acuity, need or patient preference.
    2. Safely performs and documents nursing interventions required by the patient assignment consistent with research-based principles and hospital policy.
    3. Carries out and documents the medical and nursing care plans for said patients and coordinates patient care activities with nurses and physicians and other healthcare team members.
    4. In response to information/data indicative of acute risk and documents the action.
    5. Seeks out appropriate resources.
    6. Explains tests, procedures, and disease process to patient/family. Follows through with teaching plan about information by instructing patient/family and skills essential to understanding and coping with illness and for the promotion of optimal health and as it applies to the discharge process.
    7. Assesses patient/family level of understanding and documents on clinical records.
    8. Actively participates in Code procedures.
    9. Ensures that patient is reassessed as status requires.
    10. Completes clinical assignments in a timely fashion including maintenance of equipment and supplies necessary for provision of patient care through next shift.
  6. ICU specific supplies (e.g. A-line/CVP kits, transducers, cables, transvenous pacing kits)
    1. Maintains safe, therapeutic, physical environment.
    2. Completes non-clinical assignments, tasks and projects within a pre-established agreed upon timeframe.
    3. Prioritizes own workload relative to patient care.
  7. Participates in the evaluation and review of patient care.
    1. Evaluates the effectiveness of nursing interventions in relation to intended goal.
    2. Participates in patient care conferences.
    3. Documents patient response to care in Nurses notes.
    4. Revises patient care plans based on evaluation of effectiveness of interventions.
  8. Participates in staff teaching and development
    1. Provides both formal and informal teaching activities to promote staff education/knowledge
    2. Communicates identified learning needs of others to resources able to meet learner’s needs.
    3. Assists in the developments and implementation of educational programs and learning aids for the nursing unit, such as:
  • In-service
  • Krames software
  • Patient Care Guidelines
  • Nursing or Hospital Committees
  • Computer Assisted Instruction (CAI)
    1. Assists in orientation of new staff by sharing knowledge, experience and verbal encouragement and acting as preceptor
    2. Assists others in choosing nursing intervention, developing skills and applying knowledge
    3. Assists in employee performance evaluations as needed
  1. Policies and procedures
    1.  Prioritizes own workload relative to patient care
    2. Administers medications safely and accurately following existing department procedures.
    3. Maintains principles and procedures of intravenous therapy.
    4. Follows Infection Control policies/procedures, i.e., prescribed hand-washing and universal precautions.
    5. Recognizes and communicates to proper authority ethical and legal issues relative to patient care. Completes notification forms according to protocol and notifies appropriate personnel. Applies principles of prevention and safety for patients and staff.
    6. Uses mechanical equipment correctly and appropriately as outlined in the Nursing Procedure Manual. Detects faulty equipment and notifies appropriate person for repairs.
    7. Maintains cost containment efforts by prudent use of supplies and equipment; charging supplies and equipment appropriately.
    8. Complies with annual skills update as required.
  2. Delegation and supervision.
    1. Supervises delegated care based on abilities and limitation of heath care personnel and patient acuity. Makes adjustments in delegated assignments as needed.
    2. Reports changing patient status that affects nursing unit staffing needs using appropriate supervisory communication structure.
    3. Responds cooperatively to immediate staffing and/or patient care needs. Assists other staff when own assignment is complete.
  3. Problem Solving
    1. Utilizes the steps of problem solving to resolve identified patient related problems.
    2. Reports unit related problems using the supervisory communication structure.
    3. Acts as a resource to other staff members in problems identification and resolution.
  4. Maintains Interpersonal relations/communications
    1. Listens to the ideas, opinions and feelings of others
    2. Uses communication (interpersonal) strategies with individual patients and staff that result in achievement of intended outcomes
    3. Gives feedback to other staff in regard to behavior that is detrimental to achievement of patient objects, nursing unit and organizational objectives. 
    4. Suggests options for achieving change in behavior as needed.
  5. Gathers, disseminates and communicates pertinent information.
    1. Attends and participates in 80% of the staff meetings per year.
    2. Obtains information presented in staff meetings.
    3. Participates in nursing unit goal setting.
    4. Attends mandatory In-service programs.
    5. Participates in committee work as requested.
    6. Reviews communication/information book every shift.
  6. Maintains professional responsibilities to enhance personal growth
    1. Understands and functions within the scope of the California nurse Practice Act.
    2. Keeps all licenses and certificates current.
    3. Plans for personal change and growth based on evaluation and feedback.
    4. Participates in setting measurable goals for performance.
    5. Acquires knowledge or experience to meet goals.
  7. Performs other duties as assigned.
    1.   Willingly floats and cross-trains to other units as needed.
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