RN – Cardiac ICU

Specialty: Cardiac ICU
Facility: Springfield Regional Medical Center
State License: OH
Certs/Licenses:
Years of Experience:
Shift: Nights
Guaranteed Hours:
Description: Specialty: CVICUFacility: Springfield Regional Medical CenterState License: OHCerts/Licenses: Years of Experience: Shift: NightsGuaranteed Hours: Description: Job Description Position DetailsThis position will not take local candidates. EKG exam is required. This unit requires a minimum of 2 years CVICU experience as an RN, current experience recovering immediate post-op CABG s and TAVR s and current experience managing Swan catheters. Experience charting with EPIC is also required.12 HR Nights, EOW, EOHNavy blue scrubsUnit Specific DetailsUnit Size: 8 beds (combined within 30 bed ICU)Ratios: 1:1-3, acuity dependent. 1:1 for fresh post-op s and 1:2-3 for more stable patients.Patient Population: Cardiothoracic Surgical ICULines/Drains/Devices: Swan Catheter experience required. Impella, VAD, IABP and CRRT experience preferred.Airway: Intubated patients on ventilators.Drips: Critical drips with titration.Ancillary Staff: Limited tech support in the ICU based on census and availability. Primarily total care.*All listed ratios are subject to change based on staffing availability at the facility. Ratios are never guaranteed but are what the unit typically attempts to achieve with normalized staffing.Job Profile Name – RNCritical Care (Harmonized) Job Code 740N38 Include Job Code in Name Job Profile Summary Job Description The CriticalCare Registered Nurse (RN) provides, coordinates, plans, and evaluates the care of the patient in collaboration withthe interdisciplinary team and within established the nursing process framework. Evaluation is done through datacollection, assessment, identification, and prioritization of patient problems/needs including evaluatingprocess/outcome of nursing care, interventions, and teaching. The RN coordinates, provides, and directs patientteaching activities and coordinates the care provided by health team members. Essential Job Functions Conducts andanalyzes initial and ongoing patient assessment, creates a plan of care, implements treatment, and evaluates treatmenteffectiveness. Administers medications in a safe manner consistent with the State of Practice and Bon Secours MercyHealth policies and procedures Serves as point of contact for patient’s care coordination throughout hospitaldepartments. Acts as a patient safety advocate by participating in ongoing quality improvement in the department andcollaborates with spiritual care, palliative, and ethics when needed Serves as a point person for care coordination forfamily members or caregivers. Performs nursing care associated with life supporting technology/modalities may includebut not limited to: ventilator management, CRRT, IABP, Impella, ECMO Performs hemodynamic monitoring Clinically managescritically ill patients with multi-system organ failure and/or multisystem trauma Using the AACN Synergy Model,restores, supports, promotes, rehabilitates, or palliates to maintain the physiologic, psychologic, and psychosocialstability of patients across the lifespan. Synthesizes and prioritizes information in order to take immediate anddecisive evidence-based, patient-focused action using clinical judgement and clinical inquiry. Anticipates and respondswith confidence and adapts to rapidly changing patient conditions. Responds to the unique needs of the patients andfamilies coping with unanticipated illness or injury and treatment and advocate for their choices in quality of life.BSMH nurses are expected to practice and deliver care in accordance with the core concepts and intention of the BSMHNursing Professional Practice Model. This document is not an exhaustive list of all responsibilities, skills, duties,requirements, or working conditions associated with the job. Employees may be required to perform other job-relatedduties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification Current RN licensein state they are working or covered by compact (required) BLS Basic Life Support (preferred upon hire, must obtainfrom approved source prior to direct patient care) ACLS Advanced Cardiac Life Support (required within 6 months ofhire) TNCC Trauma Nursing Core Course (preferred) CCRN Critical Care Registered Nurse (preferred) PCCN Progressive CareCertified Nurse (preferred) RN-BC Registered Nurse – Board Certified (preferred) TCRN Trauma Certified RegisteredNurse (preferred) National Institute of Health (NIH) Stroke Certification (preferred) Education Bachelor of ScienceNursing (preferred) Work Experience 1 year of RN experience (required) 6 months RN experience in a Med/Surg, CriticalCare, Stepdown, or Emergency Department Unit (preferred) Training EPIC Electronic Health Record (EHR) training(preferred) Critical Care Course (preferred) Skills Assigns patient care according to the nursing skill, knowledge, andscope of practice of staff. Orients, facilitates learning experience, and provides education (based upon qualityimprovement indicators, outcomes, and implementation) to nursing staff and others. Possesses clinical knowledge,skills, and competency to provide evidence-based patient care in accordance with the current standards of practice,policy and procedure, and BSMH mission. Performs comprehensive assessment of patient’s clinical condition andpsychosocial needs of the patient and their supportive resources. Safely and efficiently develops, implements, andprioritizes plan of care. Application of the nursing process in patient care delivery. Assesses patient’s physicaland emotional responses to treatment to evaluate effectiveness of intervention and patient outcomes; revises plan ofcare accordingly. Assists patient and family in coping with patient’s illness. Collaborates with others in thedelivery of coordinated patient care. Strong interpersonal and verbal/written communication skills. Applies culturaldiversity and inclusion principles when caring for patients and their support resources. Recognizes own limitations andseeks assistance and acquires information to perform safely. Advances personal and professional growth throughparticipation in educational programs, current literature, in-services, and workshops. Exhibits professionalism throughaccountability for own and delegated actions. Integrates cost-effective measures into practice and models effectivestewardship of available resources. Practices self-care and cultivates resilience in conflict and difficultcircumstances. Protects the safety and privacy of all persons. Understanding and utilization of office and clinicaltechnologies. Ability to communicate with patients in a manner they can understand considering their personalpreferences. Compassionate, relationship-based approach to help find meaning in illness, suffering, pain, andexistence. Remains calm, adaptive, and collective during an emergency. Assists with insertion intra-aortic balloonpumps, chest tubes, and impellas. Assesses patients through hemodynamic monitoring. Assists with insertion oftransvenous pacing/temporary pacing. Administers means for conscious sedation. Knowledge of advanced respiratorymodalities. Manages nursing care of the patient with a Swan-Ganz catheter. Working Conditions Periods of high stressand fluctuating workloads may occur May be exposed to physical altercations and verbal abuse May be required to usephysical restraints May be exposed to high noise levels and bright lights May be exposed to limited hazardoussubstances or body fluids* May be exposed to human blood and other potentially infectious materials* May have periodsof constant interruptions * Individuals in this position are required to exercise universal precautions, use personalprotective equipment and devices, and learn the policies concerning infection control. Physical RequirementsLifting/Carrying (0-50 lbs.): 34-66% Lifting/Carrying (50-100 lbs.) 34-66% Push/Pull (0-50 lbs.) 34-66% Push/Pull(50-100 lbs.) 34-66% Stoop/Kneel 1-33% Crawling 1-33% Climbing 1-33% Balance 1-33% Bending 34-66% Sitting 34-66%Walking 34-66% Standing 34-66% Additional Physical Requirements/Hazards Manual dexterity (eye/hand coordination)Perform shift work Maneuver weight of patients Hear alarms/telephone/audio recorder Reach above shoulder Repetitivearm/hand movements Finger Dexterity Color Vision Acuity – far Acuity – near Depth perception Use of latex productsExposure to toxic/caustic/chemicals/detergents Exposure to moving mechanical parts Exposure to dust/fumes Exposure topotential electrical shock Exposure to x ray/electromagnetic energy Exposure to high pitched noises Gaseous riskexposure Patient Population Demonstrates the knowledge and skills necessary to provide care appropriate to the age ofthe patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development ofthe life span and possesses the ability to assess data reflective of the patient’s status and interprets theappropriate information needed to identify each patient’s requirements relative to his or her age, specific needs andto provide the care needed as described in departmental policies and procedures. Adults (18-64 years) Geriatrics(65 years and older) Notes replacing J. Hunter Primary Skills: BLS, RNLicense Job certifications: EKG Attestation, Raise the Bar Attestation Job credentials for Professional: BLS, ACLS, NIH