RN ICU

Job Description Summary

Provides age and developmentally appropriate direct clinical care to preemie, neonate, infant, pediatric, adolescent, adult and geriatric critically ill patient populations. Delivers care according to the Scope of Service for ICU. Adheres to and practices the SJH Corporate Compliance Program and participates in Performance Improvement activities. Floats to other clinical areas of the hospital per policy.

Essential Functions

1. Patient Care
Obtains and reviews all patient data using observational, interviewing, interpretive and critical thinking skills in an age specific population and developmentally appropriate manner. Organizes and prioritizes care of multiple patients with varying levels of acuity in a timely, efficient and positive manner. Identifies changes in patient status, exercises critical thinking and independent judgment within the context of a multi-disciplinary approach to patient care. Develops plan of care that is unique to each patient's needs. Evaluates patient's response to plan of care and reflect measurable goals that are mutually set with the patient. Maintains, develops and updates nursing skills, certifications and licenses to implement ideal patient care. Practices autonomously and consistently with professional nursing standards. Identifies continuity of care for discharge and follow up.

2. Patient and Family Education
Assess patient and family education, spiritual and emotional needs based on ~age/population, ~developmental level,
~readiness to learn based on patient perception, education level and expectation of care, ~patient understanding, ~available coping mechanisms, ~and outcome expectations. Initiates and incorporates patient and family education into plan of care and nursing practice. Communicates updated status report and clear information to patient and family to make informed decisions.

3. Patient Safety
Identifies risk factors and provide for patient safety. Implement measures to prevent injury from environmental hazards. Demonstrates knowledge and awareness of medication action side effects and protocols. Safely and accurately administers medication. Evaluates patient response to pain management interventions. Initiates and completes computerized Event Reports for unusual events consistently and reports near misses. Demonstrates knowledge and appropriate use of supplies and equipment within safe parameters. Ensures equipment is functioning properly before use. Reports equipment malfunction following the appropriate reporting procedures.

4. Unit Specific Performance
Manages specimen collection, handling and disposition according to hospital policy. Labels blood specimens at patient bedside. Assists with and completes daily routines, i.e. crash cart checks, narcotic counts, urine controls, glucometer checks. Keeps department clean, orderly and stocked daily. Assists in the Performance Improvement process to improve patient care and professional practice. Charges all supplies and medications accurately and at the time of use. Ensures appropriate documentation of procedure, treatment and supplies to reflect and support appropriate charges. Ensures all documentation is complete, i.e. open encounters, care plans, implanted devices, according to hospital policy. Knowledgeable and acts accordingly regarding the utilization of resources for management of Code Blue and Disaster Preparedness.

Job Requirements

Minimum Education

Required: ASN

Preferred: BSN

Minimum Work Experience

Required: Good interpersonal, phone and customer service skills and basic computer skills.

Preferred: Two years ICU/CCU experience. Current CCRN or CEN, TNCC encouraged.

Required Licenses: Current RN License with the authority to practice in the State of Wyoming and BLS required at time of hire. ACLS and PALS or ENPC certification required within 6 months of hire. CPI required within 6 months of hire.

Functional Demands

Working Conditions

Intensive care hospital setting, frequent stressful situations and crowded conditions. Must be on-site at the SJH campus or other facilities to fulfill the responsibilities of this role.

Physical Requirements

90% of the time standing or walking. Long hours with irregular breaks and meals. Must possess sight/hearing senses to fully perform job functions. Must possess the ability to lift, push, pull or move patients, equipment and supplies. Must be able to lift 50 ponds. Intermittent sitting, phone and computer use.

Direct Reports: None

Reports to: Clinical Manager RN ICU

Internal and External Contacts: All hospital staff, physicians, patients, families, visitors, public and the community.

Leadership Capabilities

Patient Focus

• Is dedicated to meeting the expectations and requirements of patients
• Gets firsthand patient feedback and uses it for improvements
• Establishes and maintains effective relationships with patients and gains their trust and respect

Attention to Detail

• Completes tasks in a way that ensures there are no errors
• Methodically and patiently reviews work to identify any mistakes or discrepancies
• Creates and stores documentation in a way that is thorough and easy to access

Quality Decision Making (Nursing)

• Considers many factors and sources when making decisions
• Is correct and accurate with most of his/her solutions and suggestions when judged over time
• Is sought out by others for advice and solutions
• Spends his/her time and the time of others on what's important
• Quickly zeros in on the critical and few and puts the trivial many aside
• Handles risks and uncertainty with composure

Interpersonal Skills (Nursing)

• Steps up to conflicts, seeing them as opportunities
• Finds common ground and gains cooperation
• Builds appropriate rapport
• Taking responsibility for the consequences of one's own actions and decisions