Day Shift RN for Progressive Care Unit

Job Summary

Required Qualifications

• •Current New Hampshire RN license
• •ASN
• •BLS
• •3-5 Years Critical Care Experience
• •ACLS
• •PALS
• •TNCC
• •TCAR
• •CPI training
• •CPI advanced training
• •Ability to safely administer procedural sedation
• •Pass annual sedation examination
• •Demonstrate contraindications and reversal for IV adenosine infusion
• •Demonstrate a working knowledge of hemodynamic waveforms
• •Obtain the ability to monitor arterial waveform during left heart catheterization
• •Able to identify damping and ventriculization of arterial waveforms
• •Able to correctly identify different hemodynamic waveforms during right heart catheterizations
• •Ability to learn complex technologies effectively
• •Experience with complex/critical care medication infusions, including titration management
• •Enhanced knowledge of anatomy and physiology, especially cardiac
• •Experience with emergency cardiac interventions
• •Ability to be within 30-minute radius when on call
• •Call shifts required for Cath Lab and Stress Lab
• •Ability to correctly identify periprocedural safety issues, and report to physician accordingly
• •Demonstrates the ability to correctly identify periprocedural safety issues, and report to physician accordingly
• •Demonstrates clinical expertise in creating and maintaining a sterile field
• •Plans and provides equipment and supplies based on procedure and physician needs
• •Participates in on-call assignments and demonstrates flexibility to cover staffing as needed
• •Ability to demonstrate criteria for arterial and venous sheath removal
• •Demonstrates the ability to identify criteria for equipment including Intra-Aortic Balloon Pump (IABP), IMPELLA etc
• •Assist MD with set up, insertion and maintenance of equipment as needed
• •Assist with insertion of Flow wire, Opsens and IVUS
• •Demonstrates a working understanding of guidelines provided in physician orders for safe sheath removal when patient has been given blood thinners prior to sheath removal
• •Ability to triage patients and determine priority of care (ESI level) based on physical, psychological, and social needs
• •Implement protocol orders associated with approved chief complaints
• •Perform focused assessment related to chief complaints in a timely manner according to established triage guidelines
• •Reassess arrived patients after initial triage to ensure no change in condition
• •Provide quality care for patients presenting with acute illness and/or trauma requiring emergent/urgent attention
• •Able to recognize potential life-threatening conditions for early intervention
• •Initiate corrective action as appropriate when information from monitoring equipment shows adverse symptomology or patients demonstrate adverse clinical symptoms
• •Complete required documentation per policy for admitted/boarding patients
• •Engage in initiatives aimed at improving patient throughput
• •Responds quickly to all patient monitoring alarms
• •Collect specimens as ordered and in the order required per policy, labeling and sending to the lab in a timely manner
• •Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction
• •Follows established procedures and protocols to provide a safe and secure environment for patients, visitors, and staff
• •Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients
• •Identifies and assists in correction of patient care safety issues
• •Builds respectful relationships through early and pro-active identification of concerns, compliments, or suggestions
• •Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner
• •Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties
• •Works collaboratively with Providers to complete assessments and perform bedside procedures
• •Displays professional, positive perspective, including when faced with difficult circumstances
• •Seeks opportunities to assist all team members
• •Actively participates in unit-based shared governance
• •Appropriately delegates aspects of care and unit activities to other nursing personnel
• •Provides support and mentors new nurses and other disciplines withing the department through preceptorship and other methods as requested by the department leadership
• •Participates in Peer Review maintaining confidentiality
• •Participates in DNV survey readiness
• •Follows organizational HIPAA compliance policy
• •Demonstrates fiscal responsibility through complete and accurate timekeeping, as well as patient supply utilization
• •Avoids unauthorized use of overtime and manages ETO per policy
• •Participates in annual evaluation 360 process as requested
• •Provides quality care by remaining up-to-date on Nurse Sensitive Indicators
• •Responds to emergency situations per department/role requirements such as Code Blue and rapid response team
• •Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients within the department during orientation period onboarding and annually as assigned
• •Involved in quality improvement planning and processes for the area of practice
• •Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner within the electronic health record (EHR), including Vital Signs, assessments, care plans, and information related to any change in condition
• •Knowledge and understanding of responsibilities during down-time
• •Engages and participates in unit or organizational committees and councils
• •Ability to analyze patient assessments and data, communicate findings, document and implement actions timely and accurately
• •Pursues personal growth and development through continuous learning opportunities within and outside of the organization
• •Seeks feedback and accepts constructive criticism regarding practice and takes actions as appropriate
• •Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards)
• •Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices
• •Assures issues are addressed through appropriate use of the chain of command
• •Provides emotional support for patients and families during difficult situations
• •Works collaboratively with Providers to complete assessments and perform bedside procedures
• •Displays professional, positive perspective, including when faced with difficult circumstances
• •Seeks opportunities to assist all team members
• •Actively participates in unit-based shared governance and with the philosophy of the unit and the organization
• •Appropriately delegates aspects of care and unit activities to other nursing personnel
• •Provides support and mentors new nurses and other disciplines withing the department through preceptorship and other methods as requested by the department leadership
• •Participates in Peer Review maintaining confidentiality
• •Participates in DNV survey readiness
• •Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same
• •Follows organizational HIPAA compliance policy
• •Demonstrates fiscal responsibility through complete and accurate timekeeping, as well as patient supply utilization
• •Avoiding unauthorized use of overtime and managing ETO per policy
• •Participates in annual evaluation 360 process as requested
• •Provides quality care by remaining up-to-date on Nurse Sensitive Indicators
• •Responds to emergency situations per department/role requirements such as Code Blue and rapid response team
• •Order to Cash
• •Procure to Pay
• •Supply Chain
• •Customers
• •Suppliers

Desired Qualifications

• •Basic Dysrhythmia preferred or obtained prior to completion of orientation
• •NIHSS certification preferred or obtained prior to completion of orientation
• •Certification in Specialty preferred
• •Graduate of an approved Nursing program strongly preferred
• •BSN preferred
• •ENPC in place of PALs
• •Membership in a professional organization preferred