RN- Critical Care Unit

24-bed unit specializing in the care of critical patients. 24-hour intensivist/pulmonary/APP coverage. Individualized, comprehensive 16-week orientation program which includes the Essentials of Critical Care Orientation (ECCO), ACLS certification and NIHSS certification for new nurses. Mentorship program after orientation to support new nurses. Residency program for new graduates. Opportunity for committee participation and a voice in your nursing practice. Professional growth through a Clinical Ladder. Leadership presence on every shift. Strong foundation for advanced practice degree. Certification for Critical Care RN (CCRN) after 2 years' experience. Full time (72 hours biweekly). Shift: 7pm-7am (12-hour night). Every third weekend. Eligible for shift and weekend differential.

The Registered Nurse is responsible and accountable for implementing, directing and coordinating the care of patients through the use of the nursing process: assessment, planning implementation and evaluation. Included is recognition and treatment of the physical and psychosocial changes unique to the age/population group served on the specific unit.

Essential Functions and Responsibilities

Job Class Specifics
1. Demonstrates safe medication practice.
2. Maintains a professional image that reflects the employee's role in health care, with confidence and a positive impression.
3. Completes chart check to ensure no missed orders.
4. Accurately transcribes physician's orders.
5. Demonstrates therapeutic communication skills.
6. Demonstrates ability to assess patient education needs and use of patient education resources.
7. Demonstrates involvement in unit by attending 50% of staff/committee meetings and in-services for area.
8. Demonstrates leadership through the nursing process and supervision while maintaining accountability for treatment and patient outcomes.
9. Acts as a resource person regarding patient care, specialty area, orientation and teaching of staff.
10. Responds to delays in a calm manner. Apologizes for inconveniences and gives alternatives.
11. Analyzes assessment data, identifies priority problems and documents on Plan of Care in PCS for patients and families and significant others.
12. Uses effective problem-solving skills to plan patient care.
13. Identifies critical factors evidencing changes in patient condition and responds appropriately.
14. Completes and documents discharge assessment against plan of care goals.
15. Initiates and maintains Intravenous Therapy according to IV standards.
16. Responds appropriately to emergency situations.
17. Utilizes proper body mechanics to prevent injury to self and others. Safely positions, transfers and transports patients.
18. Functions as a virtual nurse as assigned which includes, but is not limited to, admissions, discharges, education, documentation through a virtual platform and working collaboratively with the bedside nursing staff.

Department: Critical Care Unit

1. Utilizes appropriate nursing assessment as established by the department standards of patient care.
2. Sets up equipment and assists with the insertion of Swan-Ganz catheter/arterial line and/or multilumen.
3. Cares for a patient with a Swan-Ganz, including cardiac outputs.
4. Assists with temporary pacemaker insertion.
5. Demonstrates proper application of external pacemaker.
6. Defibrillates patient.
7. Assists with cardioversion procedure.
8. Demonstrates proper administration of thrombolytic agents.
9. Cares for a patient receiving thrombolytic agents.
10. Draws blood from a multilumen, Swan-Ganz or arterial line.
11. Discontinues Swan-Ganz, multilumen, temporary pacemaker or arterial line.
12. Cares for a patient on mechanical ventilation.
13. Assists with intubation.
14. Assesses and evaluates patient response during post surgical recovery phase for surgical critical care patients.
15. Describes role and responsibility in assessing and reporting physical, emotional, sexual abuse and neglect.
16. Able to demonstrate proper technique for IABP therapy.
17. Completes cardiac rehab exercises.
18. Achieves credentialing in conscious sedation by >84% score on exam annually and demonstrates appropriate clinical performance as evidenced by successful observation and chart review.
19. Completes a 12 lead EKG.
20. Demonstrates proper initiation of vasopressor agents.
21. Interprets ECG pattern.
22. Cares for a patient with Impella catheter assist device.
23. Cares for post tracheostomy patients.
24. Cares for peritoneal dialysis patients.
25. Collaboratively coordinates with other departments and disciplines to meet patient's needs.
26. Completes mandatory education and in-services by due date.
27. Completes annual health screening.
28. Demonstrates ability to assist with the insertion of chest tube, including set-up and post insertion patient care.
29. Demonstrates proficiency in applying vac dressings.

Qualifications and Standards

Education:
- Graduate of an accredited School of Nursing required; Bachelor of Science in Nursing is preferred.
- Evidence of participation in educational programs to update and maintain current knowledge and clinical skills.

Experience:
- Experience applying customer service behaviors and communication skills required.
- Previous nursing experience in specialty area preferred.
- For Cath Lab, one year of acute carenursing experience (ED, Cath Lab, CCU, IMCU, Tele-Observation) preferred.
- For Cardiac Rehab, two years experience in Critical Care and/or Progressive Care required.
- For Cardiovascular Services, two years of experience reading cardiac monitors and be self directed in responding to abnormalities or cardiac arrests codes as a team member.
- For Device Clinic, at least one year of device management services required. Successful completion of EKG course required. At least two years of acute care nursing required (Tele-Observation, IMCU, CCU, Cath Lab, ED).
- For Emergency Department, at least one year of RN experience in ED or Critical Care required.
- For Family Birthing Services, a minimum of 1 year Labor and Delivery experience (within the last five years); For Family Birthing position posted as a trainee position, requirement of at least 1 year of experience as an RN with preferred areas of ICU, CCU, IMCU, EDor internal nurse intern upon successfully completing accredited nursing program. Experience requirement does not apply to an RN in the Family Birthing Services Fellowship Program (FBSFP)
- For Infusion Services, 6 months of infusion nursing experience required, and 6 months Midline and PICC experience required.
- For Wound Care Center, two years experience and expertise in the nursing process related to wound care required. Experience in advanced wound care initiatives preferred.
- For Outpatient Behavioral Health Services, two years experience in Behavioral/Psychiatric nursing is required. Previous experience in a Behavioral Health Outpatient setting preferred. Child Abuse Recognition and Reporting Training in accordance with Act31 of 2014 required. Federal Bureau of Investigation (FBI) Clearance and finger printing required.
- For Rapid Admission, requires one year acute care experience and successful completion of EKG course within six months of hire.
- For SDS / PACU, must have experience with, and be familiar with, reading cardiac monitors and be self directed in responding to abnormalities or cardiac arrest as a team member. Must have recent clinical experience with cardiopulmonary resuscitation and have the ability to lead a Code Blue in the absence of a higher level professional.
- For Medical Surgical (Renal, Oncology and Pediatrics), pediatric experience is preferred.
- For Level II NICU, a minimum of one year NICU experience (within the last five years); For Level II NICU position posted as a trainee position, requirement of at least 2 years of experience in: NICU Level 1, Labor and Delivery, Post-Partum, Nursery, PICU, ICU, ED, or CCU. Or, for Level II NICU position posted as a trainee position, requirement of a new graduate RN with (A) practicum/capstone in Labor and Delivery, Nursery, or NICU, or (B) experience as Tech/Aide in Labor and Delivery, Post-Partum Nursery, or NICU.

Certifications/Licensure:
- Eligible for or currently licensed as a Registered Professional Nurse in Pennsylvania.
- Certification in specialty preferred.
- CPR certification required.
- ACLS required for Cardiovascular Services, CCU, Device Clinic, Emergency, IMCU, FBS, Tele Observation, PACU/SDS, or achieved within one year of start date.
- ACLS required for Cardiac Rehab or achieved within 3 months of hire/transfer.
- Proficiency in cardiac monitor interpretation, conscious sedation, and ACLS required for Cath Lab or achieved within 6 months of hire/transfer.
- ACLS required for Float Pool.
- PALS required for Emergency, PACU, and Pediatric trained staff within one year from start date.
- PALS and Conscious Sedation is required for SDS, or must be achieved within four months of hire/transfer.
- CNOR preferred for OR.
- CPAN/CAPA preferred for PACU/SDS.
- CRRN preferred for Rehabilitation Medicine.
- NRP required for Level II NICU.
- NRP and Fetal Monitoring Pathway required for Family Birthing Services within one year from start date.
- STABLE required for FBS, Level II NICU within 12 months from start date.
- PMH-BC preferred for BHS (IP and OP).
- Proficiency in cardiac monitor interpretation required for PACU/SDS, IMCU, Tele Observation, CCU, Cardiac Rehab, Cardiovascular Services, Cath Lab, and Emergency.
- Temporarily reassigned personnel will work in a limited scope of practice consistent with credentials and be surpervised by appropriately credentialed staff.
- WOCNCB or CWCN preferred for Wound Care Center.

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