Registered Nurse - A3 – Cardiac ICU / CCU

A3 is a 24-bed unit providing high-acuity care for cardiac and medical-surgical patients with various co-morbidities. We care for post-cardiac intervention patients (e.g., heart catheterizations, AAA stent repairs, TAVRs, EP ablations, pacemaker/ICD placements) and manage specialized devices like Impellas and IABPs, Artic Sun and Tablo XT. We also treat ventilator-dependent patients and those with conditions like hypertension, diabetes, GI bleeds, peripheral vascular disease and renal disease. The unit handles multiple infusions for blood pressure, cardiac issues, thrombolytics, sedation and paralytics, as well as post-surgical ICU care. Our goal is to deliver exceptional, evidence-based care through teamwork and positive outcomes. Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Critical Care Department-specific competency validation. Completion of all annual competency verification requirements. Experience One year of experience in Critical Care setting preferred but will accept new graduates. Licenses, Registrations, or Certifications Current ACLS certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. Credential Grace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS) No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS) Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS) Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC) Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR) Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP) Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring) Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education) Within 30 days of hire. Within 60 days of hire. Work Schedule: 7AM - 7PM Work Type: Full Time

RN

CVICU

Full-time

17 hours ago

Registered Nurse - Main CVICU - Full Time - Rotating

The Christ Hospital Health Network Cincinnati, OH

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act. Responsibilities The Nursing Process Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient’s physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model. Understands signs and symptoms and data related to the patient’s presenting needs and actual or potential nursing diagnosis. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient’s condition. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient’s physiological and psychological data. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives. Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs. Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set. Communicates the plan of care utilizing SBAR and handoff processes with all team members. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay. Implementation – The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals. Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals. Responds to emergency situations that require an immediate, controlled precision in a skillful manner. Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment. Evaluation – Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals. Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response. Maintains continuity of care by continuous evaluation during ”handoff” report, rounding, and upon transfers to other specialty units and post care facilities. Documentation Nursing process is accurately and concisely documented in the patient’s electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team. Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients’ and family response to care. Leadership and Professional Development Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues, and others. Participates in 75% of staff meetings and 75% of council meetings as appropriate. Participates in unit based activities/initiatives for performance improvement, evidence based projects, and research as needed. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. Acts as a resource, educator and preceptor for multidisciplinary team members, staff and nursing students, continuously evaluating and documenting competency. . Maintains competency in POC (point of care) testing for unit specific nursing practice. The following are strongly encouraged: Participation in the professional advancement program. Certification specific to work area of professional practice when eligible. Participation in chosen professional organizations and conferences. Participation in development and maintenance of research activities. Participation in community service activities. Employee Responsibilities Complies with organization and department policies and required training. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Attendance Follows the time and attendance policy; reports to work on time, maintains a good attendance record, has badge and uses it to clock in and out, makes requests for tie off as far in advance as possible, etc. Qualifications KNOWLEDGE AND SKILL: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not list personal credentials of the current jobholder that would not be required if the job were being filled. List any special education required for this position. EDUCATION: TCH does hire AD and Diploma nurses; however all nurses hired after January 2010 must receive their BSN within 5 years of the date of hire. RN’s who were employed at TCH prior to January 2010, and have more than 20 years of experience as an RN are permitted to pursue their BSN on a voluntary basis. A MSN or DNP are not required but supersede the requirement for the BSN. YEARS OF EXPERIENCE: None required REQUIRED SKILLS AND KNOWLEDGE: The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The RN effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The RN maintains competence and demonstrates evidence of continuing professional growth. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. LICENSES & CERTIFICATIONS: The RN holds a current licensure to practice nursing in Ohio. Membership in professional organizations is desirable. BLS certification is required prior to patient contact. ACLS is required within 6 months of hire in step-down and ICU areas. Certification in area of clinical specialty is expected within five years of eligibility.

Registered Nurse - Main CVICU - Full Time - Rotating

The Christ Hospital Health Network Cincinnati, OH

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act. Responsibilities The Nursing Process Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient’s physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model. Understands signs and symptoms and data related to the patient’s presenting needs and actual or potential nursing diagnosis. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient’s condition. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient’s physiological and psychological data. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives. Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs. Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set. Communicates the plan of care utilizing SBAR and handoff processes with all team members. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay. Implementation – The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals. Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals. Responds to emergency situations that require an immediate, controlled precision in a skillful manner. Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment. Evaluation – Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals. Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response. Maintains continuity of care by continuous evaluation during ”handoff” report, rounding, and upon transfers to other specialty units and post care facilities. Documentation Nursing process is accurately and concisely documented in the patient’s electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team. Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients’ and family response to care. Leadership and Professional Development Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues, and others. Participates in 75% of staff meetings and 75% of council meetings as appropriate. Participates in unit based activities/initiatives for performance improvement, evidence based projects, and research as needed. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. Acts as a resource, educator and preceptor for multidisciplinary team members, staff and nursing students, continuously evaluating and documenting competency. . Maintains competency in POC (point of care) testing for unit specific nursing practice. The following are strongly encouraged: Participation in the professional advancement program. Certification specific to work area of professional practice when eligible. Participation in chosen professional organizations and conferences. Participation in development and maintenance of research activities. Participation in community service activities. Employee Responsibilities Complies with organization and department policies and required training. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Attendance Follows the time and attendance policy; reports to work on time, maintains a good attendance record, has badge and uses it to clock in and out, makes requests for tie off as far in advance as possible, etc. Qualifications KNOWLEDGE AND SKILL: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not list personal credentials of the current jobholder that would not be required if the job were being filled. List any special education required for this position. EDUCATION: TCH does hire AD and Diploma nurses; however all nurses hired after January 2010 must receive their BSN within 5 years of the date of hire. RN’s who were employed at TCH prior to January 2010, and have more than 20 years of experience as an RN are permitted to pursue their BSN on a voluntary basis. A MSN or DNP are not required but supersede the requirement for the BSN. YEARS OF EXPERIENCE: None required REQUIRED SKILLS AND KNOWLEDGE: The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The RN effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The RN maintains competence and demonstrates evidence of continuing professional growth. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. LICENSES & CERTIFICATIONS: The RN holds a current licensure to practice nursing in Ohio. Membership in professional organizations is desirable. BLS certification is required prior to patient contact. ACLS is required within 6 months of hire in step-down and ICU areas. Certification in area of clinical specialty is expected within five years of eligibility.

Nurse RN | Pediatric Cardiac ICU | FT Nights

UF Health Gainesville, FL

Overview The Registered Professional Nurse is responsible for identifying the patient's alterations in health, assessing the patient's human response to actual and potential health problems, implementing nursing interventions based on theoretical concepts from nursing and other arts and sciences and evaluating the effectiveness of nursing interventions to achieve optimal patient outcomes. Whenever possible, the patient, the family or those significant to the patient are an integral part of the assessment, planning, intervention, and evaluation efforts of the Registered Nurse. The Registered Nurse is responsible to supervise/direct care provided by Licensed Practical Nurses and Unlicensed Assistive Personnel. The Registered Nurse is responsible to assign/delegate care to other qualified members of the health care team. The RN coordinates care between other professional disciplines as needed. Unit-based activities which contribute to a positive work and professional environment are performed. The Registered Nurse provides and coordinates care to achieve the organization�s mission of excellent patient care and nursing�s vision of setting a new standard of excellence in autonomous and accountable nursing practice committed to patient advocacy and innovative patient care in a climate of trust and collaboration. Qualifications Minimum Education and Experience Requirements: BSN and professional nursing board certification preferred at time of hire. All nurses hired after April 30, 2014 without a BSN will be required to obtain a BSN within three years of hire. All nurses hired after June 30, 2011 without a professional nursing board certification will be required to obtain a professional nursing board certification after two years of hire or at the certification eligibility date for those certifications requiring more than two years of experience. Motor Vehicle Operator Designation: Employees in this position: Will not operate vehicles for an assigned business purpose NOTE: A frequent driver is defined as one who uses his/her personal or Shands automobile a) at least once daily, b) at least five individual trips per week or c) drives, on average, over 150 miles per week in the performance of his/her job. Licensure/Certification/Registration: Current RN license in the State of Florida

Registered Nurse/RN - CICU - Cardiac Intensive Care Unit

DCH Health System Tuscaloosa, AL

Overview Our Cardiac Intensive Care Unit (CICU) is a 8-bed high acuity unit that provides complex monitoring and treatment of adult cardiac patients. CICU receives patients from the Cath Lab, ED, and Acute Care areas who require specialized cardiac care. Nurses must exhibit high levels of professional competency. The nurses work to collaborate with all disciplines of the care team to achieve optimal patient outcomes. Our team is dedicated to making our patient’s experience pleasant and comfortable in a safe and secure environment. Responsibilities Plans, coordinates, and directs quality, compassionate care by maintaining standards of professional nursing practice and creating positive therapeutic relationships with patients/families. Supervises LPNs, PCAs, PCAs/US, US, Ortho Techs and other non-licensed staff. Assesses condition on each assigned patient on admission and on an ongoing basis to include but not limited to the patient’s physical condition, psychological status, social status, spiritual and cultural needs, pain assessment/management, nutritional and functional status, developmental or age related factors, and discharge planning needs. Plans, provides, and documents patient and/or significant other education based on physical, behavioral, psychological, developmental, and age-related factors, after identifying barriers to learning. Evaluates and regularly reevaluates patient care; coordinates care planning with patient, family, providers and other disciplines to achieve patient-centered outcomes. Assigns and delegates nursing care to team members in accordance with the patient’s needs and the capabilities of the team members. Applies safety prin ciples when performing care Accurately documents observations, care provided, and changes in care plan. Provides accurate handoff reports and participates in unit based huddles Assists in performance improvement (PI) activities by serving on PI teams as warranted, assisting with PI measures and supporting and implementing changes necessary for improvement. Performs initial and annual competency per job class. DCH Standards: Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation. Performs compliance requirements as outlined in the Employee Handbook Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self. Performs essential job functions in a manner that ensures the safety of patients, visitors and employees. Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees. Requires use of electronic mail, time and attendance software, learning management software and intranet. Must adhere to all DCH Health System policies and procedures. All other duties as assigned. Qualifications MINIMUM KNOWLEDGE, SKILLS, EXPERIENCE REQUIRED Current approved Alabama Board of Nursing RN license or multi-state license required or ability to obtain prior to start. Current American Heart Association (AHA) or American Red Cross Basic Life Support (BLS) Provider training required. BSN preferred, minimum Associates required Must be able to read, write legibly, speak, and comprehend English. Required within 6 months of start date: American Heart Association or American Red Cross accepted Cardiac/Critical Care: ACLS Emergency Department-both campuses: ACLS Pediatric Advanced Life Support (PALS) Emergency Department – Regional Campus only: Trauma Nursing Core Course (TNCC) Perioperative: ACLS PACU –PALS; ACLS Women’s/Children: NICU –Neonatal Resuscitation (NRP) Labor & Delivery –ACLS, NRP, and Intermediate Fetal Monitoring Mother Baby Unit – NRP Pediatrics – PALS Clinical Support: Cardiac Monitoring Unit –ACLS Dialysis: ACLS International RNs: Current approved Alabama Board of Nursing RN license or multi-state license required or ability to obtain prior to start. Current American Heart Association (AHA) or American Red Cross Basic Life Support (BLS) Provider training required or obtain within 30 days of start date. BSN preferred, minimum Associates required Must be able to read, write legibly, speak, and comprehend English. Working Conditions WORK CONTEXT Demonstrate leadership skills Requires decision making that will affect others Responsible to achieve outcomes Must be able to communicate clearly and accurately Ability to delegate to team members and students Must be able to receive delegation Address conflict and stressful situation Communicate with different personalities and engage in face to face discussion Dealing with unpleasant or verbally/physically aggressive personalities Must be able to use electronic mail, telephone and texting Must be able to work in groups Must be able to perform structured and unstructured work Must be able to meet time pressure and time lines Includes possible exposure to human body fluids, disease, infection, lab chemicals and hazardous materials and/or cleaning solutions Requires wearing of common protective and safety equipment such as gloves, safety glasses, mask, gowns, etc. Schedules vary; every other weekend required. Weekends include Saturday & Sunday PHYSICAL FACTORS Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.Must be able to tolerate prolonged periods of standing and walking Must be able to reach reasonable distances in any direction Must be able to stand, walk, kneel, bend, sit and stoop Must be able to run in an emergency Must have the ability to exert maximum muscle force to lift, push, pull and carry objects Must be able to move fingers in a coordinated manner and must be ablet o feel and perceive temperature, texture, shape and size with fingertips Must be able to perform the duties with or without reasonable accommodation Must possess stamina to work prolonged shifts Hearing and vision must be normal or corrected to within normal range. Physical presence onsite is essential. KEY WORD SEARCH Staff Nurse, Registered Nurse, Nurse, RN

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