RN ICU Full-time

Clarion, PA - Full Time

CLARION HOSPTIAL

JOB DESCRIPTION

Job Title:  Registered Nurse                                       FLSA Status: Non-Exempt

Department:  Patient Care Services                           Job Code:  1026

                                                                                     Date:  11-27-2006

Position Summary

The Registered Nurse has the primary responsibility of assessing, planning, implementing, and evaluating the care of the patients for whom she/he assumes responsibility under the direction of the Nurse Manager and Charge Nurse.   Demonstrates commitment to Clarion Hospital mission statement, vision statement and values.

Essential Functions

An integral function of the staff nurse is patient teaching to promote positive health outcomes.

Acts as a preceptor to all staff and students and is responsible for orientation of assigned staff.

Maintains position specific skills and competencies as required on annual basis.

Maintains CEU’s appropriate to discipline in order to maintain clinical competency.

Functions as a patient advocate through education to the patient and family including health promotion.

Responds to patient care needs on a timely fashion, including, but not limited to call bell response, verbal requests, and bed exit alarms.

Maintains adherence to patient rights.

Administers prescribed treatments, medications, therapies within the scope of practice.

Participates in nursing and hospital committees as appropriate.

Attends at least 70% of department staff meetings.

Demonstrates strong customer service skills, and professional behavior when dealing with all individuals and groups, both internally and externally.

Demonstrates respect and communication skills when interacting with all individuals and groups, both internally and externally

.

Assesses the patient’s physical and psychosocial condition on an ongoing basis throughout the continuum of care.

Develops a plan of patient care reflecting significant nursing diagnoses and interventions to achieve desired patient outcomes, involving the patient/family and healthcare team in this process.

Plans, coordinates and implements patient’s plan of care in collaboration with the multidisciplinary team.

Evaluates patient outcomes, effectiveness of plans of care, and readiness for discharge.  Revises as needed, and makes referrals when indicated.

Utilizes manual and automated information systems to improve patient safety

Act as a liaison in coordinating patient care activities with nurses, physicians and allied health professionals.

Communicates patient’s plan of care to all multidisciplinary team members and to the patient, family and significant others.

Provides education as indicated after assessing the learning needs of the patient and family.

Demonstrates cost effectiveness by using supplies judiciously, anticipating needs for special supplies and equipment, and making recommendations for change.

Complies with established personal protective equipment requirements necessary for protection against exposure to blood and other potentially infectious body fluids, chemical disinfectants, radiation, antineoplastic/cylotoxic agents and other hazardous substances.

In some specialized areas the RN, maintains total care of the patient including but not limited to, connecting, monitoring and interpreting electronic displays, responding to emergencies by initiating life saving actions including advanced cardiac life support (ACLS) protocols.

Performs other duties as assigned.

Agrees to comply with the Corporate Compliance Policy and all laws, rules, regulations, and standards of conduct relating to the position and has a duty to

report any suspected violations of the law or the standards of conduct to his or her immediate supervisor, the Compliance Officer or the Chief Executive Officer.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed with or without reasonable accommodations by incumbents of responsibilities other than those specifically presented in this description.

Reporting Relationships

Reports to:  Nurse Manager, Charge Nurse

Supervises: GN, LPN, Nursing Assistant, Unit Secretary, Nurse Externs and Technicians.

Qualifications

Graduate of a State Board approved program of professional nursing.  Holds a current Pennsylvania State License as a registered nurse.   Certified in basic CPR.   Certified in ACLS, PALS, and neonatal resuscitation as appropriate.

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REGISTERED NURSE, RN - ICU

Job Summary The RN assesses, plans, implements and evaluates the care for a designated group of patients. The RN coordinates, directs and actively participates as an effective member of the interdisciplinary health care team, contributing to the efficient operation of the unit and promoting positive patient outcomes. Essential Job Functions Maintain professional and technical knowledge by attending education workshops, review professional publications, establish personal networks, and participate in professional societies. Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following system/hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protect patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Document patient care services by charting in patient and department records. Maintain continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques. Maintain patient confidence and protects operations by keeping information confidential. Identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements. Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promote patient's independence by establishing patient care goals, teaching patient/family to understand condition, medications, and self-care skills, and answering questions. Maintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel. Resolve patient problems and needs by utilizing multidisciplinary team strategies. Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team continuous quality improvement and problem-solving methods. Contribute to team effort by accomplishing related results as needed. Ensure operation of equipment by completing preventive maintenance requirements by following manufacturer's instructions, troubleshooting malfunctions, calling for repairs, maintaining equipment inventories, and evaluating new equipment and techniques. Maintain nursing supplies inventory by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, and using equipment and supplies as needed to accomplish job results. The Registered Nurse provides direct oversight of the GN, LPN, Technical Partner, ALS Technician, Nurse Extern and Unit Clerks. This oversight includes the Registered Nurse conducting the initial comprehensive assessment and interpreting the assessment to initiate the interprofessional plan of care. This oversight includes supervision of the delegation of duties that are within the scope and capability of the care team supervised. Other related duties as assigned. Specialty Job Functions Demonstrates the ability to interpret and treat arrhythmias in ICU. Reviews rhythm strips. Demonstrates appropriate treatment of arrhythmia. Utilizes appropriate protocols for administration of drugs for treatment of arrhythmias. Demonstrates the ability to care for a patient requiring ventilator support. Demonstrates ability to care for patient receiving invasive monitoring, not limited to Swan Ganz catheters, but including A-lines and CVP monitoring Required Qualifications Graduate of an accredited Nursing Program required. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. A Nursing refresher course may be required if employee hasn’t worked in an acute care setting for his / her most recent three consecutive years of professional employment. Preferred Qualifications Bachelor’s Degree in Nursing preferred. Critical Care Experience Open Heart Experience One (1) year Med/Surg or PCU experience. License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania required. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Current ACLS or completion within one (1) year of hire/transfer date into department NIH Stroke Scale – current or within six (6) months of hire/transfer into department. Supervisory Responsibilities This position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbents will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. Work Environment : Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x Use of Vibrating Tools x Operates Vehicle (Company) x Operates Heavy Equipment x Use of Lifting/Transfer Devices x x Rotates All Shifts x x 8 Hours Shifts x x 10-12 Hours Shifts x x On-Call x x Overtime(+8/hrs/shift; 40/hrs/wk) x x Travel Between Sites x Direct Patient Care x x Respirator Protective Equipment x x Eye Protection x x Head Protection (hard hat) x Hearing Protection x Hand Protection x x Feet, Toe Protection x Body Protection x x Latex Exposure x x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure Chemo Units Chemo Units X all other Blood/Body Fluid Exposure x x Chemicals (direct use) Exposure x x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x x Sitting x x Walking x x Climbing Stairs x x Climbing Ladders x Standing x x Kneeling x x Squatting (Crouching) x x Twisting/Turning x x Keyboard/Computer Operation x x Gross Grasp x x Fine Finger Manipulation x x Hand/Arm Coordination x x Pushing/Pulling(lbs. of force) x 10# 50# Carry x 25# Transfer/Push/Pull Patients x x Seeing Near w/Acuity x x Feeling (Sensation) x x Color Vision x x Hearing Clearly x x Pulling/Pushing Objects Overhead x x Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle x 10# Lifting Seat Pan to Knuckle x 50# Lifting Knuckle to Shoulder x 20# Lifting Shoulder to Overhead x 10# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.