Registered Nurse EMS - M.I.C.U. - PT - Day

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range:

Position Overview

 SUMMARY (Basic Purpose of the Job)

Plans and provides unique and individualized comfort measures utilizing intuitive, innovative approaches which are scientifically based. Fosters an environment to include the core mission. Assists patients and families to understand alternatives to care and facilitates communication of information to all members of the health team. Provides information and interpretation of the patient's condition and offers coping mechanisms. Assesses how much information a patient wants and needs using a vocabulary and approach that enables the patient to comprehend given information and documents outcomes. Provides interpretation of the patient's condition and gives

Education: Associate's degree or graduation from an accredited school of nursing. Bachelor’s of Science in Nursing (BSN) preferred.

Experience: Minimum Requirement of one year of full time (2+ years full time preferred) nursing care performing advanced clinical skills in an acute care hospital critical care unit, emergency department, or SCTU.

Other Credentials: AHA BLS - Healthcare Provider, Driver's License, Emergency Medical Technician,ICS-100,ICS-200,NIMS,NIMS-700,Registered Nurse - NJ

CPR Requirements:

• Requires ACLS (or must obtain within 6 months of hire date) if assigned to: Critical Care/Intermediate/Telemetry, Emergency Rooms, Pediatrics/Pediatrics Emergency Room, Labor & Delivery, Surgical Services (not to include Perioperative), Interventional Procedures, Observation.
• Requires NRP (or must obtain within 6 months of hire date) if assigned to: Maternity Services
• Requires PALS (or must obtain within 6 months of hire date) if assigned to: Emergency Rooms, Infant Follow-Up, Surgical Services (only PACU & Same Day Surgery), Pediatrics/Pediatric ED.

Knowledge and Skills: Demonstrates competency in endotracheal intubations and maintaining an airway using various types of airways including BVM, OPA, NPA, and supraglottic airways. Demonstrates competency in all the biomedical equipment used on the SCTU.

Special Training: Certifications in CPR BLS, ACLS, NRP (within 6 months), and PALS. Certification in PHTLS or ITLS. Certification as an EMT-P or certification as an EMT-B with MICN endorsement preferred. MICN endorsement required within 6 months of hire.

Mental, Behavioral and Emotional Abilities: Good problem solving and critical thinking skills required. Ability to work well as part of a team. Excellent customer service skills required.

Usual Work Day:12 Hours  

Reporting Relationships

Does this position formally supervise employees? No

If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.

ESSENTIAL FUNCTIONS

• Follows up on internal resources to determine the outcome of interventions completed by other departments. Mobilizes resources in complex cases to maximize patients control and participation over own recovery.
• Provides appropriate support for pain management, pharmacological, and non-pharmacological measures. Assists patient and family in identifying individualized comfort measures.
• Consistently provides information to patients with validation through documentation and observation. Allows patients and their families the opportunity to ask questions and provide them with accurate answers. Provides patient and family with accurate information regarding health problems enabling them to become active participants in health care decisions.
• Initiates plan of care based on Capital Health core mission principles. Includes illness, pain, fear, anxiety and any other stressful emotion in plan of care. Advocates for patient when condition prohibits self-advocacy.Incorporates goal setting and consideration of alternatives in the development of a viable plan of care.
• Independently develops an individualized teaching plan and incorporates aspects of cultural diversity specific to the patient. Confers with treatment team regarding special needs of patient and family upon discharge/transfer.
• Performs and documents an initial history and assessment which reflects the patient's potential for wellness. Anticipates deterioration before the evidence is convincing in terms of changes in vital signs and measurable outcomes, plans for intervention, documents accurately, and evaluates the effectiveness of treatment. Anticipates problems that might arise in complex or unusual clinical situations.
• Anticipates deterioration while recognizing the importance of reacting quickly and appropriately without overreacting. Thoroughly and accurately documents clinical changes, interventions, and outcomes. Integrates assessment and diagnostic information with intuition to foresee potential age-specific healthcare needs.
• Independently contacts LIP to seek out anticipated medications and interventions related to changes in patient's condition. Ensures handoff communication includes a report in terms of the situations most likely to develop and the problems awaiting resolution in an established timely fashion.
• Grasps intuitively the problem and oversees a clinical situation by mobilizing available resources. Displays the ability to rapidly grasp the threatening emergency and initiates treatment measures. Initiates SCTU standing order protocols specific to the patient's condition. Makes medical command to give updates to the appropriate Physician and obtain further orders and instructions as needed.
• Administers medications accurately and safely. Documents patient's records according to the nursing process, ANA Code for Nurses, and Capital Health Patient Services Division Standards of Practice. Performs, teaches, and demonstrates technical skills specific to assigned nursing unit. Proactively identifies issues to be resolved related to patient education for medication management.
• Assists SCTU Coordinator and MICU Clinical Department with the development and revision of the unit based orientation plan and quality assurance (QA). Participates in various aspects of unit based chart review and patient services performance improvement activities related to documentation.
• Uses discretionary judgments to appropriately modify patient care regimens. Facilitates appropriate response from other health team members using clear and convincing rationale. Obtains new LIP prescriptions to appropriately reflect patient care regimens. Evaluates the quality and appropriateness of care, identifies problems, and initiates and documents improvement of care. Attends unit-based performance improvement meetings, identifies important aspects of care, and responds to the changing needs of the unit.
• Advocates to LIP and other health members on behalf of patient using clear and convincing rationale to lead the response and treatment needed to meet the patients needs. Obtains orders for modalities and medications in anticipation of changes in patient's current or potential condition prior to transporting a patient. Obtains medications (if not stock of the SCTU) which may or will be used during a SCTU transport three times what a normal transport would take.
• Participates in the evaluation of unit standards of care and identification of actual or potential problems. Obtains proper equipment and staffing needed to safely transport a patient for the most optimal outcome.
• Organizes unit activities to mobilize resources in a changing environment. Displays competency in charge and preceptor roles. Follows established policies and procedures for attendance, punctuality, and continuing education. Displays ability to see the entire unit and is self motivated to develop a plan for adjusting staffing patterns and unit changes and needs. Performs additional duties as assigned to support the needs of the department.
• Utilizes non-productive time efficiently and has not received any disciplinary action related to non-productive time. Displays participation in unit and hospital committees.
• Displays commitment to Capital Health. Possesses a willingness to adapt to changing department demands. Displays flexibility and willingness to assist other units and departments within the EMS structure including BLS, BLS transports, ALS, Education, Clinical, MSU, and Transfer Center. Performs the duties, roles, and responsibilities of an EMT-P/MICN as described in the job standards and performance expectations outlined in the job description.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

Frequent physical demands include: Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion

Occasional physical demands include: Sitting , Taste or Smell

Continuous physical demands include: Standing , Walking , Talk or Hear

Lifting Floor to Waist 125 lbs. Lifting Waist Level and Above 50 lbs.

Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Accurate Depth Perception, Accurate HearingAnticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Chemical , Airborne Communicable Disease , Extreme Temperatures , Radiation , Uneven Surfaces or Elevations , Extreme Noise Levels , Dust/Particulate Matter.

IND123.

This position is eligible for the following benefits:

• Retirement Savings and Investment Plan

• Disability Benefits – Short Term Disability (STD)

• Sick Time Off

• Employee Assistance Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level. 

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.