Registered Nurse - Lancaster, United States - Antelope Valley Medical Center

Antelope Valley Medical Center

Verified Company

Lancaster, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Full time

Description

Job Objective:

A Registered Nurse who is responsible for the nursing care of patients in the Critical Care setting guided by policies and procedures of the Critical Care Unit and hospital.

Duties and Responsibilities:

A

Nursing Process:

Applies nursing process in direct patient care
Assessment of physiological, psycho social, educational, cultural, and spiritual needs of patient as evidenced by written assessment within one hour of admission and visual assessment within fifteen minutes of arrival
Documents physical assessment every four hours on in the electronic medical record and vital signs/I&O Q2 or more frequently as required by diagnosis/disease process/physician orders.
Reassesses patient's needs every four hours and more often when necessary and documents in the electronic medical record and patient care plan. Provides further interventions as necessary and reevaluates outcomes.
Care of acutely ill patient
Monitors vital sign, i.e. EKG, Sa02, etc. and intervenes as necessary
Initiate and monitor vasoactive drips, ie Dopamine, Dobutamine, Nipride, Norepinephrine etc.
Monitor invasive lines, i.e. central lines, arterial lines, etc.
Monitor ventilator patients and intervene when necessary
Operate various pain management equipment, i.e. PCA, Epidural, etc.
Assess patient for respiratory depressions and/or arrest and intervene immediately if necessary, i.e. CPR, use ambu bag, chin lift maneuvers airways, etc.
Responds to codes in unit and responds to codes in other units in the hospital.
Monitor, assess and intervenes with extremely unstable patients, ie post cardiac surgery, trauma, organ donation, etc.
Insures that patients have a safe postoperative/postprocedural period from general, regional or local anesthesia, including Moderate Sedation.
Provide age specific and disease specific care and education to patients/families relating to postprocedural care.

B

Technical Equipment Operation:

Operates technical equipment safely, efficiently and accurately as per unit competency level.
Pressure line set up and maintenance
Cardiac monitors
Insertion, maintenance, withdrawal of blood form arterial line, and removal of arterial line
Cardiac output
Insertion, maintenance and removal of PA lines
ICP and/or Camino set up, insertion and maintenance
Crash cart/defibrillator/cardioverison
Ventilator management
Peripheral Nerve Stimulator
Ventricular Assist Device
Transvenous pacemaker/noninvasive pacing
Femostop/Cclamp for line removal

Non-Essential Duties:

Participates on unit or hospital based committees
Other duties as assigned, within compliance with Title 22, The Joint Commission, and CMS.

Knowledge, Skills and Abilities:

Knowledge

Demonstrates knowledge of criteria for 1:1 patient
Demonstrates knowledge of patient classification system
Demonstrates knowledge of staffing guidelines for Critical Care Unit
Demonstrates knowledge of Moderate Sedation
Demonstrates knowledge of Critical Care security policies and procedures.
Demonstrates knowledge of Critical Care visitation policy.
Supports and adheres to the values and mission statement established by the AVH Board of Directors
Conforms to required accreditation standards.
Conforms with and supports hospital quality management and performance improvement guidelines

Skills

Meets skills and abilities of a Registered Nurse
Skill and ability to follow telephone etiquette/standards
Displays a willingness to work as a team player
Safely and effectively uses all equipment necessary to carry out duties

Abilities

Ability to adhere to all established AVH policies and procedures and to interpret and function under these.
Ability to organize work and establish priorities
Ability to expand on own initiative in performance of duties
Ability to function effectively under pressure and meet time parameters
Ability to relieve clerical staff at desk, or to adopt any function commonly assigned to unlicensed assistive personnel, or as allowed within scope of nursing practice, as needed

Physical Requirements and Working Conditions:

Work often performed under stressful, emotional, and physical conditions
Accepts additional workload during times of unexpected circumstances, e.g., high activity, high census, and sudden emergencies.
May be exposed to contaminated instruments that may cause infections, burns, or cuts.
May also be exposed to wet and/or humid conditions, fumes or airborne particles, toxic or caustic chemicals, risk of electrical shock, and risk of radiation.

A detailed description of the physical requirements of this job is maintained in the Employee Health Department.

Job Objective:

A Registered Nurse is responsible for the nursing care of patients as established by the Nursing Practice Act of the Board of Registered Nursing of the State of California and as guided by policies and procedures of the hospital.

**Duti