RN- Float Pool, ICU (Full Time, Nights)

Job Summary

Responsible for the planning and delivery of care utilizing nursing processes\: assessment, implementation, and evaluation. Oversees the plan of care, utilizes effective problem solving strategies, and applies evidence based practices. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director. Provides compassionate and family centered care.

Job Specific Duties

• Ensures completion of patient admission, history, assessment, & pain reassessment. Accurately prepares & completes the discharge planning process per department and hospital policies & procedures.
• Conducts handoff with oncoming RN utilizing SBAR; documents in Cerner. Conducts assessments and documents.
• Plans, implements, and documents the plan of care (i.e. high risk of falls) in collaboration with other disciplines and services to assure safe and efficient care.
• Provides nursing care that includes\: mechanical ventilation, IV site monitoring, suctioning, specimen collection, lines, tubes and drains, and assists medical team with procedures.
• Follows physician’s orders and administers medication including drips. Adheres to six rights of medication administration.
• Collaborates and rounds with a multi-disciplinary team during daily care planning rounds as appropriate and fosters a Family Centered Care Environment.
• Utilizes electronic innovations to provide efficient patient care. Attends to patient call lights in a manner that promotes patient safety per hospital policy.
• Reports critical values or change in status to the physicians within Procedure and Policy Standards of 30 minutes and documents clinician notification in Cerner.
• Ensures proper and safe wound care as required by Wound Care Policy and Procedures.
• Responsible for completing scoring process, assessment, as well as requesting additional narcotics or orders from Physicians.
• Responsible for assessing site, circulation and range of motion every 2 hours for restraints, per hospital policy and procedures.
• Accesses electronic health record independently according to hospital policy. Completes accurate and timely documentation in the patient’s electronic health record.
• Communicates with patients and families to review plan of care, provide education, and when necessary use appropriate translation methods. Communicates any patient and family concerns to physician.
• Promotes an “error free” working environment by consistently providing high-quality safe care as per hospital policies.
• Responsible for providing a safe environment for co-workers by placing isolation/precaution signs (droplet, contact, or airborne).
• Creates incident reports for hospital acquired conditions, near misses, malfunction of machine on patients, and adverse events/medication errors documenting the situation within 72 hours.
• Assesses all body systems, ensures safe efficient care, absence of medication errors, avoidance of falls, prevention of central line infections, ouch-free procedural pain, and pain reduction.