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

Work Shift:

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 advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Position Overview:

• Consults internal resources to determine the outcome of interventions completed by other departments. Mobilizes resources in complex cases to maximize patient's control and participation over own recovery.
• Independently develops an individualized teaching plan and incorporates aspects of cultural diversity specific to the patient. Confers with sending staff regarding special needs of patient and family during 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 during transport.
• Provides appropriate support for pharmacological and non-pharmacological pain management 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, 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.
• 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 potential changes in patient's condition when Standing Order Protocols are exceeded or it is anticipated that they will during transport. 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.
• Oversees clinical situation by mobilizing available resources. Rapidly grasps threatening emergencies and immediately initiates appropriate 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 the SCTU Coordinator and MICU Clinical Department with the development and revision of the unit based orientation plan and quality assurance. 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 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 patient 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. 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.
• Utilizes non-productive time efficiently. Participation in unit improvement efforts.
• Displays commitment to Capital Health. Performs other duties as assigned. 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, Education, Clinical, and Transfer Center Dispatch.

Offers are contingent upon successful completion of our onboarding process and pre-employment physical.  Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.