Critical Care RN MICU

Summary of Primary Functions
The Critical Care Registered Nurse (RN) provides, coordinates, plans, and evaluates the care of the patient in collaboration with the interdisciplinary team and within established the nursing process framework. Evaluation is done through data collection, assessment, identification, and prioritization of patient problems/needs including evaluating process/outcome of nursing care, interventions, and teaching. The RN coordinates, provides, and directs patient teaching activities and coordinates the care provided by health team members.

Essential Job Functions

• Conducts and analyzes initial and ongoing patient assessment, creates a plan of care, implements treatment, and evaluates treatment effectiveness.
• Administers medications in a safe manner consistent with the State of Practice and Bon Secours Mercy Health policies and procedures
• Serves as point of contact for patients' care coordination throughout hospital departments.
• Acts as a patient safety advocate by participating in ongoing quality improvement in the department and collaborates with spiritual care, palliative, and ethics when needed
• Serves as a point person for care coordination for family members or caregivers.
• Performs nursing care associated with life supporting technology/modalities may include but not limited to: ventilator management, CRRT, IABP, Impella, ECMO
• Performs hemodynamic monitoring
• Clinically manages critically ill patients with multi-system organ failure and/or multisystem trauma
• Using the AACN Synergy Model, restores, supports, promotes, rehabilitates, or palliates to maintain the physiologic, psychologic, and psychosocial stability of patients across the lifespan.
• Synthesizes and prioritizes information in order to take immediate and decisive evidence-based, patient-focused action using clinical judgement and clinical inquiry.
• Anticipates and responds with confidence and adapts to rapidly changing patient conditions.
• Responds to the unique needs of the patients and families coping with unanticipated illness or injury and treatment and advocate for their choices in quality of life.
• BSMH nurses are expected to practice and deliver care in accordance with the core concepts and intention of the BSMH Nursing Professional Practice Model.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Licensing/Certification
Current RN license in state they are working or covered by compact (required)
BLS Basic Life Support (preferred upon hire, must obtain from approved source prior to direct patient care)
ACLS Advanced Cardiac Life Support (required within 6 months of hire)
TNCC Trauma Nursing Core Course (preferred)
CCRN Critical Care Registered Nurse (preferred)
PCCN Progressive Care Certified Nurse (preferred)
RN-BC Registered Nurse - Board Certified (preferred)
TCRN Trauma Certified Registered Nurse (preferred)
National Institute of Health (NIH) Stroke Certification (preferred)

Education
Bachelor of Science Nursing (preferred)

Work Experience
1 year of RN experience (required)
6 months RN experience in a Med/Surg, Critical Care, Stepdown, or Emergency Department Unit (preferred)

Training
EPIC Electronic Health Record (EHR) training (preferred)
Critical Care Course (preferred)

Skills

• Assigns patient care according to the nursing skill, knowledge, and scope of practice of staff.
• Orients, facilitates learning experience, and provides education (based upon quality improvement indicators, outcomes, and implementation) to nursing staff and others.
• Possesses clinical knowledge, skills, and competency to provide evidence-based patient care in accordance with the current standards of practice, policy and procedure, and BSMH mission.
• Performs comprehensive assessment of patient's clinical condition and psychosocial needs of the patient and their supportive resources.
• Safely and efficiently develops, implements, and prioritizes plan of care.
• Application of the nursing process in patient care delivery.
• Assesses patient's physical and emotional responses to treatment to evaluate effectiveness of intervention and patient outcomes; revises plan of care accordingly.
• Assists patient and family in coping with patient's illness.
• Collaborates with others in the delivery of coordinated patient care.
• Strong interpersonal and verbal/written communication skills.
• Applies cultural diversity and inclusion principles when caring for patients and their support resources.
• Recognizes own limitations and seeks assistance and acquires information to perform safely.
• Advances personal and professional growth through participation in educational programs, current literature, in-services, and workshops.
• Exhibits professionalism through accountability for own and delegated actions.
• Integrates cost-effective measures into practice and models effective stewardship of available resources.
• Practices self-care and cultivates resilience in conflict and difficult circumstances.
• Protects the safety and privacy of all persons.
• Understanding and utilization of office and clinical technologies.
• Ability to communicate with patients in a manner they can understand considering their personal preferences.
• Compassionate, relationship-based approach to help find meaning in illness, suffering, pain, and existence.
• Remains calm, adaptive, and collective during an emergency.
• Assists with insertion intra-aortic balloon pumps, chest tubes, and impellas.
• Assesses patients through hemodynamic monitoring.
• Assists with insertion of transvenous pacing/temporary pacing.
• Administers means for conscious sedation.
• Knowledge of advanced respiratory modalities.
• Manages nursing care of the patient with a Swan-Ganz catheter.

Working Conditions
Periods of high stress and fluctuating workloads may occur
May be exposed to physical altercations and verbal abuse
May be required to use physical restraints
May be exposed to high noise levels and bright lights
May be exposed to limited hazardous substances or body fluids*
May be exposed to human blood and other potentially infectious materials*
May have periods of constant interruptions

• Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.

Physical Requirements
Lifting/Carrying (0-50 lbs.): 34-66%
Lifting/Carrying (50-100 lbs.) 34-66%
Push/Pull (0-50 lbs.) 34-66%
Push/Pull (50-100 lbs.) 34-66%
Stoop/Kneel 1-33%
Crawling 1-33%
Climbing 1-33%
Balance 1-33%
Bending 34-66%
Sitting 34-66%
Walking 34-66%
Standing 34-66%

Additional Physical Requirements/Hazards
Manual dexterity (eye/hand coordination)
Perform shift work
Maneuver weight of patients
Hear alarms/telephone/audio recorder
Reach above shoulder
Repetitive arm/hand movements
Finger Dexterity
Color Vision
Acuity - far
Acuity - near
Depth perception
Use of latex products
Exposure to toxic/caustic/chemicals/detergents
Exposure to moving mechanical parts
Exposure to dust/fumes
Exposure to potential electrical shock
Exposure to x ray/electromagnetic energy
Exposure to high pitched noises
Gaseous risk exposure

Patient Population
Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.
Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.
Adults (18-64 years)
Geriatrics (65 years and older)