Registered Nurse Critical Care

**Job Summary** The Registered Nurse (RN) provides patient\-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high\-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families. **Essential Functions** * Coordinates and delivers high\-quality, patient\-centered care in accordance with organizational policies, protocols, and the nursing process. * Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members. * Utilizes knowledge of human growth and development to provide age\-appropriate care and education. * Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice. * Assists physicians during procedures within the scope of documented competency and skill level. * Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs. * Responds to medical emergencies and participates in life\-saving interventions, such as CPR and code team activities, as appropriate. * Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery. * Provides patient and family education on medical conditions, treatment plans, and post\-discharge care, ensuring understanding and adherence to instructions. * Implements and adheres to infection control protocols to prevent the spread of healthcare\-associated infections. * Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety. * Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff. * Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements. * Demonstrates responsible decision\-making in planning, delegating, and providing care based on patient needs and organizational policies. * Documents patient care and education thoroughly and promptly in the medical record. * Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations. * Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery. * Critical Care RN: + Administers medications and other treatments as prescribed, including intravenous medications and therapies. + Manages complex medical equipment, including ventilators, monitoring devices, and other life\-support systems. + Performs procedures such as inserting central lines, managing tracheostomies, and providing advanced cardiac life support. * Emergency Services RN: + Rapid Assessment and Triage: Evaluate patients' conditions quickly to determine the severity of their injuries or illnesses and prioritize care accordingly. + Conducts emergency procedures such as intubation, wound care, and suturing. + Implements interventions to stabilize patients, including administering medications, starting IV lines, and providing respiratory support. * OR Services RN: + Provides comprehensive care to patients before, during, and after surgery, including assessments, planning, and evaluation of nursing care. + Scrubs in for surgeries, assisting the surgical team with instruments and supplies, and ensuring a sterile environment. + Monitors patient vital signs, administers medications, and observes for changes in patient condition. * Cardiac Surgery RN: + Continuously assesses patients' condition, including vital signs, hemodynamic parameters, and ECG readings. + Administers medications and IV drips, adjusting dosages based on the patient's condition. + Proficient in operating and maintaining advanced life support equipment like ventilators, intra\-aortic balloon pumps, and ECMO. + After cardiac surgeries, monitors patients' recovery, manage chest tubes, pacing wires, and wound care. * Endoscopy RN: + Assesses patient needs, reviews medical history, explains procedures, obtains consent, and prepares the patient for procedure. + Monitors patient vitals, administers medications, and assists the physician during procedure. + Provides post\-procedure care, monitors recovery, and educates patients about aftercare instructions. + Ensures the endoscopy room is properly prepared, instruments are sterilized, and equipment is functioning correctly. * Obstetrics/Labor and Delivery/Post Partum/Nursery RN: + Educates patients about pregnancy, provides prenatal screenings, and prepares patients for labor and delivery. + Assesses and monitors the new mother's physical recovery, including vital signs, postpartum hemorrhage, and potential complications like postpartum depression. + Assists with epidurals and other pain management techniques during labor. + Administers pain medication, induces labor, and manages other medication needs during labor and delivery. + Assists during labor and delivery, monitors fetal well\-being, administers medications, and provides pain relief. Monitors mothers and newborns after delivery, assessing their well\-being, and providing education on postpartum care and breastfeeding. + Assesses and monitors newborn health, taking vital signs, performing routine assessments, and educating parents on newborn care. + Assists with gynecological exams and procedures, and provides education on reproductive health, contraception, and prenatal care. + Educates patients about family planning, fertility, pregnancy, childbirth, and postpartum care. + Interprets fetal heart rate patterns and assesses fetal well\-being using electronic fetal monitoring. * Oncology RN: + Administers chemotherapy, manages side effects, monitors vitals, and manages pain. + Explains treatments, answers questions, and provides information on resources. + Provides emotional and psychological support to patients and their families. * Orthopedics RN: + Provides specialized care for patients with musculoskeletal conditions, injuries, and diseases. + Provides care for Orthopedic patients encompassing pre\-operative and post\-operative care. + Conducts peripheral/vascular assessments. + Treats patients with immobilization devices. + Provides pain management. + Provides patient education. * PACU RN: + Assesses the patient's level of consciousness and responsiveness as they wake up from anesthesia. + Evaluates pain levels and administers pain medications as prescribed. + Observes any side effects of anesthesia, such as nausea, vomiting, shivering, or muscle aches. + Monitors for and respond to any post\-operative complications. + Administers medications, including pain relievers and other post\-operative medications, as prescribed. + Regulates intravenous (IV) fluids and monitor fluid balance. + Checks and changes dressings on surgical wounds. + Ensures a clear airway and provide oxygen support as needed. + Educates patients and families about post\-surgery care, potential complications, and discharge instructions. * NICU RN: + Continuously assesses and monitors vital signs (heart rate, respiratory rate, blood pressure, oxygen saturation) and other signs of distress. + Administers prescribed medications, intravenous fluids, and other treatments, including respiratory support and oxygen therapy. + Manages feeding needs, including tube, breast milk feeding support, and ensuring adequate nutrition. + Provides basic care tasks like diaper changes, bathing, and positioning. + Performs procedures like inserting IV lines, administering medications, and assisting with intubation or ventilation. Operates and adjusts specialized medical equipment used in the NICU. * Telemetry RN: + Using telemetry equipment to track heart rhythms (EKG), blood pressure, oxygen saturation, and other vital signs. + Analyzes telemetry data to identify trends, abnormalities, and potential problems, and reports these findings to physicians. + Provides direct patient care, including medication administration, wound care, and patient education, with a focus on cardiac health. + Recognizes and responds to emergencies, such as cardiac arrest, and implements appropriate interventions. * Dialysis RN: + Sets up and operates dialysis machines, monitors patients before, during, and after treatment, and adjusts treatment parameters as needed. + Takes vital signs, monitors signs of complications, and responds to changes in patient condition. + Educates patients and families about kidney disease, dialysis procedures, and the importance of adhering to treatment plans, diet, and medication. + Inspects and maintains dialysis machines and equipment. * Cath Lab RN: + Pre\-Procedure: - Reviews medical history, assesses patient's overall health, and prepares them for the procedure. - Intravenous (IV) Line Initiation: Starts and maintains an IV line for medication administration. - Administers medications as prescribed by the physician. - Educates patients and families about the procedure and what to expect. - Verifies that surgical consents have been signed. + During the Procedure: - Assists the Cardiologist during the catheterization process. - Closely monitors the patient's vital signs, hemodynamic data, and sedation levels. - Ensures proper functioning of equipment and supplies. - Manages potential complications and responding to emergencies. + Post\-Procedure: - Continues to monitor the patient's vital signs and overall condition after the procedure. - Administers post\-procedure medications as needed. * Performs other duties as assigned. * Maintains regular and reliable attendance. * Complies with all policies and standards. **Qualifications** * 0\-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required **Knowledge, Skills and Abilities** * Strong knowledge of the nursing process and clinical nursing practices. * Ability to perform thorough patient assessments and communicate findings effectively. * Proficient in administering medications and monitoring for side effects. * Effective communication and interpersonal skills to collaborate with interdisciplinary teams. * Strong organizational skills and attention to detail in documenting patient care. * Knowledge of safety standards, infection control, and quality improvement initiatives. **Licenses and Certifications** * RN \- Registered Nurse \- State Licensure and/or Compact State Licensure required * BCLS \- Basic Life Support required * ACLS \- Advanced Cardiac Life Support preferred * PALS \- Pediatric Advanced Life Support preferred * NRP \- Neonatal Resuscitation preferred * Refer to facility or unit\-specific guidelines for additional requirements.