RN (FLEX) - Critical Care
One Brooklyn Health
- Brooklyn, NY
- Permanent
- Full-time
Responsibilities
- Utilizes the nursing process in taking care of the patient.
- Assesses condition of the patient and documents findings in EHR.
- Utilizes principles of Infection Control in the delivery of care.
- Implements appropriate nursing interventions to facilitate recovery of patient and prevent complications.
- Evaluate patient’s response to interventions and communicates with other healthcare team members the need to revise or maintain plan of care.
- Implements discharge planning based on patient care needs.
- Initiates and documents patient education based on treatment plan in the language that the patient understands.
- Documents assessment, interventions, changes in the patient’s condition and response to interventions based on hospital policy on documentation.
- Initiates appropriate actions effectively in an emergent situation.
- Prioritizes tasks and adjusts priorities, maintain orderly, efficient, and timely flow of patients.
- Recognizes and reports errors or unusual occurrences, and initiates corrective action when appropriate.
- Makes accurate, complete, and timely entries into the patient medical record addressing all steps of the nursing process.
- Actively communicate with all members of the healthcare team, patient, and patient family and then assess, plan, implement and evaluate patient care.
- Know how to start standard interventions to stabilize the patient.
- Communicates with colleagues and interdisciplinary team about the prevention, treatment and patient care needs of the patient that has pressure injuries (reports, dietary consults, communicates with physicians).
- Basic cardiac rhythm monitoring techniques, interpretation, and treatment.
- Recognizes lethal arrhythmias and acts appropriately. Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology.
- Recognize the signs and symptoms of cardiopulmonary and respiratory emergencies and knowing how to start standard interventions to stabilize the patient.
- Prepares and administers (orally, subcutaneously, through an IV) and records prescribed medications. Reports adverse reactions to medications or treatments in accordance with the policy.
- Calculate drug dosage, administering continuous medication infusion, and monitoring patients for effects of medication.
- IV pump setup. Use of Doppler. Phlebotomy /IV start.
- Cardio pulmonary monitoring/ Arrhythmia recognition & treatments.
- Medication Indication, dosage, action, side effects of anti-platelets/ coagulants.
- Blood and blood product transfusions and assists with Massive blood transfusion.
- Care of mechanically ventilated.
- Assisting with Emergency Management.
- Urinary Catheterization – Male and Female.
- Start standard interventions to stabilize the patient.
- Communicates with colleagues and interdisciplinary team about the treatment and patient care needs of the patient that has pressure ulcers (reports, dietary consults, communicates with physicians).
- Management patient post neuro procedure, or Neuro patient transferring from Surgical intensive care unit.
- Have knowledge of all vasoactive Drugs such as Vasopressors, Inotropes, Catecholamine, and Adrenergic. Calculate and administer according to the guideline.
- Monitors and adjusts specialized equipment used on patients, and interprets and records electronic displays, such as intracranial pressures, arterial line pressures, central venous pressures, pulmonary artery pressures, Balloon Pump, Hypo/Hyperthermia machine, CVVHD, Peritoneal Dialysis.
- Initiates patient education plan, as prescribed by physician. Teach patients and significant others how to manage their illness/injury, by explaining: post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication and rehabilitation.
- Demonstrates efforts in the prevention of hospital acquired conditions (HAC) CAUTI, CLABSI, Pressure injuries and Falls.
- Records all patients’ medical information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms.
- Prepares equipment and assists physician during examination and treatment/procedures of patient at the bedside.
- Participates in the formulation, review and or revision of departmental policies.
- Proactively participates in performance improvement initiatives to continuously improve the quality of patient care.
- Uses hospital resources effectively in providing patient care. Follows the process of reporting broken equipment.
- Recovering patient after sedation analgesia.
- Transferring patient to floor after verbal report/electronic report using Hand-off.
- Involves Patient and family in discharge teaching. Discharge patients safely if out patients.
- Performs other duties as assigned within the RN scope of practice.
- Graduate of accredited nursing program(s).
- Bachelor's degree in Nursing preferred.
- Bachelor’s degree in Nursing or equivalent to BSN program.
- Master's degree in Nursing, preferred.
- Minimum two (2) years' Telemetry experience required.
- Minimum one (1) year Critical Care nursing or equivalent experience preferred.
- Knowledge of Neuro assessment, and documentation, NIHSS scale.
- Knowledge of critical lab values.
- Critical thinking, math, and computer skills; Works as a team player.
- Demonstrates respect and professionalism in all interactions.
- Excellent oral and communication skills.
- Decision making and problem solving.
- Able to read, write, see and hear English.
- Current NY State RN License required.
- Basic Life Support (BLS) required.
- Advanced Cardiovascular (ACLS) required.
- CCRN (required within one (1) year of hire).
- Basic Arrhythmia Class with Certificate required.
- Stroke Certification required.
- Trauma Care After Resuscitation (TCAR) required.
- Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day.
- Position will be required to stoops, bends, lifts, carry items weighing up to 35 pounds for routine performance of essential functions.
- An individual in this position may be exposed to: Adverse indoor environmental conditions, Blood borne pathogens, Blood and body fluids, Physical hazards (e.g., needle pricks, etc.), communicable diseases, chemical hazards, radiation, and repetitive motions.
- Full range of body motion, able to lift up to 100 pounds, if necessary, to assist lifting and moving patients.
- Manual and finger dexterity, as well as hand and eye coordination.
- Corrected vision and hearing to within normal range
- Frequently sitting at desk working on computer
- Ability to flex working hours.