Assesses patients on admission within specified time frames to include consideration of physical, psychosocial, cultural and spiritual needs Reassess each patients health needs whenever warranted b the patients condition and at least every shift utilizing the nursing processes after obtaining a systematic database Establishes a plan of care based on indefinite data from all appropriate sources Reviews and updates the plan of care for each assigned patient utilizing data obtained from reassessments. Administers oral, topical the parental medications utilizing the 7 rights Assesses and documents effectiveness/untoward effects of medications and treatments. Performs treatments and procedures with consideration of common nursing practice, hospital policy and procedure, sterile technique, standard precautions and patient privacy Documents response to are and addresses pain management, discharge planning needs, educations and progress towards goals. Documents in a legible and accurate manner to include date and time of entry, signature, and title. Educates patient/family based on his/her assessed needs and uses Krames where appropriate Interprets or analyzes diagnostic data and reports, and intervenes appropriately Promptly communicates change in patients clinical condition to physicians and other health care team members as appropriate. Uses SBAR communication for all handoffs Demonstrates consideration of patient rights including confidentiality, safety and patient participation in plan of care Evaluates and documents patient care provided and the effectiveness of patient teaching Participates in multidisciplinary care planning Demonstrates knowledge of application criteria for restrains and the ability to manage patients in restraints per policy Follows the National Patient Safety Goals Follows hospital policy on use of two patient identifiers Understands Disaster Plan and own role Understands how to activate the Rapid Response Team Completes orientation to Life Safety Standards – Code Blue, Code Pink (infant abduction, Haz Mat Spills, Code Red (Fire), Oxygen shut off valve. Follows hospital infection control policies. Demonstrates knowledge of blood transfusion policy and documentation Understand the Chain of Command and accesses it appropriately Washes hand before and after each patient contact Follows guidelines for Core Measures and vaccine controlTasks and Expectation for Critical Care Nurse Documents appropriately regarding: Initial assessment, Multi-Disciplinary Care Plan, Progress Note, ICU flow Sheet, Medication record, Medication Reconciliation, Critical Values and Telephone Orders Uses Pyxis appropriately for narcotics Follows policy for administration of high risk medications Able to use: Pressure monitoring, Bedside cardiac monitors, recognize cardiac dysrhythmias, and specialty beds Manages pain and sedation protocol Follows early mobility protocol Follows protocols for the following: Sepsis, Ventilator Associate Pneumonia, Pressure ulcers and Central lines Demonstrates knowledge of nurse collected specimens for Type and Cross/Screen Able to accurately asses, plan, implement and evaluate the care of the critically ill patient Accesses appropriate resources when assistance is needed Locates unit specific policies and accesses them as appropriate_x000D_
Skills: ACLSBLSCA RN License_x000D_
NIHSS CERTConscious Sedation2 yrs recent ICU ICU RN Experience in acute care facility, neuro, trauma fcility exp_x000D_
5 – DAYS SHIFT_x000D_
Education: *