Staff RN-Critical Care-ICU/CCU

Summary

SUMMARY

The Critical Care (Neuro/Trauma) RN manages the care of patients with conditions including: acute neurological insult/injury, respiratory failure, and multi-system failure/multi-system injury. Performs therapeutic nursing interventions consistent with the Critical Care Unit including: ACLS/PALS guidelines, dysrrhymia assessment and intervention, pre and postoperative care, airway and ventilator management, hemodynamic monitoring and vasoactive medication administration, monitoring of neurological devices and intervention, and management of post-transplant patients.

The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others.

The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38.

RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO:

*Commits to the mission, vision, beliefs and consistently demonstrates our core values.

*Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures.

*Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals.

*Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs.

*Executes therapeutic and/or supportive interventions.

*Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn.

*Evaluates the patient's response to and effectiveness of interventions.

*Evaluates patient's progress toward established outcomes.

*Incorporates cultural considerations into the plan/delivery of care.

*Includes family or significant others in the care of the patient as appropriate.

*Documents patient care and related information according to Bryan Medical Center procedures for documentation.

*Provides care in conjunction with other members of the interdisciplinary team.

*Facilitates patient's transition to the next level of care.

*Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job.

QUALIFICATIONS:

Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required. Experience in critical care is preferred.

Share this job

Related Jobs

ICU

Full-time

Clinical Resource Nurse - Neuro/Trauma ICU

apartment Bryan Health location_on

Summary Serves as a clinical resource for the patient care units, collaborate with nurse leaders, medical staff and nursing staff and provides expert clinical support to improve patient care and patient outcomes. Plans, directs, and coordinates new employee orientation, initial and ongoing competency skills assessment, development, and clinical knowledge growth for staff involved in clinical practice. Facilitates learning and development of critical thinking skills utilizing a variety of teaching methods. Ensures adherence to established clinical policies, protocols, regulations, and standards. PRINCIPAL JOB FUNCTIONS: Commits to the mission, vision, beliefs and consistently demonstrates our core values. Exemplifies a leadership role by role modeling the mission, beliefs, and behaviors of the Medical Center; promotes and role models highly effective interpersonal relationships. Assists in concurrent and retrospective resolution of patient, family, and/or physician concerns and complaints; collaborates with the Nurse Manager to ensure daily leader/patient rounding is completed for each patient. Provides regular presence on night shift in support of new staff and ongoing staff competence assessment and development. Assures that existing policies and procedures are adhered to during daily interactions with staff. Assists and supports the Nurse Manager with communicating and implementing unit/area changes. Collaborates with manager to ensure continued maintenance of changes. Timely, objectively, and constructively coaches staff as appropriate when practice and/or safety issues are observed or reported; communicates with the Nurse Manager if a colleague fails to respond to proper guidance or adhere to standards expected for quality care; documents corrective actions and reviews with staff as appropriate. Maintains a high level of competency in direct patient care and demonstrates clinical proficiency in assigned area of nursing care by applying evidence-based practice in the clinical setting. Takes patient care assignments or charge role during volume or acuity changes or during increased staffing demand. Facilitates learning, development of critical thinking skills and all facets of practice by assessing learning and developmental needs of nursing staff, preceptors and departmental personnel and developing effective learning strategies. Participates in performance and improvement projects in collaboration with other clinical staff and interdisciplinary teams including performance audits related to work responsibilities; evaluating safety practices; supporting the evaluation of new products and equipment; monitoring new research for best practice and promoting new practices and technology with staff and physicians. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Bachelor of Science degree in Nursing required within three (3) years of hire, if not yet obtained. Must begin to pursue BSN immediately upon hire if not a current BSN. Minimum of three (3) years of clinical experience managing patient populations consistent with the area of assignment. Charge/supervisory experience preferred. Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) required for Critical Care Areas. Certification in specialty based on department requirements required within twelve (12) months of hire.

ICU

Med-Surg

Full-time

Staff RN-Med/Surg-Critical Care-4E/4N-Cardiac Unit

apartment Bryan Health location_onLincoln, NE

Summary The Cardiac Care RN manages the care of patients with acute and chronic cardiovascular disease, acute and chronic respiratory failure, multi-system failure or trauma, neurological impairment and cardiac diagnostic and invasive procedures, renal impairment or failure. The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required. Experience in a PCU/ICU is preferred. ACLS. ECCO, ECG monitoring, and PCU Hemodynamic monitoring within 1 year of assignment.

ICU

Med-Surg

Full-time

Staff RN-Med/Surg-Critical Care-Observation Unit

apartment Bryan Health location_onLincoln, NE

Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in collaboration with other members of the interdisciplinary team. 13. *Facilitates patient’s transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

ICU

NICU

Full-time

RN-NICU

apartment Bryan Health location_onKearney, NE

Summary Provides direct and indirect patient care in the NICU setting. Communicates with physicians/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition. Is able to respond quickly and accurately to changes in condition or response to treatment. Additionally, is able to perform general nursing duties in all maternity services departments. Primarily caring for the following patients; all NICU babies, postpartum mother/baby care, & baby admissions in both vaginal and cesarean deliveries. Is flexible and able to change assignments easily as admissions and deliveries occur. Ability to perform a head-to-toe assessment on the neonate and reassessments as per policy. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates parents and family regarding pain management. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness. Performs patient care responsibilities considering needs specific to the standard of care. Knowledge of medications and their correct administration based on the patient and their clinical condition. Follows the five (5) medication rights and reduces the potential for medication errors. Formulates a teaching plan for parents and family based upon identified learning needs and evaluates effectiveness of learning. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness. Ability to perform waived testing (point-of-care testing) per Clinical Laboratory’s and the resident care unit’s policies and procedures. Ability to interpret results of waived tests; take appropriate action on waived tests results. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Demonstrates knowledge of ventilators and neonate monitoring and treats appropriately based on protocols and policies. Demonstrates knowledge of the principles of and the skills necessary to provide age-appropriate care to the patient population served. Able to interpret data about the patient’s status in order to identify each patient’s specific needs and provide care needed by the patient. Demonstrates an ability to be flexible, organized and function well under stressful situations. Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills. Demonstrates ability to perform treatments and provide services to level of licensure. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Communicates appropriately and clearly to Nurse Manager, co-workers and physicians. Maintains a good working relationship both within the department and with other departments. Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs. Documentation meets current standards and policies. Manages and operates equipment safely and correctly. Coordinates and supervises patient care as necessary. Ability to use basic computer skills for charting and communication. Education/Experience: Graduate of an accredited school of nursing. Current Nebraska Registered Nurse Licensure. Current BLS certifcation required. NRP certification within 6 months of hire. PALS certification within 6 months of hire. Two (2) or more years of nursing experience preferred. One (1) year critical care experience preferred.

Staff RN-Womens and Children-NICU

apartment Bryan Health location_on

Summary GENERAL SUMMARY: The Staff Registered Nurse (RN) is responsible for meeting patient’s priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients’ responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient’s response to and effectiveness of interventions. *Evaluates patient’s progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient’s transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Prior NICU, newborn or Critical Care experience preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR), NRP and STABLE certification required.