Registered Nurse-Cardiovascular ICU Full Time Nights Sign On Bonus Eligible

Description

Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: internal employees who are new graduate RNs seeking their first nursing position are eligible.

The Registered Nurse BSN embodies the attributes of the Relationship Based Care model and performs to PPM core functions. Under the direction of the department leadership, consistently reflects the mission, vision, and values of NM, adheres to the State of Illinois Nurse Practice Act, the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

At Northwestern Medicine we provide personalized, expert care for our patients through every step of their heart‑health journey. Our CVICU Registered Nurses specialize in caring for patients in the Cardiovascular Intensive Care Unit (CVICU). These patients often present with complex cardiac conditions that require vigilant monitoring, advanced assessments, and specialized medical interventions.

CVICU nurses collaborate closely with a multidisciplinary care team—including cardiologists, cardiac surgeons, respiratory therapists, and other clinical specialists—to deliver coordinated, comprehensive care tailored to each patient’s needs.

Responsibilities:

Relationship to Patient/Family and Community

Care Coordination

Performs a comprehensive assessment on all assigned patients as evidenced by completed documentation.
Communicates changes in patient’s condition promptly.
Utilizes appropriate nursing diagnosis and data from the assessment to derive realistic outcomes and documents them as measurable goals on the plan of care; modifies care plan, if indicated, in order to identify realistic patient goals.
Identifies and prioritizes patient needs and/or nursing diagnosis for patients and documents.
Collaborates with patient, family, and other members of the health care team when planning patient care and documents accordingly. Assesses patients with regard to discharge planning and makes the appropriate referrals as necessary.
Evaluates and documents the patient response to nursing interventions and alters the plan of care as necessary.
Assesses patients with regard to discharge planning and makes the appropriate referrals as necessary, including palliative care.
Assures a completed discharge instructions, medication reconciliation and provide information to patient/family regarding the use of the patient portal and other pertinent resources.

Patient Education/Ethic and Diversity

Supports patient/family/spiritual/cultural needs when assessing the patient and family needs for teaching; identifies the patient's learning level and readiness, and documents education record.
Utilizes the teach back methodology for advancing patient education about medication side effects and new medication education.
Utilizes and distributes Krames for patient education /clinical condition.
Utilizes culture vision as a resource in care planning and delivery.
Treats patients, families and staff in a caring manner with respect and dignity.
Acknowledges and values the contributions of patient’s significant others as an integral part of the plan of care.
Adheres to ethical standards of practice.
Calls for an ethics consult when appropriate.

EBP and Research

Implements nursing interventions consistent with the established plan of care based on evidenced based care.
Maintains and advances the professional image and science of nursing and the practice of professional nursing through use of best available evidence utilizing resources such as Ovid/Joanna Briggs, Up to Date, Culture Vision, and other reliable sources of evidence.
Demonstrates active involvement in clinical LADDER project or process improvement at the unit/organization level.

Healing Safe Environment

Demonstrates safe medication administration through the use of bar coding
Promotes and strives to protect the health, safety and rights of the patient
Conveys complete, timely, and accurate information at bedside shift report/hand-off
Rounds hourly in collaboration with patient care technician
Protects patients by maintaining a safe environment of excellence
Demonstrates innovation and participation in meeting unit based and organizational quality metrics on the exceptional care dashboard
Ensures clinical practice excellence that focuses on preventing pressure ulcers, falls, CAUTI’s and central line infections (as appropriate to area of practice).
Participates as a unit safety facilitator or as identified resource for quality initiatives as requested
Participates in unit huddles

Relationship to Colleagues

Shared Leadership

Oversees and directs the work of patient care or support techs; maintains overall accountability for the care of assigned patients.
Demonstrates effective interpersonal skills in leading and directing others; deals with conflict directly and appropriately.
Demonstrates proficiency in the charge nurse/preceptor role when assigned; assumes responsibility for coordinating patient care for the entire unit.
Takes the clinical lead when patient’s condition changes and confers with the primary care physician about the appropriate treatment plan or the need to transfer to the appropriate level of care.
Serves as a resource and role model for new staff, students, and other system personnel
Assists with precepting, unit orientation, and mentoring as requested.
Participates in the peer evaluation process by providing feedback to colleagues on a regular basis, and through participation in clinical case peer review.
Works collaboratively with all hospital services to responsibly accomplish daily work and maintain an environment of excellence.
Identifies barriers to effective clinical practice and communicates to nursing leadership and practice operations council.

Resource Utilization

Ensures an appropriate level of care order is documented in the EMR for all admissions.
Understands and adheres to the charging of supplies.
Participates in any value based unit/organizational initiative.
Demonstrates a personal commitment to decreasing utilization overtime hours.

Use of Technology

Assures all electronic and paper documentation is complete.
Utilizes the guardrails for the Alaris pump.
Understands physiologic monitoring and the implications to drive changes to clinical management of the patient.
Utilizes the bed management system
Identifies new technologies for unit, hospital or system use.
Participates in CEOC activities for the advancement and optimization of the medical record as requested.

Relationship to Self

Professional Practice

Attends internal professional development offerings i.e. Schwartz Rounds, Nursing Grand Rounds.
Obtains certification in the nursing specialty of practice.
Demonstrates accountability for his/her professional practice-competencies, ELM learning, dress code adherence
Participates in professional organization through membership, leadership, or committee work
Takes assigned lunch breaks.

Qualifications

Required:

Bachelor of Science in Nursing (BSN)
Current State of Illinois Registered Professional Nurse
Basic Life Support
Strong interpersonal skills
Ability to collaborate with others
Strong analytic abilities
Associate Degree Nursing (ADN) acceptable with commitment to obtain a BSN from an accredited program within three years of first day of employment in clinical nurse role.

Preferred:

National Certification in area of specialty
Two years of experience in ICU unit

Equal Opportunity

Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

Background Check

Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.

Artificial Intelligence Disclosure

Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.

Benefits

We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.

Sign-on Bonus Eligibility (if sign-on bonus offered for position): Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.

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Develop and interpret plan of care with the patient/family, updating it as indicated. Write clear, concise, and obtainable treatment goals on the treatment plan for each problem. Review the treatment plan as goals are achieved, changed, or updated. On an ongoing basis, identify, interpret, and document information collected in nursing interview, observation, physical assessment and diagnostic data, and confer with other health care professionals, as appropriate Review current lab data and follow-up with doctor. Evaluate potential for falls and initiate fall precautions, as indicated. Identify potential for self-abuse, suicidality and/or assaultive behavior. Develop age-appropriate interventions for the patient’s plan of care. Assess changes in patient status and document interventions accordingly. Implement patient care Demonstrate safe and correct medication administration by: Accuracy in medication administration: right patient, right medication, right dose, right time, and right route. Maintaining current knowledge of the medication’s purpose and effects for each patient, as demonstrated by correct documentation of medication, as well as observations about responses to medication. Accurately transcribing and implementing physician medication orders. Maintaining a continual awareness of monitoring the expected and unexpected medication efforts including adverse drug reactions, drug/drug or drug/food interactions, or other unexpected consequences of the medication. Regularly conducting and documenting patient education about medications. Maintaining current knowledge about new pharmacologic products, including new medications or medications with new uses/therapeutic action. Identify potential patient care problems, abrupt changes, or impending instability in the patient’s condition, and exercise leadership to intervene appropriately and prevent adverse patient outcomes Use appropriate de-escalation techniques: quiet room; locked seclusion; restraints. Re-evaluate safety level. Identify alcohol withdrawal syndrome. Identify extra pyramidal side-effects/neuroleptic malignant syndrome signs. Identify significant cardiac and/or respiratory symptoms requiring immediate medical intervention. Identify health education needs of the patient/family that will be addressed before discharge Implement age-appropriate teaching interventions to meet these educational needs. Document in the patient record and treatment plan. Organize patient care activities and interventions according to patient priorities and preferences, needs of the unit, and time constraints. Implement patient care based on established care plans, Hospital policies and procedures, and unit standards of care, incorporating the patient’s age-specific and cultural needs, as appropriate. As requested, and contingent on qualified medical professional (QMP) designation, assure that all admissions, transfers, and other related patient care activities are delivered in accordance with Emergency Medical Treatment and Labor Act (EMTALA) and associated regulatory requirements. Adhere to the Nursing department and Hospital’s standards of nursing practice and standards of patient care. Protect patients, visitors, and staff from environmental hazards by adhering to safety and infection control standards. Participate in continuing education and in-service programs to increase clinical competence and to meet professional needs and goals. Report information obtained from continuing education programs to unit staff. Attend 100% of required in-services, as scheduled. Participate in the Performance Improvement program on an ongoing basis. Assist in the development and implementation of unit standards of care, such as: Safety level of patient Unit safety/hazardous items Kardex Standard care plans Identify problems with unit systems, communication patterns, and unit resources that impact on patient care and suggest possible solutions to Clinical Services manager. Identify unit educational equipment and supply needs. Serve on one unit-based committee or participate in unit-based projects on an ongoing basis. Participate as a project leader. Carry out leadership function in patient care, staff operations, and department organization Contribute to Nursing and Hospital functions through active participation on committees and attendance at designated meetings. Take initiative in evaluating and upgrading unit standards of care. Assume charge nurse role: Coordinate unit activities Take a leadership role in crisis situations. Facilitate the admission process. Communicate pertinent information regarding unit status and projected needs. Manage the therapeutic milieu and use sound clinical judgment and decision-making skills. Plan patient care assignments that facilitate continuity of care within the unit guidelines and are based on patient needs, unit activity, and nursing staff qualifications. Ensure the unit is kept in an orderly fashion. Serve as a role model for peers and others in effective use of communication, teaching, and leadership skills. Supervise and delegate tasks to LPN/psychiatric technician, taking into account their educational preparation and demonstrated abilities. Provide complete acuity monitors to the Patient Accounts department, to assist in accurate billing. Maintain a primary caseload, according to unit standards, and provide direction for patient care. Participate in projects, tasks and continuing education opportunities to improve professional skills and unit/department systems Develop goals and objectives for professional growth and discuss ways to achieve them with Clinical Services manager. Take initiative to develop professional skills through continuing education. Discuss, on a regular basis, progress toward work improvement goals with Clinical Services manager. Seek out projects and/or extra tasks to complete, based upon the needs of the unit or the immediate shift. Promote department goals and the mission of the hospital Communicate goals to fellow staff members. Demonstrate measurable goal achievement. Maintain department policies and procedures. Include requirements and guidelines from external agencies (i.e., Joint Commission, state). Maintain and/or communicate to appropriate party function backlog at a set time. Educate new staff regarding regulations or requirements of those functions that relate to their areas or departments, as directed. Demonstrate acceptance and training of student interns in the department, as directed. Demonstrate understanding of Joint Commission and other regulatory agency Compliance regulations Involve self in the learning and application of standards relevant to the Nursing department. Participate in in-services/seminars and other meetings to increase involvement and awareness of regulations. Involve self in the education of other disciplines regarding Nursing department regulations. Participate in Hospital committees, performance improvement team meetings and team projects, as directed Demonstrate punctuality and preparedness. Demonstrate effective communication and organizational skills. Contribute in a positive, solution-focused manner. Participate in the Performance Improvement program Gain understanding of the performance improvement process. Apply the PI model to your department’s activities. Participate and/or create PI teams that lead to improvement in other Hospital areas. Educate and involve self in the Hospital and Nursing department’s performance improvement plans. Conduct self in a professional manner Demonstrate organizational skills that promote timely response to all inquiries and to task completion. Communicate with all individuals in a positive and professional manner. Attempt to resolve individual issues with peers in a positive, calm manner, with a focus on solution. Communicate concerns and provide solutions for same. Attend internal and external seminars to promote professional growth. Demonstrate a positive and professional attitude toward parties outside the Hospital (patient families, visitors, vendors, etc.). Comply with the Hospital’s policies and procedures, including Human Resources, Infection Control, and Employee Health policies and programs. Use courteous, cooperative, and respectful behavior when working with patients, families, physicians, visitors, and Hospital employees. Demonstrate a working knowledge of Hospital/department policies and procedures. Demonstrate consistent acceptance of professional accountability for own practice shown by follow-through on patient and organizational concerns. Support changes in staffing/scheduling when unit and Hospital patient care needs require. Accept reassignment in a positive manner. Demonstrate willingness to adjust work schedule, when able, to meet patient’s needs. Recognize need for support, seek appropriate assistance when needed, and offer assistance to peers. Project a professional image by wearing appropriate, professional attire. Education/Training Requirements: Bachelor’s degree in nursing (BSN) preferred. Registered nurse licensed by State Board of Nursing in the state of employment. License must be in good standing with the State Board of Nursing in the state of employment. American Health Association Healthcare Provider CPR certification or is required within thirty (30) days of date-of-hire. Bi-annual re-certification is required. Formal training in management of the aggressive patient is required within sixty (60) days of date-of-hire. Annual re-certification is required. Previous psychiatric experience with children, adolescents and adults is preferred. At the Hospital’s discretion, may be required to hold a qualified medical professional (QMP) designation. Must be deemed competent to serve as a QMP, as outlined in the Medical Staff bylaws of Rogers Memorial Hospital. This designation is evaluated and potentially renewed at least annually, based on results of the QMP job competency. Employees at the Child/Adolescent Day Treatment programs licensed under HFS §40 are required to have either training in psychiatric nursing, including training in work with children with mental health disorders, or one (1) year of experience working in a clinical setting with these children. The System also includes Rogers Behavioral Health Foundation, which supports patient care, programs, and research; and Rogers InHealth, an initiative that works to eliminate the stigma of mental health challenges. https://rogersbhfoundation.org/ EOE/MFDV Equal Employment Opportunity and Affirmative Action – Rogers Behavioral Health (rogersbh.org) With a career at Rogers, you can look forward to a Total Rewards package of benefits, including: Health, dental, and vision insurance coverage for you and your family 401(k) retirement plan Employee share program Life/disability insurance Flex spending accounts Tuition reimbursement Health and wellness program Employee assistance program (EAP) Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health. To link to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com)