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RN ICU Full Time Day Shift 12 hours

Company: Tenet
Location: Palm Springs
Posted on: November 2, 2019

Job Description:

Desert Regional Medical Center is a 385 bed acute-care hospital classified as a stroke receiving center and level 2 trauma facility with an innovative, patient centered and evidence-based Rehabilitation Services Department. Our compassionate team provides a wide range of inpatient and outpatient services, including acute care rehabilitation, joint replacement & spinal surgery, neurosurgery, ICU, Telemetry, step-down care, skilled nursing, as well as outpatient therapy, hand and lymphedema clinics. Position Overview:
The Clinical Nurse assumes principal responsibility for the total nursing care, assessment, planning, implementation, evaluation of each assigned patient. The staff nurse initiates teaching and educates the patient and family/or significant other to attain optimal health. Access to all Patient Health Information for treatment purposes only.
Department Specific Duties:

  • Obtains information and interpret information in terms of the patient?s needs.
  • Demonstrates knowledge of growth and development.
  • Understands the range of treatment needed as appropriate to the ages of the patients served.
  • Independently cares for two critically ill patients.
  • Assesses and recognizes change in condition and notifies the physician appropriately; report to physician is accurate and concise; documents completely including reassessments.
  • Provides head to toe critical assessment and reports utilizing critical thinking skills; includes change in condition; treatment rendered and vasoactive medication dosages.
  • Manages multiple drips and sedation.
  • Assesses and cares for patients on ventilators and understands alarms and parameters of the patient.
  • Understands hemodynamic status of the patient; correlates swan reading BP; UO to assess appropriately.
  • Assists with bedside procedures- arterial line.
  • Initiates interdisciplinary communications and incorporates recommendations.
  • Consistently demonstrates the knowledge and skills necessary to provide care appropriate to the ages of the patients served on the assigned unit.
  • Acts as a liaison between patient, physicians, family/significant other and other health disciplines.
  • Develops, implements and updates an individualized teaching and discharge plan.
  • Initiates and documents progressive patient and family/significant teaching.
  • Facilitates the discharge process ensuring all goals are addressed prior to discharge.
  • Utilizes current theories and knowledge for accurate assessments and evaluations.
  • Completes acuity evaluation on all assigned patients according to unit protocol.
  • Consistently performs proficiently on nursing unit. Including but not limited to: Manages an average caseload specific to unit.
  • Adapts to altered work patterns, sets priorities, and modifies assignments to meet patient needs utilizing available resources and staff ability and availability.
  • Administers medications prescribed by physicians according to policy, including IV?s, blood and blood products.
  • Knows actions, indications, contraindications, precautions, adverse reactions, dosage and route of administration on all drugs before administering to patient
  • Verifies against MAR for accuracy on an ongoing basis.
  • Consistently recognizes, evaluates and intervenes appropriately in life-threatening situations.
  • Consistently checks for new patient orders throughout the shift and implements them in an appropriate timeframe.
  • Completes an end of shift review of physician orders.
  • Consistently recognizes variances of diagnostic tests, vital signs and assessments.
  • Notifies the physician in time appropriate to the variance.
  • Functions as a charge nurse as assigned.
  • Supports changes in clinical practice as evidenced by the plan of care for the patient and subsequent documentation.
  • Functions as a resource to co-workers.
  • Acts as preceptor, and other duties as assigned.
  • Ensures compliance with Departmental policies and procedures.
  • Assume responsibility for knowledge and implementation of policy, procedure, practice, CPG, changes.
  • Maintains competence in nursing practice through in-services and participation in ongoing continuing education per year.
  • Participates in the Quality Improvement Program.
  • Follows appropriate chain of command for problem resolution approaching problem solving with a positive attitude and suggestions.
  • Consistently demonstrates accountability for supervision and communication when assigned with students/orientates, and float personnel.
  • Reports, documents, and takes appropriate action (by the end of shift) for incidents and or quality care issues that may affect the patient?s or staff well-being.
  • Consistently assesses patients for risk of injury and takes appropriate action to reduce risk and promote safety.
  • Uses restraints according to policy and consistently explores other options less restrictive.
  • Accurate documentation demonstrated in medical record.
  • Serves as advocate for patient/family by providing information and assists in utilization of available resources and or alternatives for making health care decisions (i.e. advanced directives, ethics consult etc.)
  • Handles and disposes hazardous waste safely and appropriately
  • Consistently handles oxygen safely
  • Consistently practices hand washing and use of protective wear
  • Establishes or assesses proper identification prior to delivery
  • Requests clarification of Physician orders



    Qualifications:
    Position Qualifications:
    • Current CA Registered Nurse License
    • Current American Heart Association BLS certification (maintain current at all times)
    • Current American Heart Association ACLS certification (maintain current at all times)
    • Effective verbal and written skills to communicate with people on all levels and able to maintain positive working relationships with parents, families, and co-workers
    • Possess active listening skills
    • Compassionate and non judgmental care giver and advocate
    • Able to independently manage multiple priorities
    • Must comply with Respiratory Fit Testing Protection Policy
    • Must successfully complete EKG test within the first 30 days of hire
    • NIHSS
      Job: ICU/CCUPrimary Location: Palm Springs, CaliforniaFacility: Desert Regional Medical CenterJob Type: Full-timeShift Type: Days

Keywords: Tenet, Palm Springs , RN ICU Full Time Day Shift 12 hours, Healthcare , Palm Springs, California

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