We are looking for a Staff Registered Nurse for the Critical Care Unit-Intensive Care Unit at St. Mary Medical Center.
Location: Apple Valley, CA
Work Schedule: Full time - 72 Biweekly Hours
Shift: 12-hour, Days
Within the identified roles of Practitioner, Teacher and Leader, the staff Registered Nurse provides collaborative and comprehensive care based on patient and/or family needs. The staff Registered Nurse implements and evaluates care delivery based on predicted outcomes while anticipating potential responses provides assessment, treatment and care throughout the hospital and outlying clinics. The staff Registered Nurse will practice in accordance with all regulatory, professional, legal and hospital policies. The Staff Registered Nurse works independently under limited supervision directly reporting to the Unit/Department Supervisor, Director of Assistant Vice President.
- Performs a complete patient assessment that encompasses the patient’s physical, physiological, emotional and spiritual status.
- Formulates a nursing diagnosis based upon the patient assessment and develops and implements an individualized patient care plan that is based upon collaboration with the patient and the assessment of the patient.
- Performs procedures/treatments, administers medications and provides nursing care based upon established clinical practice (policy and procedures), the patients plan of care and physician orders.
- Evaluates the effectiveness of the care plan through observation of the patient’s physical condition and behavior, signs and symptoms of illness and reactions to the treatment. Through communication with the patient and the health team members, including shift to shift report modifies the plan as needed.
- Develops, coordinates, and implements the individual patient/family education plan together with the multidisciplinary team.
- Provides and documents patient/family education within the Registered Nurse’s scope of practice. Communicates effectively with members of the health care team with regard to patients condition and needs.
- Acts as the patient/family advocate as circumstances require by initiating action to improve health care or to change decision or activities which are against the interest or wishes of the patient or family and by giving the patient/family the opportunity to make informed decisions about health care before it is provided.
- Coordinates discharge planning of the simple patient and obtain necessary orders for discharge.
- Delegates tasks to Team Members based on scope of practice, competencies and qualifications.
- Effectively supervises care being given by Nurses Aides, Licensed Vocational Nurses and Student Nurses.
- Participates in orientation of new employees and student nurses.
- Demonstrates critical thinking capabilities.
- Participates in continuing education programs offered by SMMC. Assists and participates in committee work as requested. Is an effective member of the healthcare team and participates in 75% of department and unit staff meetings.
- Knows staff nurse is a team member in the Utilization Management process.
- Participates in multidisciplinary conferences.
- Documents patient specific data/information concisely and thoroughly, according to hospital and regulatory agency requirements.
- Completed all CEU requirements in accordance with RN license renewal.
- According to the American Association of Critical Care Nurses (AACN), standards of care and standards of professional performance are written to establish a model of the roles and responsibilities of the profession as a whole. It is the responsibility of each individual healthcare system to incorporate these standards into practice. The Critical Care Unit at SMMC is committed to provide quality care and to adhere to the principles set by the AACN. This addendum serves to establish and evaluate each individual nurse’s progress toward our group goal.
- Accurately interprets dysrhythimas on EKG strips, and initiates appropriate interventions. Acts as a resource peers in the interpretation of EKG dysrhythimas.
- Assists physicians with special tests and procedures (chest tube insertion, CVP line insertion, thoracentesis, Paracentesis, pneumatic tourniquet, valley lab cautery, etc.).
- Demonstrates knowledge and ability to care for patients with an Intraortic balloon pump.
- Demonstrates the ability to manage patients potentially requiring mechanical ventilation, accurately interpreting ABG and lab values, maintain open airway with suctioning and positioning, assess pulse oximetry, assess patient lung status, and assist physician with Intubation.
- Demonstrates knowledge and ability to manage the acute MI/R/O MI patient.
- Demonstrates the ability to manage the patient with a temporary pacemaker. Recognizes normal and Abnormal functioning accurately adjusts the rate, milliamperage or polarity of a temporary pacemaker in accordance with the physician’s orders.
- Demonstrates the knowledge and ability to manage the patients on multiple IV drips, medications used in the Critical Care.
- Quality of Care:
- Participates in Performance Improvement activities within the unit and/or hospital.
- Uses the information obtained from the PI data to improve nursing practice or healthcare delivery in the unit and/or hospital.
- Individual Practice Evaluation:◦ Participates in self-assessment during annual Performance Evaluation.◦ Establishes goals based on the self-assessment that is relevant to critical care nursing.◦ Contributes to peer review as a part of the annual Performance Evaluation.◦ Participates in mentoring relationships, can be with new graduate nurses, new hire nurses, and/or nursing students.
- Education:◦ Participates in ongoing educational opportunities to maintain or increase skills related to critical care.◦ Seeks experiences that increase and/or maintain skills necessary for practice in critical care.
- Collegiality:◦ Provides formal or informal education to fellow nurses and/or other disciplines involved in care of the critically ill patient.◦ Acts as preceptor, mentor, or shares special knowledge to students and/or staff.
- Ethics:◦ Maintains patient confidentiality.◦ Acts as a patient advocate and assist others to develop skills to advocate for themselves.◦ Delivers care in a nondiscriminatory / nonjudgmental manner.◦ Uses social services and/or spiritual resources when making ethical decisions.
- Collaboration:◦ Initiates referrals as appropriate.◦ Works with other disciplines to assure services in a timely manner.◦ Interacts with case management/team leader to ease transition to next level of care.
- Research:◦ Models evidence based practice.◦ Uses literature searches to determine best practice.
- Resource Utilization:◦ Recognizes when patient care needs are not matched with clinical competencies and takes steps to correct the assignment.◦ Uses safely, effectiveness, availability, and cost when choosing between two or more options that would have the same expected outcome.◦ Assists the patient and/or family to become informed about the cost, risks, and benefits of particular treatments or cares.
- Excellent oral and written communication skills.
- Excellent organizational and critical thinking skills.
- Ability to operate standard office equipment (copier, fax, personal computer, printer, telephone, nurse call system).
- Basic knowledge of nursing procedures.
- Ability to troubleshoot basic nursing and unit specific equipment.
- Demonstrates competencies in IV initiation and management.
Minimum Position Requirements:
- Associate's Degree or equivalent education/ experience
- Coursework/Training - Other training as specific to unit requirements.
- Coursework/Training - Environmental Orientation within 30 days of hire.
- Coursework/Training - General RN competency within 30 days of hire.
- Coursework/Training - Unit Specific competency within 90 days of hire.
- ICU competency within 90 days of hire.
- Telemetry competency within 90 days of hire.
- 18 months experience in hospital nursing practice.
- 18 months experience in critical care area.
- 2 years of recent RN experience in an acute care hospital.
- 6 months recent experience in the hospital department involved or in a different department, either at St. Mary Medical Center or elsewhere, with similar patient care responsibilities.
- Current California Registered Nurse License by evidence of Primary Source Verification.
- Current BLS.
- Other certifications as specific to unit requirements.
- ACLS, Advanced Cardiac Life Support Certification within 3 months of hire. New Nursing Graduates, ACLS within 6 months of hire.
Preferred Position Qualifications:
Experience: 2 years experience in a hospital environment.
St. Mary Medical Center (SMMC) is an acute care hospital with 213 beds and over 1,750 employees making it one of the region's largest employers serving communities of the High Desert. The facility was constructed in 1956 and joined the St. Joseph Health System in 1992.
This facility has the only Neonatal Care Unit in the High Desert Accredited by California Children Services and has been granted approval as a Special Hospital with the California Children's Services Community Neonatal Intensive Care Unit. St. Mary was accredited as a primary Stroke Receiving Center in 2018, the only stroke-receiving center in the High Desert.
The Services and Clinical Specialties offered at this Hospital are Diabetes Education, Emergency Services, Heart and Vascular Services, Imaging Services, Rehabilitation Services, Respiratory Services, Robotic Surgery Services, Surgical Services, Women & Children's Services and Wound Care and Hyperbaric Medicine.
Company: St. Mary Medical Center
Category: Critical Care Nursing
Req ID: R339280