Registered Nurse - Progressive Care - Full Time - Days

  • darby
Employment Type: Full time Shift: 12 Hour Day Shift Description: The Progressive Care Registered Nurse (RN) is responsible for assessing, planning, implementing and evaluating the delivery of patient care. The professional nurse assumes the responsibility and accountability for the delegation of patient care to other members of the healthcare team. Job Type: Full Time Schedule: 7:00am to 7:00pm, 72 hours per biweekly pay, every other weekend rotation. Progressive Care Unit Nursing Skills * Interprets cardiac rhythms and responds appropriately * Communicates with members of the health care team (i.e. Monitor tech, physician) regarding patient's cardiac rhythm/status * Adheres to the "telemetry policy" when sending patients off the unit * Manages care of the patient with Cardiac Pacing therapy (permanent, post-op care) * Managers care of post-operative cardiothoracic surgery patients * Wound prevention and care * Pressure ulcer * Arterial and Venous stasis ulcer * Surgical wounds * Initiates IV therapy as per policy/procedure, taking into consideration vein condition, patient age, skin condition, patient positioning, and cognition * Monitors and maintains venous access: * Vesicants * Non-vesicants * Documentation * Demonstrates care and maintenance of central venous access devices * Dialysis Therapy responsibilities pre and post treatment PD * POCT: Blood glucose Monitoring & Quality Control * Provides respiratory support (Pulse ox, suctioning, wall and portable oxygen therapy) * Maintains drainage tubes * Problem focused physical assessment * Cardiac monitors: * Customizes/edits/reviews patient alarms/information * Trouble shoots poor waveforms and equipment problems * Assigns transmitters when necessary * Notifies supervisor/biomedical of equipment/ failure/problem * Safe Handling of the Post Chemo patient * Phlebotomy skills: * Blood culture, T&C specimens, etc. * Central venous access device * Labeling of specimens Performance Measures * Demonstrates appropriate skill set for area of practice * Completes required annual education * 100% compliance with Nurse verification of rhythm strip interpretation each shift and with change in patient condition * Assures all patients remain on monitors Progressive Care Unit Equipment Use * Chest tube set-up and maintenance * Wound Care Carts * Oxygen and suction shut off valves * Negative pressure room location and monitoring * Latex allergy cart * Computer skills * Orders. * Diagnostic reports * Infusion pumps (PCA, IV Pump) * Antithrombolytic devices * Feeding pumps * Overlay mattresses/specialty beds/low beds/floor mates * Transport/ambulation assist devices (walker, cane, wheelchair) * Scales * Hypo/hyperthermia devices * Pulse Oximetry * Cold therapy (cryocuff, cold packs) * Cyracom Phones (Interpreter Service) * Bladder Scanner * CPM Machine * Pneumatic tube * Cardiac monitors * Bedside and transport Performance Measures * Demonstrates appropriate use of equipment according to specific patient protocol and policy Required Progressive Care Rn Education/Experience • 1 year critical care or progressive care nursing experience preferred or * 2-3 years medical/surgical nursing experience * Completion of approved critical care course * Completion of approved dysrhythmia course * ACLS Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.