RN - CCU

Position Highlights:

CT7A Critical Care UnitNumber

of beds on unit: 20Patient

population (age, diagnosis, specifics about unit):

The

Critical Care Unit is a 20-bed unit specializing in the care of acutely

critically ill adults requiring close monitoring and frequent, advanced

intervention. Specific patient populations and conditions for the Critical

Care Unit include, complex multi-trauma, acute stroke, neurosurgical

patients, post-op oral/maxillofacial reconstruction, uncontrolled

seizures, invasive ventilation, shock requiring vasopressor support, organ

donation, and continuous renal replacement therapy (CRRT).Nurse

to Patient ratio:

1:2Department

culture and resources:

The Critical

Care Unit is a fast-pace, team-oriented unit. We work closely with our own

critical-care physician partners, residents, advanced practice providers,

and ancillary team members to achieve the best outcomes for our patients.

We have a robust Partnership Committee that meets bi-monthly. We have a

unit-based educator, a quality outcomes coordinator, 2 nurse supervisors

and charge nurses.Frequent

nursing skills/equipment used:

Minimum Q4

hour full RN assessments. Minimum Q1 hour vital signs. Continuous cardiac

monitoring by primary RN, Foley/IV/NG/OG insertions, arterial line/central

line/chest tube/External Ventricular Drain (EVD)/Intracranial Pressure

(ICP) monitoring and care, IV pumps, feeding pumps, lift equipment.

Commonly used IV drips: vasopressors, diprivan, dexmedetomidine,

midazolam, fentanyl, amiodarone, diltiazem, insulin, dobutamine, heparin,

octreotidePerforms all responsibilities and duties required by unit as specific to the scope of service. Implements procedures and theories related to the specific area of practice. Maintains up-to-date and accurate documentation of nursing care provided to assure the integration of information for use by the healthcare team.Completes initial assessment upon patient admission and develops appropriate plan of care in accordance with unit standards and that is based on patient and family needs. Implements plan of care, nursing interventions, and patient care procedures. Modifies plan of care based upon continuous evaluation.Takes responsibility for patient and employee safety by reporting and/or correcting safety hazards and incidents.Communicates with others directly and in private when necessary to resolve issues. Offers constructive feedback to assist in the professional development of peers, and confers with colleagues to expand knowledge base. Identifies own learning needs and takes initiative to begin appropriate solution.Fulfills all requirements of departmental competencies.Ensures good communication with patients/family by utilizing meaningful hourly rounding, bedside report and whiteboardsWorks with ventilated patients for early mobilityCollaborates with team to ensure best outcomesPrepares equipment and aids physician during examination and treatment of patientResponds to life-saving situations based upon nursing standards and protocolMonitors and adjusts specialized equipment used on patients, and interprets and records electronic

displays, such as intracranial pressures, central venous pressures, and

cardiac rhythms from cardiac monitors, respirators, ventilators, oxygen pumps, etc.