RN
Company: The Brookdale Hospital Medical Center
Location: Brooklyn
Posted on: October 29, 2024
Job Description:
OverviewUnder the supervision of the Nurse Manager, Critical
care Nurses provide direct and individualized nursing care to
patients based on the application of scientific nursing principles.
In addition to general nursing care, responsibilities of Critical
care Nurses include (but are not limited to):Assessment: Conducts
ongoing focused physical, psychosocial, and pain assessments;
includes assessment of patient education needs.Planning: Utilizes
the assessment, identifies problems, and makes nursing diagnoses,
formulate goals, teaching plans and outcomes to create an
individualized plan of care. - Identifies individual patient goals,
readiness to learn, and incorporates family into the plan of
care.Implementation: Prioritizes and implements an efficient
nursing plan of care.Evaluation/Reassessment: Consistently conducts
timely evaluations, recognizes changes in patient conditions,
determines when reassessments are needed, and adjusts the plan of
care as necessary. Compares expected and achieved outcomes of
nursing care utilizing the plan of care.Evaluate patient's response
to interventions and communicates with other healthcare team
members the need to revise or maintain plan of
care.Responsibilities
- Utilizes the nursing process in taking care of the
patient.
- Assesses condition of the patient and documents findings in
EHR.
- Utilizes principles of Infection Control in the delivery of
care.
- Implements appropriate nursing interventions to facilitate
recovery of patient and prevent complications.
- Evaluate patient's response to interventions and communicates
with other healthcare team members the need to revise or maintain
plan of care.
- Implements discharge planning based on patient care needs.
- Initiates and documents patient education based on treatment
plan in the language that the patient understands.
- Documents assessment, interventions, changes in the patient's
condition and response to interventions based on hospital policy on
documentation.
- Initiates appropriate actions effectively in an emergent
situation.
- Prioritizes tasks and adjusts priorities, maintain orderly,
efficient, and timely flow of patients.
- Recognizes and reports errors or unusual occurrences, and
initiates corrective action when appropriate.
- Makes accurate, complete, and timely entries into the patient
medical record addressing all steps of the nursing process.
- Actively communicate with all members of the healthcare team,
patient, and patient family and then assess, plan, implement and
evaluate patient care.
- Know how to start standard interventions to stabilize the
patient.
- Communicates with colleagues and interdisciplinary team about
the prevention, treatment and patient care needs of the patient
that has pressure injuries (reports, dietary consults, communicates
with physicians).
- Basic cardiac rhythm monitoring techniques, interpretation, and
treatment. -
- Recognizes lethal arrhythmias and acts appropriately. Initiates
corrective action whenever information from monitoring equipment
shows adverse symptomatology.
- Recognize the signs and symptoms of cardiopulmonary and
respiratory emergencies and knowing how to start standard
interventions to stabilize the patient.
- Prepares and administers (orally, subcutaneously, through an
IV) and records prescribed medications. Reports adverse reactions
to medications or treatments in accordance with the policy.
- Calculate drug dosage, administering continuous medication
infusion, and monitoring patients for effects of medication. -
- IV pump setup. Use of Doppler. Phlebotomy /IV start.
- Cardio pulmonary monitoring/ Arrhythmia recognition &
treatments.
- Medication Indication, dosage, action, side effects of
anti-platelets/ coagulants.
- Blood and blood product transfusions and assists with Massive -
blood transfusion.
- Care of mechanically ventilated.
- Assisting with Emergency Management.
- Urinary Catheterization - Male and Female.
- Start standard interventions to stabilize the patient.
- Communicates with colleagues and interdisciplinary team about
the treatment and patient care needs of the patient that has
pressure ulcers (reports, dietary consults, communicates with
physicians).
- Management patient post neuro procedure, or Neuro patient
transferring from Surgical intensive care unit. -
- Have knowledge of all vasoactive Drugs such as Vasopressors,
Inotropes, Catecholamine, and Adrenergic. Calculate and administer
according to the guideline.
- Monitors and adjusts specialized equipment used on patients,
and interprets and records electronic displays, such as
intracranial pressures, arterial line pressures, central venous
pressures, pulmonary artery pressures, Balloon Pump,
Hypo/Hyperthermia machine, CVVHD, Peritoneal Dialysis. - -
- Initiates patient education plan, as prescribed by physician.
Teach patients and significant others how to manage their
illness/injury, by explaining: post-treatment home care needs,
diet/nutrition/exercise programs, self-administration of medication
and rehabilitation.
- Demonstrates efforts in the prevention of hospital acquired
conditions (HAC) CAUTI, CLABSI, Pressure injuries and Falls.
- Records all patients' medical information concisely, accurately
and completely, in a timely manner, in the appropriate format and
on the appropriate forms.
- Prepares equipment and assists physician during examination and
treatment/procedures of patient at the bedside.
- Participates in the formulation, review and or revision of
departmental policies.
- Proactively participates in performance improvement initiatives
to continuously improve the quality of patient care.
- Uses hospital resources effectively in providing patient care.
Follows the process of reporting broken equipment.
- Recovering patient after sedation analgesia.
- Transferring patient - to floor after - verbal
report/electronic report using Hand-off.
- Involves Patient and family in discharge teaching. Discharge
patients safely if out patients.
- Performs other duties as assigned within the RN scope of
practice.QualificationsEducation:Internal & 1199 SEIU:
- Graduate of accredited nursing program(s).
- Bachelor's degree in Nursing preferred. Non 1199 SEIU
Candidates:
- Bachelor's degree in Nursing or equivalent to BSN program.
- Master's degree in Nursing, preferred. - Experience:
- Minimum two -(2) years' Telemetry experience required.
- Minimum one (1) year Critical Care nursing or equivalent
experience preferred.Knowledge and Skills:
- Knowledge of Neuro assessment, and documentation, NIHSS
scale.
- Knowledge of critical lab values. -
- Critical thinking, math, and computer skills; Works as a team
player. -
- Demonstrates respect and professionalism in all
interactions.
- Excellent oral and communication skills. -
- Decision making and problem solving. -
- Able to read, write, see and hear English.Licenses,
Certifications:
- Current NY State RN License -required.
- Basic Life Support (BLS) required.
- Advanced Cardiovascular (ACLS) required.
- CCRN (required within one (1) year of hire).
- Basic Arrhythmia Class with Certificate required.
- Stroke Certification required.
- Trauma Care After Resuscitation (TCAR) required.Physical
Requirements:
- Physically demanding, high-stress environment -requiring
prolonged periods of standing, reaching, walking throughout the
working day. -
- Position will be required to stoops, bends, lifts, carry items
weighing up to 35 pounds for routine performance of essential
functions.
- An individual in this position may be exposed to: Adverse
indoor environmental conditions, Blood borne pathogens, Blood and
body fluids, Physical hazards (e.g., needle pricks, etc.),
communicable diseases, chemical hazards, radiation, and repetitive
motions.
- Full range of body motion, able to lift up to 100 pounds, if
necessary, to assist lifting and moving patients.
- Manual and finger dexterity, as well as hand and eye
coordination.
- Corrected vision and hearing to within normal range
- Frequently sitting at desk working on computer
- Ability to flex working hours.Reasonable accommodations may be
made to enable individuals with disabilities to perform the
essential functions.The statements herein are intended to describe
the general nature and level of work being performed by employees,
and are not to be construed as an exhaustive list of
responsibilities, duties, and skills required of personnel so
classified. Furthermore, they do not establish a contract for
employment and are subject to change at the discretion of The
Brookdale Hospital Medical Center.BHMC is an equal opportunity
employer, it is our policy to provide equal opportunity to all
employees and applicants for employment without regard to race,
color, religion, national origin, marital status, military status,
age, gender, sexual orientation, disability or handicap or other
characteristics protected by applicable federal, state, or local
laws.
Keywords: The Brookdale Hospital Medical Center, Bridgeport , RN, Healthcare , Brooklyn, Connecticut
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