ICU RN Per Diem Nights - Kingman Regional Medical Center

Adheres to all areas of the KHI Behavioral Expectations Agreement and Social Media Guidelines; Supports/embraces KHI’s Mission, Vision, and values, as well as promotes a positive image of KHI; Acts as a role model to staff; Maintains patient and staff confidentiality; Maintains a professional appearance and manner at all times; Supports a healthy work environment through skilled communication, true collaboration, effective decision making, appropriate staffing, and meaningful recognition. 

All care is provided with kindness and compassion.

Works under the direction of the physician and the Arizona State Nurse Practice Act to provide nursing care to patients in compliance with nursing standards and regulations. Utilizes the nursing process to make continuing assessments of the patient’s total health needs; implements nursing interventions based on assessment data; develops and implements the nursing plan of care and evaluates the patient’s response. Strives to provide excellent patient care with compassion, tact, cheerfulness, accuracy, patience, flexibility in scheduling, calmness in emergency, and ability to work well with team members, receiving and applying feedback from peers and superiors. Assists with orientation of new staff to the unit as requested.

Quality of Care and Nursing Process

· The nurse provides evidence-based care to prevent the development of a Healthcare Acquired Condition and hospital readmissions.

· The nurse practices standard precautions during patient contact and while handling contaminated materials.

· The nurse complies with CDC hand hygiene guidelines and works to reduce hospital acquired infections and other conditions.

Assessment: The nurse collects patient health data.

· Nursing assessments are completed according to hospital and unit specific policies, procedures, and standards of nursing care.

· Collects pertinent data from the patient, significant others, and health care providers.

· A comprehensive patient history and physical is completed in a timely manner and includes biophysical, psychosocial, environmental, self-care abilities, educational, age specific, cultural, and discharge planning needs.

Diagnosis / Care Needs: The nurse analyzes the assessment data to identify care needs.

· Nursing diagnoses / care needs are derived from the assessment data.

· Involving the patient and significant other as appropriate, the nurse formulates a plan to provide appropriate care based on identified patient needs.

Implementation: The patient’s nursing care is based on identified nursing diagnoses / care needs and patient care standards, and is consistent with the therapies of other disciplines.

· Nursing care is based on identified nursing diagnoses / care needs.

· Nursing care is based on standards of patient care.

· Nursing care is prioritized based on assessment of patient’s immediate condition or needs.

· The patient and / or significant other(s) is involved in the patient’s care as appropriate.

· The nurse collaborates with the patient, family, physician, and other clinical disciplines in making decisions regarding each patient’s need for nursing care.

· The nurse implements patient education and involves the patient, family and / or significant other(s) as appropriate to the age of the patient.

Evaluation: The nurse evaluates the patient’s progress towards attainment of desired outcomes.

· Evaluation of the patient’s response to nursing care is evident in the ongoing assessment data.

· Nursing diagnoses / care needs are revised based on reassessment data.

Documentation: Documents patient care management in clear, concise manner.

· Completes nursing admission and assessment form. All blanks completely filled in or “N/A”.

· Initiates the Nursing Care Plan with identified patient problems considering age specific variations, nursing diagnosis, expected outcomes and nursing interventions.

· Records patient’s response to hospitalization, treatments, and nursing intervention on the patient care record.

· Documents medications, treatments, and nursing intervention on appropriate chart forms.

· Provides thorough discharge instructions and sends patient home with a discharge folder as appropriate.

Patient Satisfaction

Regularly updates patient “communication” boards, is skilled at providing bedside shift report, performs hourly rounds on patients, and applies AIDET as well as other evidence-based behaviors. Unit goal for Patient Satisfaction met.

Education: Associate Degree in Nursing or graduate of a Nursing Diploma program.

Certification/Licensure:

· Current, valid Arizona RN license or compact state RN license

· Current BLS certification from American Heart Association or American Red Cross

Unit Specific Requirements:

Medical Surgical Units:

· Basic EKG competency within 3 months of hire.

· De-escalation Techniques course within 6 months of hire and every 2 years thereafter

Pediatrics:

· PALS certification from American Heart Association or American Red Cross required within 6 months of hire

· De-escalation Techniques course within 6 months of hire and every 2 years thereafter

Intensive Care Unit:

· ACLS certification from American Heart Association or American Red Cross required upon hire

· Basic EKG competency within 30 days of hire

Progressive Care Unit:

· ACLS certification from American Heart Association or American Red Cross required within 3 months of hire 

· Basic EKG competency within 3 months of hire

· De-escalation Techniques course within 6 months of hire and every 2 years thereafter

Women’s Services:

· NRP certification required within 6 months of hire/transfer

Emergency Department:

· ACLS and PALS certification from American Heart Association or American Red Cross required within 3 months of hire

· De-escalation Techniques course required within 3 months of hire

· Emergency Severity Index (ESI) training required within 6 months of hire

· TNCC required within 24 months of hire

Hemodialysis:

· ACLS certification from American Heart Association or American Red Cross

· Basic ECG within 3 months of hire

Clinical Decision Unit:

· Basic EKG competency within 3 months of hire

ECHO:

· ACLS certification from American Heart Association or American Red Cross

· Basic ECG competency within 30 days of hire. 

Surgical Services/Circulator:

· ACLS certification from American Heart Association or American Red Cross

· Basic EKG competency within 30 days of hire

Surgical Services/PACU/Outpatient:

· ACLS and PALS certification from American Heart Association or American Red Cross within 30 days of hire

· Basic EKG competency within 30 days of hire

Cath Lab:

· ACLS from American Heart Association or American Red Cross required upon hire

· ECG competency upon hire

· Minimum of 2 years’ experience as a Registered Nurse

Cardiology:

· Basic EKG competency within 30 days of hire

Education: Bachelor’s in nursing

Experience: Experience working in respective clinical area is desired

Unit Specific Preferences:

Medical Surgical Units:

· Certified Medical-Surgical Nurse encouraged

· ACLS certification from American Heart Association or American Red Cross preferred

Pediatrics:

· One-year acute pediatric experience

· Certified Pediatric Nurse encouraged

Intensive Care Unit/Cardiovascular Intensive Care Unit:

· Certified Critical Care Nurse encouraged

· Cardiac Medicine Certified and/or Cardiac Surgery Certification encouraged for CVICU

· One-year PCU experience preferred

Progressive Care Unit:

· Two years acute care experience

· Progressive Care Certified Nurse encouraged

Women’s Services:

· ACLS through American Heart Association or American Red Cross required during orientation to C-Section recovery role

· S.T.A.B.L.E. class to be completed during orientation to Nursery

· AWHONN Fetal Monitoring Course:

o Basic course to be completed during orientation to labor

o Intermediate course to be completed between 6 – 12 months after orientation to labor completed

· Two years of recent labor, delivery, post-partum, and newborn experience

· Inpatient Obstetrical Nursing Certification encouraged

· Lactation Nursing Certification encouraged

Emergency Department:

· One-year Acute Med/Surg nursing

· CCRN or CEN encouraged

 Acute Rehab:

· One year Rehabilitation experience 

· Certified Rehabilitation Registered Nurse encouraged

· FIMS certification

Hemodialysis:

· One year of Hemodialysis experience preferred or one year of Critical Care experience

· Certified Dialysis Nurse encouraged

Clinical Decision Unit:

· ACLS certification from American Heart Association or American Red Cross

ECHO:

· Two years acute care experience 

Surgical Services/Circulator:

· CNOR encouraged

Surgical Services/PACU/Outpatient:

· CPAN and CAPA encouraged

Cath Lab:

· One-year CCU, ICU or ED experience preferred

Exposure Categories: Category I: Expected duties have routine potential for exposure to blood, body fluids or tissues

Other potential hazard(s): possible exposure to chemical, biological, and radioactive substances; possible exposure to hostile individuals

· Able to handle multiple priorities simultaneously.

· Demonstrates good oral and written communication skills.

· Able to manage technical business equipment i.e., phone, fax, computer etc.

· Able to assist with the movement of an adult patient weighing up to 300 lbs.

· Able to care for patients with infectious diseases.

· Able to sit for 3-5 hours per day; Able to stand for 3-5 hours per day; Able to walk for 3-5 hours day.

· Incumbent must be able to: distinguish appropriate colors

· Capable of consistently reaching and/or working above and below shoulder level