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Nurse Break Relief Critical Care

Company: ST JOSEPH MEDICAL CENTER
Location: Tacoma
Posted on: January 12, 2021

Job Description:

Overview:About UsThe CVICU at St. Joseph Medical Center is a fast-paced, high acuity unit comprised of eight critical care adult inpatient beds dedicated to ICU Recovery. The unit includes a total of 24 beds for post-operative care. All rooms are private. Our outstanding staff provide compassionate, high quality care that is respectful, patient and family-centered, safe and cost-efficient. Recently, our Cardiac Surgery program was honored as a prestigious three star program for CABG and Aortic Valve Replacement procedures by the Society for Thoracic Surgery. Only 33 out of 989 hospitals evaluated in the U. S. received this esteemed rating for both procedures. Our nurses utilized advanced technology and evidence-based guidelines in caring for the patients in the CVICU. The staff experience the professional satisfaction that comes with making a difference every day for their patients and families, while expanding their own critical care knowledge base and applying critical thinking skills to understand and intervene in difficult and complex patient situations. Our patient population includes those who have experienced cardiac surgery, MI, heart failure, cardiac dysrhythmias, structural heart disease, hypothermia post-cardiac arrest, vascular surgery and ventricular assist devices for destination or bridge to transplant therapy. Computers are located in each patient room to facilitate bedside documentation and medication verification. All beds are capable of NIBP, SpO2, arterial, pulmonary artery, cardiac output, temperature and arrhythmia monitoring. We utilize Epic as our electronic health record. Our units are designed in a quad structure with a centralized nursing station. St. Joseph Medical Center enjoys the benefits of being part of the CHI Franciscan Health family of hospitals and other health care services providing care to our communities throughout the beautiful South Puget Sound Region of Western Washington. Recreational opportunities abound here - we offer water sports, skiing, hiking, shopping, fine dining, theater and an overall excellent quality of life.StaffingThe management structure of the CVICU consists of an experienced Clinical Manager and one floor Charge Nurse per shift who oversees 24 beds and approximately 14 staff members. The Unit is also supported by a Critical Care Nurse Educator. The staff is comprised of RN's and Care Assistants with support services provided by Respiratory Therapy, Critical Care Pharmacists, PT/OT and a Dietician. RN assignments are determined by patient census and acuity and normal RN ratios are 1:1 or 1:2. Progressive care ratios are 1:3. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U. S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.CHI Franciscan Health has exciting and rewarding careers with competitive salaries and benefits. We are a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout the South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country.Our mission is to deliver high quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach - physical, emotional, and spiritual - is essential to healing the whole person. Come join our team!ResponsibilitiesJob SummaryThis position is responsible for providing break relief for RN staff and care to the patient who is hemodynamically unstable and requires complex monitoring of multiple systems and/or nursing interventions every one to two hours.All RNs complete a centralized hospital and nursing orientation in addition to a Unit-based orientation which is structured to fit the needs of the RN's individual level of experience. In addition to a clinical, preceptor-based bedside orientation, RNs attend didactic classes that are specific to open heart recovery and device therapy.Essential DutiesProvides continuous cardiac monitoring, arrhythmia recognition and intervention.Initiates and titrates multiple, complex cardiac related infusions at higher doses. Manages patients with invasive lines i.e.: arterial lines, pulmonary artery catheter, ventriculosomy/ICP. Manages intubated/mechanically ventilated patients. Manages acute post cardiac surgery patients.Manages acute trauma patient.Keeps abreast of trends, developments and regulatory requirements impacting matters within designated scope of responsibility.Administers, oversees and documents the administration of medications (e.g., topically, orally, intramuscularly, subcutaneously and intravenously) as ordered by the healthcare practitioner and in accordance with hospital policy.Provides holistic, comprehensive, and professional nursing care to patient within the scope of practice. Cultural Sensitivity and Competence: Demonstrates proper use of available communication tools for effective communication and understands how the culture(s) of patient populations can affect communication, collaboration and the provision of care, treatment and services. Patient Populations Served: Demonstrates knowledge and proper skills associated with the department's defined specific populations served.Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates accountability to meet stated deadlines for all mandatory requirements.Coordinates nursing care and advocates for patient needs so that all appropriate disciplines are informed of and participating in the plan of care.Routinely explains delays. Assesses, monitors, and intervenes as indicated during and post examination or procedure.Provides health care education and guidance to patient and their families. Educates regarding results, findings and diagnoses to patient or patient's family.Prepares patient for discharge and assists with coordinating post discharge needs.Performs related duties as required.Adheres to and exhibits our Core Values of Reverence, Integrity, Compassion and Excellence.QualificationsEducation & ExperienceGraduation from an accredited school of nursing.Possession of a BSN degree is preferred.2 years previous PCU/ICU experience preferred,License & CertificationCurrent licensure as a Registered Nurse issued by the Washington State Board of Nursing.Current Healthcare BLS Certification.Advanced Cardiac Life Support (ACLS) or attainment within six months of hire.CCRN/Certified Neuroscience Registered Nurse (CNRN) preferred.CommonSpirit Health participates in E-verify.

Keywords: ST JOSEPH MEDICAL CENTER, Tacoma , Nurse Break Relief Critical Care, Other , Tacoma, Washington

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