The Registered Nurse (RN) is responsible for providing compassionate quality care that is patient and family focused. The RN assesses, diagnoses, plans, implements, evaluates, and documents care of patients according to hospital and care center policies and standards of professional nursing practices. The RN is accountable for the quality of nursing services delivered. The RN defines, implements, and improves practice standards and environment of care while promoting exceptional patient care. Duties may vary based on the assigned patient care center which may include differences in the required specific clinical skills. Actively and consistently demonstrates the mission, vision, values and guiding principles of Maple Grove Hospital.
ESSENTIAL DUTIES AND RESPONSIBILITIES
1. Assesses care needs of patients and families utilizing the nursing process; determines nursing diagnosis focused on care and identifies patient outcomes; develops patient care plan; implements and continuously evaluates the care plan; ensures patients are discharged with resolved educational needs.
2. Develops care plan and interventions based on available evidence/research data.
3. Partners with patients, families, peers, and other care providers to deliver continuity of patient care.
4. Evaluates safety, effectiveness, availability, and cost when opting between practice options that will deliver the same patient outcome.
5. Delegates tasks per the expectations defined by the state nurse practice act based on the knowledge, skills and abilities of the designated caregiver.
6. Identifies and responds promptly to emergency situations.
7. Serves as an advocate for patients, families, peers, and other care providers.
8. Evaluates quality and effectiveness of care provided to the patient and promotes quality improvement and shared accountability. Participates in care center based and hospital quality improvement initiatives.
9. Pursues own professional development and supports developmental activities of employees.
10. Participates in orientation, education and development programs for self and others as appropriate.
11. Contributes to the financial effectiveness of the hospital by working within defined budget parameters and providing input to the budget process.
12. Recognizes and complies with legal and procedural requirements related to area of responsibility.
13. Protects patient/employee privacy and only accesses patient/employee related information as needed to perform job duties.
14. Reports areas of concern or potential violations to supervisor or other members of hospital leadership via established methods of communication.
SPECIFIC ESSENTIAL DUTIES:
Recognizes Cardiac, Respiratory, Neurologic, Renal, Endocrine, and GI/GU risk factors, monitors for changes in a critical patient status, and seeks out the appropriate interventions by collaborating with ancillary departments and care team members to meet the needs of the patient.
Transfer of critical patient to another facility for higher level of care: Level 1 Heart, Level 1 Stroke
Monitors and manages advanced airways/respiratory adjuncts including but not limited to: ET tube insertion/maintenance and tracheostomy site care. Collaborates with Respiratory Therapy when providing care for patients requiring a ventilator/bipap/cpap support or has oxygen therapy needs.
Monitors and manages cardiac conditions including but not limited to: arrhythmia management, unstable heart rate and/or blood pressure management.
Monitors and responds/notifies members of the care team in regards to critical laboratory findings including but not limited to: electrolyte imbalances, chemistry/blood counts, abnormal blood gas results and/or drug levels.
Monitors and intervenes for high-risk patient populations including but not limited to: Stroke, MI, Drug/Medication Overdose, Shock, Sepsis, Massive & Emergent Blood Administration, and Multiple organ dysfunction syndrome (organ failure).
Monitors and manages a patient at high-risk for self-harm including: suicidal patients, medical/behavioral holds, patients in restraints, ETOH/drug withdrawal. impaired mobility/falls risk.
Initiates and monitors high risk medications (continuous infusions, bolus, IV push, and titrations). This includes the monitoring of hemodynamics/vital signs, the patients response to treatment, and laboratory results.
Manages the set-up, equipment/tubing changing and discontinuation of hemodynamic lines including: Central Lines/CVP, Arterial Lines, and/or a Pulmonary Artery Catheter.
Understands and manages the critical patient requiring invasive hemodynamic monitoring including: Interpretation of waveform readings, troubleshooting equipment issues and notifying the care team provider with changes in the patient condition.
Identifies and provides treatment (antidote if applicable) for an IV Extravasation and for Central Line occlusions.
Locates and initiates essential critical care equipment as a situation warrants: Cardiac monitor, Crash Cart (ACLS supplies/medications, airway supplies), Defibrillator/AED, Meditherm Cooling Blanket, Central Line Cart.
Sets-up and assists with invasive critical care procedures including but not limited to: chest tube insertion, intubation, thoracentesis. central line placement.
Administers and monitors patients requiring Procedural/Conscious Sedation. This includes the completion of required documentation, medication administration and the recovery of the patient.
Equal Employment / Affirmative Action Employer
Requirements Associates degree in nursing; Bachelor's degree in nursing is preferred.
Minimum of one year RN experience in a hospital setting preferred.
Demonstrated ability to maintain composure in high stress situations, acts quickly in response to critical situations. Solid PC skills to include MS applications, Internet, etc. Demonstrated ability to deal with conflict in a positive manner. Has an awareness of, responds to, and considers the needs, feelings and capabilities of others. Strong communication skills with demonstrated ability to express ideas and information clearly and concisely in a manner appropriate to the audience. Ability to maintain quality, safety, and infection control standards. Ability to be accountable for quality customer service and respond appropriately to a variety of personalities and situations. Must be able to read, write and speak effectively in English.
Knowledge of nursing theory and practice and primary care principles and practice.
License Requirement Current licensure and registration as an RN in the State of MN. Current BLS certification for all areas of nursing practice required.