When you join the
Huntington Hospital team, you are aligning yourself with an
organization whose values drive our philosophy of compassionate
community care. Over the past 129 years, we’ve grown from a small
16-bed hospital to a nationally recognized healthcare leader with
619 beds. As part of our commitment to providing equitable,
high-quality care to all members of our community, we embrace
differences and work hard to create a place of belonging for our
patients and our employees. When you join the Huntington family,
you’ll be empowered to enact change that continuously improves our
ability to deliver world-class care, with kindness and dignity, to
all who need it.
** Internal Workers – Please log into
your Workday account to apply **
601000 Critical Care Unit
Responsible for coordination of care to meet identified needs of
the patient/family. Supervises the management of patient care
utilizing critical thinking and nursing process, discharge
planning, resource identification, linking and scheduling patients
with required services, monitoring care delivery, advocating for
the patient, care planning and evaluating outcomes. Coordinates
patient care across the health care continuum, and assists other
team members with meeting individual patient needs.
This position may require flexibility of hours.
Education: For hires prior to 9/1/15, Graduate from accredited
nursing program required. For internal promotions to a RN New Grad
or for hires between 9/1/15 – 5/1/2018, must be currently enrolled
in a BSN or MSN program & degree must be completed within 3 years
of DOH or date of transition to an RN position. Effective for New
Hires after 5/1/18, BSN or higher required. Diploma or transcripts
on highest degree earned required.
Experience/Training: Minimum 1 year of current experience in
acute care area of expertise/equivalent service area, 2 years
preferred. Critical Care unit and Trauma nursing experience
preferred. Must challenge and successfully pass the Basic
Dysrhythmia course curriculum within 21 days of hire. If new to
critical care, must successfully pass the Critical Care Core
Curriculum and complete required on-unit preceptorship. Basic
computer skills/experience with computerized documentation systems
Licenses/Certifications: Current active unrestricted RN license
issued by State of California. Current American Heart Association
BLS and ACLS Provider required. NIHSS certification required within
30 days of hire/transfer.
Skills: Care of the patient receiving Sedation/Analgesia Care of
the patient with Hemodynamic monitoring and/or support Care of the
patient with Neurological monitoring Care of the patient with
Pulmonary monitoring and/or support, including ventilators Care of
the Trauma patient
Must be willing and able to work in a face paced, frequently
changing environment. Must be willing and able to multi-task
effectively to accomplish work assignments. 1. Demonstrates
competent knowledge base in pathophysiology of the cardio vascular
patient; through appropriate assessment, critical thinking skills,
and plan of care, which is measured by addressing: a. Organ
perfusion and cardiac output.
b. Patient activity, and c. Dysrhythmias. 2. Demonstrates competent
knowledge base in the pathophysiology of the neuro patient; through
appropriate assessment and critical thinking skills. Formulates and
implements an ongoing patient specific plan of care, which is
measured by addressing: a. Adequate cerebral perfusion
b. Patient safety.
c. The appropriate levels of stimulation for the patient are
monitored/documented and maintained by the RN. 3. Demonstrates
competent knowledge base in the pathophysiology of the respiratory
patient, through the appropriate assessment and critical thinking
skills. Formulates and implements an ongoing patient specific plan
of care, which is measured by addressing: a. Maintenance of normal
or appropriate O2/CO2 levels.
b. The ability to identify and appropriately intervene in emergent
situations related to (a).
c. Weaning assessment with appropriate sedation and daily rapid
shallow breathing index, (RSBI), as indicated on the mechanically
ventilated patient. 4. Demonstrates competent knowledge base in the
pathophysiology of the metabolic patient; through appropriate
assessment and critical thinking skills. Formulates and implements
an ongoing patient specific plan of care, which is measured by
addressing: a. The nurse's ability to monitor and interpret
acid-base balance and lab values as they relate to the patient.
b. Patient's nutritional status.
c. Optimal glucose control (80-110). 5. Demonstrates competent
knowledge base for all current and future unit and hospital
specific core measures implemented to improve patient outcomes
through appropriate assessment and critical thinking skills.
Formulates and implements an ongoing patient specific plan of care,
which is measured by adherence to: a. Incorporating Ventilator
Bundle on all mechanically ventilated patients for the purpose of
reducing the risk of ventilator acquired pneumonia.
b. Incorporating blood stream infection prevention standards for
the purpose of reducing the risk of central line catheter BSI in
all patients that have a central line inserted.
-Support use of central line cart.
-Adhere to appropriate Hand Hygiene.
-Support complete/full barrier precautions.
c. Incorporating Sepsis bundle using "Trigger Tool" to identify
suspected/identified critically ill patients for the purpose of
initiating early goal directed therapy.
d. Incorporating appropriate sedation management and use of
approved Sedation-Agitation Scale e. Incorporating optimal pain
management set to the patients functional pain goal per policy and
f. Patient-centered care philosophy.
-Allowing patients' loved ones to have access to them, as long as
access does not impair delivery of quality medical care.
g. Palliative care bundle, supportive care and communication. 6.
Demonstrates technical skills to safely operate and troubleshoot
problems with critical care equipment and diagnostic devices for
which they have been trained. 7. Demonstrates proficiency in
delivering age specific care to the assigned patient populations:
adolescent, adult and geriatric in the critical care setting. 8.
Ensures environment safety by maintaining hallways clear, fire
doors closed, medication room/supply doors are locked, discarding
of outdated nourishment, ensuring documentation of refrigerator
temperatures on designated logs, reporting needed equipment repairs
to Facilities/Engineering and follows-up on completion of reported
need for repair. 9. Provides clerical support by demonstrating
proficiency in use of information systems (Meditech, PCS, Acuity,
KRONOS and e-mail), consistently makes accurate entries on each
system, performing chart assembly and breakdown, ensuring accurate
and complete information is recorded in appropriate interventions
in PCS and CCU Flow-sheet and maintaining all medical records in
the chart stamped with patient identification. 10. Attends Annual
Skills Day, and all mandatory classes per hospital policy or unit
needs. 11. Is knowledgeable about patient safety, core measures,
TJC requirements and Patient Safety Goals, as it pertains to their
job. 12. Approves timecard on time, prior to close of payroll, and
maintains timecard, completes all required logs, (missed
meal/break). 13. Actively participates in unit cleanliness.