Registered Nurse Critical Care Unit FT (11 p.m. - 11:30 a.m.)

Company: Huntington Hospital
Location: Pasadena
Posted on: November 17, 2022

Job Description:

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 **Huntington Hospital Employee LoginDepartment:601000 Critical Care UnitExpectations: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 required.

LICENSES/CERTIFICATIONS:
Required:
Current unrestricted Registered Nurse (RN) license issued by California Board of Registered Nursing (BRN)
Current Basic Life Support Provider (BLS), and Advanced Cardiovascular Life Support Provider (ACLS) issued by American Heart Association
Current National Institutes of Health Stroke Scale (NIHSS) 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 pressures.
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 procedure.
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.Worker Type:RegularFull timeShift:Nights - - - - - - - -
Advance your potential.

At Huntington Hospital, we know that your professional development translates directly into better care for our patients. That's why we offer a wealth of programs and initiatives designed to help you achieve and exceed your career goals. Whether you're a new graduate or an experienced professional, you'll be empowered and encouraged to broaden the scope of your knowledge and expertise.
Outstanding care comes from outstanding nurses. It's really that simple. In every nursing discipline and clinical unit, you'll have the opportunity to enhance your professional capabilities in a highly collaborative and supportive environment.

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A 619-bed nonprofit hospital that's nationally ranked for quality and safety, Huntington Hospital in Pasadena - an affiliate of Cedars-Sinai Health System - has provided compassionate, world-class care for 130 years. Only six years younger than Pasadena itself, our hospital has grown with the community we serve.
Our 24/7 specialist coverage ensures a hospital-based physician (hospitalist) is always available at the hospital for patients who need general, obstetrical or critical care. And as a leader in nursing care, we are one of only 9% of hospitals nationwide to have achieved Magnet designation, the gold standard in nursing.
Huntington Hospital is home to the largest emergency department and only level-II trauma center in the San Gabriel Valley - providing access to lifesaving emergency and trauma care 24/7. Our Family Birth Center and level-III neonatal intensive care unit (NICU) give babies the safest start to life. Leading cancer care, cardiology services, orthopedic care and advanced robotic surgery - among many other healthcare services - are available to all who turn to us for care.

Keywords: Huntington Hospital, Pasadena , Registered Nurse Critical Care Unit FT (11 p.m. - 11:30 a.m.), Other , Pasadena, California