Clinical Nurse - Med/Surg ICU
Location: Multiple Cities of Choice in NJ, NY or TX
Duration: 3 Months Contracts with extensions up to 2 years
Hours Per Week: 36.00
Hours Per Day: 10.00
Days Per Week: 4.00
Weekly Blended: $2600 to $3100
Certifications & Licenses: BLS - AHA & RN Compact License for location

Overview:

• Job Category: Acute - Nursing - Local
• Skills: Two years of the following experience is required: Medical/Surgical experience IV Insertion and phlebotomy conscious sedation
• Education: RN License - required Primary Source Verification - required AHA BLS - required TCAR for Surgery - preferred Conscious Sedation certification - preferred
• Certifications & Licenses: RN License

The Clinical Nurse assumes principal responsibility for the total nursing care, assessment, planning, implementation, evaluation of each assigned patient. The staff nurse initiates teaching and educates the patient and family/or significant other to attain optimal health. We are looking for someone who consistently demonstrates the knowledge and skills necessary to provide care appropriate to the ages of the patients served on the assigned unit.

• Obtains information and interpret information in terms of the patient’s needs.
• Demonstrates knowledge of growth and development.
• Understands the range of treatment needed as appropriate to the ages of the patients served.
• Assesses and recognizes change in condition and notifies the physician appropriately; report to physician is accurate and concise; documents completely including reassessments.
• Provides head to toe critical assessment and reports utilizing critical thinking skills; includes change in condition; treatment rendered and vasoactive medication dosages.
• Manages multiple drips and sedation.
• Assesses and cares for patients on ventilators and understands alarms and parameters of the patient.
• Understands hemodynamic status of the patient; correlates swan reading BP; UO to assess appropriately.
• Assists with bedside procedures- arterial line,
• Acts as a liaison between patient, physicians, family/significant other and other health disciplines.
• Develops, implements and updates an individualized teaching and discharge plan.
• Initiates and documents progressive patient and family/significant teaching.
• Facilitates the discharge process ensuring all goals are addressed prior to discharge.
• Utilizes current theories and knowledge for accurate assessments and evaluations.
• Completes acuity evaluation on all assigned patients according to unit protocol.
• Consistently performs proficiently on nursing unit. Including but not limited to: Manages an average caseload specific to unit. Adapts to altered work patterns, sets priorities, and modifies assignments to meet patient needs utilizing available resources and staff ability and availability.
• Administers medications prescribed by physicians according to policy, including IV’s, blood and blood products. Knows actions, indications, contraindications, precautions, adverse reactions, dosage and route of administration on all drugs before administering to patient
• Consistently recognizes, evaluates and intervenes appropriately in life-threatening situations.
• Consistently checks for new patient orders throughout the shift and implements them in an appropriate timeframe.
• Completes an end of shift review of physician orders.
• Consistently recognizes variances of diagnostic tests, vital signs and assessments. Notifies the physician in time appropriate to the variance.
• Follows appropriate chain of command for problem resolution approaching problem solving with a positive attitude and suggestions.
• Reports, documents, and takes appropriate action (by the end of shift) for incidents and or quality care issues that may affect the patient’s or staff well-being.
• Consistently assesses patients for risk of injury and takes appropriate action to reduce risk and promote safety.
• Serves as advocate for patient/family by providing information and assists in utilization of available resources and or alternatives for making health care decisions (i.e. advanced directives, ethics consult etc.)