RN - CCU/ICU Neuro CCU

Shift Details

Shift 12 hour nights

Job Order Details

Start Date 2025-03-03

End Date 2025-04-28

Duration 8 Week(s)

Client Details

City Rockford State IL

A Registered Nurse (RN) – CCU/ICU Neuro works in the Critical Care Unit (CCU) or Intensive Care Unit (ICU) with a specialized focus on patients with neurological conditions. These may include patients suffering from strokes, brain injuries, neurological surgeries, spinal cord injuries, or other acute neurological disorders. The RN in this role provides intensive monitoring, advanced nursing interventions, and expert care for patients experiencing life-threatening neurological conditions, collaborating with a multidisciplinary team to optimize patient outcomes in a highly critical care environment.

Key Responsibilities:

1. Patient Assessment and Monitoring:

   • Perform comprehensive neurological assessments, including monitoring level of consciousness, Glasgow Coma Scale (GCS) scores, pupillary response, motor function, and vital signs.
   • Utilize advanced monitoring technologies (e.g., intracranial pressure monitoring, EEG, and continuous cardiac and respiratory monitoring) to track patient progress and detect any deterioration.
   • Regularly assess patients for changes in neurological status, including seizures, altered consciousness, or worsening neurological deficits, and report findings to the medical team promptly.

2. Critical Care Management:

   • Provide intensive nursing care to critically ill neurological patients, including those with traumatic brain injuries, stroke, spinal cord injuries, or after neurological surgery.
   • Administer medications as prescribed, including sedatives, pain relievers, anticonvulsants, and other neuro-specific drugs.
   • Manage mechanical ventilation, intravenous (IV) therapies, and other life-supporting devices as needed to maintain patient stability.
   • Implement neuroprotective measures, such as maintaining appropriate intracranial pressure, managing cerebral perfusion, and preventing secondary brain injury.

3. Patient and Family Education:

   • Educate patients and families about neurological conditions, treatment plans, expected outcomes, and recovery processes.
   • Offer emotional and psychological support to families dealing with traumatic events such as strokes, brain injuries, or spinal cord injuries.
   • Discuss long-term recovery and rehabilitation goals, including physical therapy, speech therapy, and neurocognitive recovery strategies.

4. Post-Procedure/Recovery Care:

   • Provide postoperative care to patients recovering from neurological surgeries, such as brain tumor removals, aneurysm repairs, or spinal surgeries.
   • Monitor for complications, including bleeding, infection, respiratory failure, and signs of neurological deterioration.
   • Administer anticoagulants, pain management, and wound care, ensuring optimal healing and recovery.

5. Collaboration with the Healthcare Team:

   • Work closely with neurologists, neurosurgeons, intensivists, respiratory therapists, and other medical professionals to deliver comprehensive care tailored to each patient's neurological needs.
   • Participate in daily rounds and patient care discussions, providing detailed observations of patient progress and advocating for necessary interventions.
   • Communicate with families, providing updates on patient conditions and collaborating on care decisions.

6. Emergency Response and Critical Interventions:

   • Respond promptly to neurological emergencies, such as seizures, stroke symptoms, or respiratory failure, providing immediate life-saving interventions, including medications or intubation.
   • Administer critical interventions, including continuous sedation, anticonvulsant therapy, or hyperosmolar therapy for conditions like intracranial hypertension or seizures.
   • Manage code situations, such as cardiac arrest, with advanced resuscitation techniques, including CPR and advanced cardiac life support (ACLS).

7. Documentation and Reporting:

   • Maintain accurate, up-to-date documentation of patient assessments, treatments, medications, and responses in the electronic medical record (EMR).
   • Ensure compliance with all hospital policies, including those related to patient confidentiality, safety, and quality improvement initiatives.
   • Report any complications, adverse events, or significant changes in patient condition to the medical team promptly.

8. Quality Improvement and Professional Development:

   • Participate in unit-based quality improvement initiatives, such as reducing ventilator-associated pneumonia, central line infections, or pressure ulcers.
   • Engage in ongoing education and certification to stay current with developments in neurocritical care nursing, such as advanced neuro assessment techniques or the latest evidence-based practices in stroke or brain injury management.
   • Attend workshops, conferences, and training in neurocritical care to further enhance clinical expertise.