This professional staff person is responsible for performing assessments, developing a plan of care and implementing and evaluating the care. The RN-Critical administers medications and treatments as ordered by physicians and in keeping with the current clinical nursing practice. Also responsible for directing, monitoring and evaluating the care delegated to non-licensed personnel. The RN-Critical leads the interdisciplinary care team for patients with primarily cardiovascular disease. In addition, the RN-Critical performs a range of technical services in a cross-functional mode to comprehensively serve patient needs. Assumes (under the direction of the Laboratory) responsibility for patient specimen testing, quality control, quality improvement and equipment maintenance.
Primary Duties
Patient Care:
- Completes admission assessment and periodic reassessments according to patient’s progress and/or unit routines and patient population-specific parameters.
- Documents findings and communicates all pertinent information to interdisciplinary team members as appropriate.
- Collaborates with interdisciplinary team members in the development, evaluation and revision of the plan of care as appropriate to meet the patient’s needs and goals.
- Provides competent direct care and ensures the provision of a safe and comforting environment resulting in a high level of patient satisfaction.
- Assists healthcare team members in the understanding of hospital policies and procedures.
- Provides education to patients/families/significant others, incorporating patient population-specific criteria and assessment of readiness to learn.
- Maintains patient confidentiality.
- Maintains standard precautions.
- Administers medications and completes treatments according to provider orders, hospital policy and within patient population-specific parameters.
- Maintains all necessary documentation.
- Facilitates transition of care plan in collaboration with interdisciplinary team.
- Demonstrates knowledge and ability to use necessary patient care equipment.
- Coordinates response of the interdisciplinary team to emergency situations.
- Performs Point-of-Care procedures in a timely manner according to established policy and procedure. Documents required information and complies with all Point-of-Care quality control standards.
- Evaluation and Review of Patient Care Services:
- There shall be established working relationships with other services of the hospital, both administrative and professional. The factors explaining the standard are as follows:
- Registered Nurses confer with the physicians relative to patient care
- Interdepartmental policies affecting patient care are made jointly with the nurse executive or designee
- Procedures are established for scheduling laboratory and X-ray examinations, for ordering, securing and maintaining supplies and equipment needed for patient care and for ordering diets, etc.
ICU
- Ability to formulate an individualized plan of care and revise plan according to the patient’s response to treatment. Evaluates plan regularly for effectiveness.
- Communicates appropriately and clearly to Resource Nurse, CCO and Physician.
- Demonstrates knowledge of cardiac monitoring; identifies dysrhythmias and treats appropriately based on orders and ACLS protocol.
- Able to perform a head-to-toe assessment on all patients per policy.
- Able to monitor hemodynamic status of patient and correctly interpret the results.
- Consults other departments as appropriate to provide an interdisciplinary approach to the patient’s needs.
- Coordinates and supervises patient care as necessary.
- This position is designated as a safety sensitive position because of the essential duties of the job involves critical medical care to patients. A lapse in attention to detail may constitute a threat to health or safety resulting in injury, illness or death. This position is required to work in a constant state of alertness in a safe manner.