Registered Nurse-Critical Care

Summary The RN develops an overall view of patients, families and caregivers, and establishes strong partnerships to deliver optimal care. Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients with the department. Involved in quality improvement planning and processes for the area of practice# Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner Seeks feedback regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards) Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Recognizes and praises excellent performance in colleagues and co-workers, when identified Builds respectful relationships through early and pro-active identification of concerns, complements or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties Displays professional, positive perspective at all times, including when faced with difficult circumstances Seeks opportunities to assist all team members Displays willingness to resolve tension within the unit or department, for example, by volunteering to accept an admission, or adjust an assignment Demonstrates practice that is consistent with the tenets of shared governance and with the philosophy of the unit and the organization. Assists with solution identification in response to problems and conflicts Effectively delegates aspects of care and unit activities to other nursing personnel Collaborates in planning, supervising, and instructing other nurses and assistants. Works collaboratively with nursing students and instructors Participates in peer review of colleagues Participates in DNV survey readiness.# Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same Avoids use of unauthorized overtime Manages ETO per policy Other duties as consistent with this role. For the Cath and Angio Lab Departments 3 years# critical care experience preferred #Assist with insertion of Flow wire, Opsens and IVUS.# RN must demonstrate contraindications and reversal for IV adenosine infusion. Ability to safely administer procedural sedation.# Pass annual sedation examination. Documents sedation according to policies and procedures. For the Emergency Department Remains up to date with unit-based nurse sensitive indicators (such as CAUTI, CLABSI, CDIFF, HAPU, FALLS, HH and VAE).# Responds to emergency situations per department/role requirements such as code blue and rapid response team. TNCC within 18 months and NIHSS stroke scale certifications within about a year Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NHISS certification preferred or obtained prior to completion of orientation Call required for Cath Lab and Stress Lab. Education and Experience Current New Hampshire RN license required BLS required ACLS required (except for Pre-Admission Testing and Operating Room) PALS (for Emergency Department) Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Graduate of an approved Nursing program preferred An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Working Conditions/Physical Demands Must possess the physical and mental abilities to perform the tasks normally associated with this position that involves a combination of sitting, standing, walking, bending, stooping, and reaching. Lifting/carrying frequently up to 35 pounds, and occasionally up to 50 pounds.# Some stress related to high level of responsibility for quality care. # Americans with Disabilities Statement Must be able to perform all essential functions of this position with reasonable accommodation if disabled. The above statements are intended to describe the general nature and level of work being performed.# They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.# Covenant Health reserves the right to modify position duties at any Standard of Business Conduct Every St Joseph Hospital employee is required to abide by the Standards of Conduct and to report any activity that appears to violate the Standards of Conduct. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering.# Integrity We promote justice and ethical behavior, and responsibly#steward#our human, financial and environmental resources.# Collaboration We work in partnership, dialogue and shared purpose to create healthy communities.# Excellence We deliver all services with the highest level of quality, while seeking creative innovation.# We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status

Summary

The RN develops an overall view of patients, families and caregivers, and establishes strong partnerships to deliver optimal care.

Essential Duties and Responsibilities

• Supports and promotes the mission and values of Covenant Health Ministry.

• Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital

• Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients with the department.

• Involved in quality improvement planning and processes for the area of practice

• Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner

• Seeks feedback regarding practice and takes actions as appropriate.

• Practice reflects knowledge of current practice standards

(ANA, NH Nurse Practice Act, Specialty standards)

• Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction.

• Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols

• Implements resources and initiatives that are in place or in process to improve patient safety.

• Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices.

• Assures issues are addressed through appropriate use of the chain of command

• Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients

• Identifies and assists in correction of patient care safety issues.

• Recognizes and praises excellent performance in colleagues and co-workers, when identified

• Builds respectful relationships through early and pro-active identification of concerns, complements or suggestions

• Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner

• Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties

• Displays professional, positive perspective at all times, including when faced with difficult circumstances

• Seeks opportunities to assist all team members

• Displays willingness to resolve tension within the unit or department, for example, by volunteering to accept an admission, or adjust an assignment

• Demonstrates practice that is consistent with the tenets of shared governance and with the philosophy of the unit and the organization.

• Assists with solution identification in response to problems and conflicts

• Effectively delegates aspects of care and unit activities to other nursing personnel

• Collaborates in planning, supervising, and instructing other nurses and assistants.

• Works collaboratively with nursing students and instructors

• Participates in peer review of colleagues

• Participates in DNV survey readiness.

• Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same

• Avoids use of unauthorized overtime

• Manages ETO per policy

• Other duties as consistent with this role.

For the Cath and Angio Lab Departments

• 3 years' critical care experience preferred

• Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion.

• Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures.

For the Emergency Department

• Remains up to date with unit-based nurse sensitive indicators (such as CAUTI, CLABSI, CDIFF, HAPU, FALLS, HH and VAE).

• Responds to emergency situations per department/role requirements such as code blue and rapid response team.

• TNCC within 18 months and NIHSS stroke scale certifications within about a year

Job Requirements

Job Knowledge and Skills

• Basic Dysrhythmia preferred or obtained prior to completion of orientation.

• NHISS certification preferred or obtained prior to completion of orientation

• Call required for Cath Lab and Stress Lab.

Education and Experience

• Current New Hampshire RN license required

• BLS required

• ACLS required (except for Pre-Admission Testing and Operating Room)

• PALS (for Emergency Department)

• Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation

• Graduate of an approved Nursing program preferred

An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements.

Working Conditions/Physical Demands

Must possess the physical and mental abilities to perform the tasks normally associated with this position that involves a combination of sitting, standing, walking, bending, stooping, and reaching. Lifting/carrying frequently up to 35 pounds, and occasionally up to 50 pounds. Some stress related to high level of responsibility for quality care.

Americans with Disabilities Statement

Must be able to perform all essential functions of this position with reasonable accommodation if disabled.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Covenant Health reserves the right to modify position duties at any

Standard of Business Conduct

Every St Joseph Hospital employee is required to abide by the Standards of Conduct and to report any activity that appears to violate the Standards of Conduct.

Covenant Health Mission Statement

We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities.

Our Core Values:

Compassion

We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering.

Integrity

We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources.

Collaboration

We work in partnership, dialogue and shared purpose to create healthy communities.

Excellence

We deliver all services with the highest level of quality, while seeking creative innovation.

We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status