Registered Nurse - Intensive Care Unit - Night

Full-time Night Shift 72 hours bi-weekly 7:00pm to 7:30am Every 3rd weekend Rotating holidays Night and weekend differential Wellspan Ephrata’s Intensive Care Unit is a 10-bed unit caring for patients requiring medical and surgical critical care. Our patient population consists of patients on target temperature management post cardiac arrest; STEMI patients who sometimes require intra-aortic balloon pumps, PA catheters or transvenous pacemakers; those with acute lung disease processes requiring mechanical ventilation; drug overdoses needing close monitoring and sometimes mechanical ventilation; post-op esophagectomies and occasionally post-op VATS patients; acute CVA’s requiring TPA; and, septic/multisystem organ failure patients needing vasoactive IV medications and supportive care. Our ICU team is a close-knit, cohesive team who are passionately committed to promoting a positive work environment and providing excellent critical care to our community! **General Summary** Provides professional nursing care at the beginner practitioner level in accordance with the principles of patient and family-centered care based on the nursing process and according to the clinical standards of the hospital. Acts as a primary nurse for patients on the unit. Coordinates care planning with other disciplines. May require specialized skills depending on unit assignment. ### Responsibilities **Duties and Responsibilities** - Provides and coordinates direct care in accordance with the principles of patient and family-centered care based on the nursing process and according to the clinical standards of the hospital. Acts as a primary nurse for patients on the unit. Synthesizes patient data to develop outcome-driven plans. - Safely and independently administers prescribed treatments, medications, and nursing interventions based on assessment and plan of care. - Appropriately organizes and prioritizes time based on patient condition and expected workload. Identifies changes in patients’ status and acts accordingly. Knows and can activate resources to achieve outcomes for patients. - Identifies and communicates individualized patient needs for safe handoffs during transitions of care. Collaborates with patient/family in care planning with all disciplines. - Appropriately and correctly documents the patient response to interventions and progress toward outcomes. Identifies and documents variances. Appropriately utilizes flow sheets, progress notes, and/or electronic medical record for documentation. Is able to identify system and unit-based nursing sensitive indicators; i.e. falls, pressure ulcers. - Identifies own areas of professional growth and development in performance improvement efforts. Recognizes the value of evidence-based research as it applies to best practice. - Promotes a professional practice environment that supports patient safety and quality through interdisciplinary collaboration, Shared Decision Making activities including peer review. Integrate shared decision making by unit committee membership or by supporting and helping fellow co-workers attend committee meetings and/or work on SDM projects. Serves as positive role model. - Begins to provide leadership for problem solving and goal formation. Negotiates for a win-win solution. - Delegates aspects of care to other nursing personnel in order to meet patient needs. Helps assistive personnel organize and set priorities for work. Monitors completion of tasks that are assigned or delegated to the patient care team. - Promotes collaboration and cooperation among physicians, nursing staff, and other members of the interdisciplinary team. Contributes to effective communications among all team members. Begins to display conflict resolution and negotiation skills to maximize team performance. - Virtual Nursing. - Variation of duties may result based on the assigned customer care unit(s). This may include differences in the specific clinical skills required of the RN. Unit based skill list…