The Critical Care Registered Nurse is specially trained in hemodynamic monitoring and therapeutic equipment necessary to provide specialized medical and/or surgical nursing care to acute or complex, critically ill patients. Collaborates with interdisciplinary teams to develop and implement a plan of care for a specific group of assigned patients, ensuring the coordination of care between other disciplines, physicians, and support staff. Performs professional nursing duties that incorporate the psychosocial, psychomotor and age appropriate cognitive skills of the patient/family/significant other to assess, plan, intervene and advocate for the patient on an ongoing basis throughout the continuum of care. Will reevaluate patient response and outcomes, effectiveness of plan of care, and readiness for discharge and revise plan or make referrals as necessary. Acts as a role model and mentor to a variety of new graduate nurses, orientees and support staff.
- PROFESSIONAL CLINICAL PRACTICE: Provides patient care, reviews and administers patient medications, including intravenous titrations, invasive and arterial lines, cardiac monitoring, ventilator management, treatments and procedures in a safe, effective and age appropriate manner that meets scope of practice and standards of nursing practice. Recognizes change in patient's clinical conditions, taking appropriate action and documenting intervention. Appropriately responds to RRT/Code Blues/Code Whites as assigned. Effectively collaborates with the health care team to intervene, and advocate as necessary. Intervenes appropriately in instances of abuse, assault or neglect, or when adequate financial or social resources are not available. Makes appropriate referrals to resolve patient issues effectively.
- PLAN OF CARE: Develops long and short-term goals consistent with treatment plans, standards of practice, and the plan of care, incorporating patient preference and discussing plan of care with patient. Appropriately utilizes pain management resources and other interventions to provide pain relief. Provides ongoing assessments and documents the patient's physical and psychosocial condition, as well as response to care. Reviews patient test results, identifies critical results, and communicates in a timely manner consistent with the condition of the patient and correlates information into the plan of care. Consistently ensures nursing practice is evidence based, within scope of licensure and compliant with hospital wide standards of nursing care, including core measures. Ensures Infection Control procedures and HIPAA compliance.
- COLLABORATION: Collaborates with staff, physicians and members of the healthcare team, ensuring the coordination of care between other disciplines and support staff. Supervises, monitors and delegates patient care activities to appropriate members of the health care team, provides effective leadership and ensures that care is safe and of high quality. Acts as a source of information and articulately responds to questions, providing resources, guidance, and education about treatment plan, plan of care, and medications. Develops and implements accurate teaching and ongoing discharge plans.
- COMMUNICATION: Empathizes with patient and patient support systems, expresses compassion and understanding for the situation and demonstrates care which is appropriate for the age, and cultural, religious, gender identity, or ethnic background. Engages in caring behaviors, taking conscious ownership for work and takes deliberate/thoughtful actions regarding how to best carry out interactions with the patient, families, physicians, and co-workers.
Required Qualifications
- Active, current, and unencumbered Licensure as a Registered Nurse in the State of California
- Graduate of an Accredited School of Nursing
- AHA Basic Life Support
- Ability to read, write and communicate effectively in English
- Ability to work variable shifts including evenings, nights, weekends, and holidays
- Ability to maintain flexibility and composure in a constantly changing environment
- Hospital Fire and Life Safety Card (Los Angeles City Employees only)
- AHA Advanced Cardiac Life Support
- One (1) year previous critical care nursing experience or completion of a 6-week critical care training course
Preferred Qualifications
- Bachelor of Science in Nursing
- Bilingual skills to communicate effectively with patients and families
- Critical Care Registered Nurse (CCRN) Certification