RN Advanced Skills-ICU Days

• Full-Time Days $20,000 Sign-on bonus!
• Kindred Hospital Louisville is a 123-bed long-term acute care hospital offering the same in-depth care you would receive in a traditional hospital, but for an extended recovery period; including 16 Special Care Unit beds and 4 negative pressure rooms.
• We partner with your physician and offer 24-hour clinical care 7 days a week so you can start your journey to wellness anytime.
• To the benefit of our patients, families and visitors, we are located in the Original Highlands neighborhood, a short drive away from downtown, Cherokee Park and a number of boutique shops and restaurants.
• Job Summary Provides quality patient care to critically ill patients, through the nursing process of Assessment, Planning, Intervention, and Evaluation.
• Serves as a patient advocate at all times.
• Supervises the nursing care provided to each patient by other caregivers.
• Develops the plan for nursing care as a result of coordination with the patient, family and staff of other disciplines as necessary.
• Applies critical thinking in order to promote positive clinical outcomes.
• Ensures patient education.
• Participates in discharge planning.
• Essential Functions Maintains the standard of nursing care and implements the policies and procedures of the hospital and the nursing department.
• Assesses the patient on admission within the required time frame.
• Makes referral to other disciplines based on the assessment, such as rehabilitation and nutritional services.
• Develops a nursing care plan for assigned patient on admission and updates the plan of care as needed.
• Ensures the plan is discussed and developed as a result of the coordination of patient and family and the interdisciplinary team.
• Able to release, remove, and reapply restraints to patient.
• Ensures patient is in proper position and alignment.
• Documents patient admission assessment and reassessments, patient care plans, and other pertinent information completely in the patient’s electronic medical record.
• Demonstrates correct use of Biomedical equipment such as defibrillator, Suction machine, IV and feeding pumps, PCA pump, blood glucose monitoring machine.
• Demonstrates safe and effective delivery of patient care such as completing team/patient assignments on time, making effective use of available time, showing initiative and teamwork.
• Obtains consents for procedures and blood transfusions, ensuring patient has necessary information to make an informed decision.
• Receives physician’s orders, ensures transcription is accurate, and order entry is accurate.
• Follows through to ensure order is carried out.
• Recognizes and responds appropriately to patient change in condition such as Cardiac rhythm, respiratory distress, GI bleed, pulmonary emboli/ edema, diabetic Ketoacidosis, adverse drug reaction and Blood transfusion reaction, etc.
• Institutes emergency action, notifies physician, obtains orders, etc.
• Completes and documents patient admission assessment and reassessments as required according to policy.
• Reports pertinent observations and reaction regarding patients to the appropriate person (i.e., physician, supervisor, charge nurse) and records these observations accurately.
• Administers medications with verbalized knowledge of the action, side effects, correct dosages and route according ICU policies and procedures.
• Demonstrates ability to recognize and Institute arrhythmia protocol for the following Cardiac rhythms V-tach, V-fib, PVC’s, asystole, 1st, 2nd and 3rd degree heart block, atrial fibrillation, and atrial flutter.
• Directs, supervises, and evaluates nursing care provided to patients.
• Administers medications utilizing the seven “rights” of medication administration: right patient, route, time, medication, dose, reason and documentation.
• Assist physicians with special tests and procedures such as thoracentesis, paracentesis, arterial line and bronchoscopy.
• Participates in economical utilization of supplies and ensures that equipment is maintained in a clean and safe manner.
• Participates in orientation of new personnel and performance evaluations of nursing staff.
• Assists team members in giving care to patients or administers direct care when professional nursing skills and judgment are needed.
• Coordinates nursing care of patients when scheduled for therapy or procedures by other departments.
• Assists with or institutes emergency measures for sudden adverse developments in patients such as cardiac arrest, respiratory arrest, or sepsis.
• Participates in the maintenance of a clean and safe environment.
• Is knowledgeable about the emotional and rehabilitative aspects of care and is capable of applying appropriate therapeutic interventions.
• Provides assessment utilizing current ACLS certification and protocols renders lifesaving first aid and makes appropriate referral to the nearest organization that is capable of providing needed services.
• Demonstrates ability to manage various types of tubes and other devices such as Foley /straight catheter, feeding tubes, chest tubes, JP drains, Hemovacs.
• T-tubes, wound drains, ostomy care, suprapubic catheter, continuous bladder irrigation.
• Demonstrates correct set up and performance monitoring of hemodynamic systems such as Swan-ganz catheter, arterial catheter, and cardiac output.
• Demonstrates accurate knowledge of critical Lab values and their normal ranges.
• Reports and documents appropriately.
• Demonstrates ability to verify correct lead telemetry placement.
• Validates telemetry strips every 4 hours and PRN.
• Documents appropriately.
• Participates in assessing and meeting patient and family education needs.
• Provides complete patient report to oncoming RN, ensures documentation is complete, physician orders are signed off, and patient rooms are in order.
• Communicates pertinent information to RN, physician, and patients as needed.
• Adheres to dress code, appearance is neat and clean and wears appropriate identification while on duty.
• Completes annual health, safety, and education requirements.
• Maintains professional growth and development.
• Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected.
• Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served.
• Attends all mandatory in-services and staff meetings.
• Represents the organization in a positive and professional manner.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department.
• Maintains current licensure/certification for position, if applicable.
• Demonstrates Guest Relation’s skills to patients, physicians, visitors, employees, and any other individuals with whom they may come in contact.
• Follows departmental and hospital Health, Safety, Security, Hazardous Materials policies and procedures.
• Knowledge/Skills/Abilities/Expectations Excellent oral and written communication and interpersonal skills.
• Knowledge of medications and their correct administration based on age of the patient and their clinical condition.
• Basic computer knowledge.
• Organize tasks, develop action plans, set priorities, and function under stressful situations.
• Maintain good working relationship with co-workers.
• Must read, write and speak fluent English.
• Must have good and regular attendance.
• Approximate percent of time required to travel: 0%25 Performs other related duties as assigned.

Education Graduate from an accredited Registered Nursing program. Licenses/Certifications Health Services\RN - Registered Nurse - State Licensure and/or Compact State Licensure Upon Hire Required Health Services\BCLS - Basic Life Support Facility-Specified Required Health Services\ACLS - Advanced Cardiac Life Support Facility-Specified Required Experience Minimum one year training and experience in Critical Care. Able to communicate effectively in English- both written and verbal