University of Utah Health
Location
Salt Lake City, Utah
Provides expert-level bedside care for high-acuity cardiovascular patients, specializing in complex cases like cardiogenic shock and post-cardiac surgery instability. Leads critical interventions involving ECMO/MCS devices and coordinates interdisciplinary teams to optimize patient outcomes.
Requires a current Registered Nurse license in Utah or an Interstate Compact license. Must obtain RQI Healthcare Provider and ALS eCredentials within the specified onboarding timeframes.
Job Subfamily Cardiovascular Intensive Care nurses provide care in the cardiac ICU for patients, focusing on assessment, diagnosis, and treatment of pre- and post-operative cardiac and thoracic surgery care. These nurses specialize in the care of critically ill patients with heart and vascular conditions in an intensive care unit. They provide advanced medical care to patients with complex cardiovascular issues, often requiring advanced, specialized interventions and equipment. Career Level N5: Delivers expert-level, hands-on care to the most complex and high-acuity patients. Anticipates clinical needs, adapts rapidly to changing conditions, and sets the standard for bedside excellence. Functions as the go-to clinician for the most challenging cases. Demonstrates mastery of clinical knowledge, procedures, and interventions. Applies deep understanding of pathophysiology, pharmacology, and advanced technologies in real-time patient care. Recognized for clinical intuition and precision. Manages the most complex, unstable, or rare patient presentations. Rapidly synthesizes data to make critical decisions. Anticipates complications and intervenes proactively. Operates with full clinical independence. Makes high-stakes decisions in real time. Trusted to manage care in unpredictable or resource-limited situations without oversight. Collaborates closely with interdisciplinary teams to optimize patient outcomes. Provides bedside coaching and real-time clinical guidance to peers. Models calm, confident communication in high-pressure scenarios. Essential Functions Functions as a master level bedside clinician for the highest acuity cases (e.g., cardiogenic shock, refractory arrhythmias, post cardiac surgery instability, RV/LV failure, multi system collapse) and integrates device/ventilation strategies accordingly. Directs protocolized bedside actions during ECMO/MCS emergencies (e.g., oxygenator failure, flow instability, critical device alarms) and activates rapid transfusion steps per protocol. Leads pre-transport bedside stabilization (ECMO checks, anticoagulation parameters, ventilator management) and confirms readiness checklists before transport handoff; maintains closed loop communication throughout. Anticipates complications and initiates time critical corrective actions (within scope/protocol), documenting actions, rationale, and outcomes. Provides on scene coaching and authoritative, bedside direction during crises; ensures role clarity and immediate next steps. Maintains deep mastery of advanced CV pathophysiology, device interactions, anticoagulation strategies, and perfusion goals at the bedside; completes and applies unit validations as it applies to ECMO/MCS. Coordinates interdisciplinary actions in the room to optimize immediate outcomes; confirms patient status messaging during handoffs. Oversees direct patient care during extreme instability; sets priorities and delegates tasks to maintain safety and ECMO circuit integrity. Works rotating schedules and maintains regular, reliable, punctual attendance.
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