ICU Registered Nurse
Gardner, MA
Modern Healthcare Solutions
3x12 hrs, Days
Referral Bonus

Position Title

Registered Nurse, ICU

Location

Gardner, MA

Shift Information

36-hour Day Shift: 7:00 am - 7:30 pm (Every 3rd weekend and holiday, Monday - Sunday schedule)

Essential Functions

• Conduct assessments (and reassessments), develop plans, implement interventions, and evaluate nursing care plans and patient goals.
• Provide patient care according to established standards of care, practice protocols, and organizational policies.
• Respect the individuality of each patient, ensuring care enhances their sense of dignity and positive self-regard.
• Deliver patient and family education based on identified learning needs, readiness to learn, and potential barriers.
• Collaborate in planning and preparing patients and families for discharge, utilizing support systems and resources as needed.
• Delegate and supervise nursing interventions performed by other staff appropriately.
• Prioritize patient care effectively, seeking assistance when necessary and recognizing emergencies for timely intervention.
• Document all relevant data, therapeutic interventions, and patient responses accurately and promptly according to standards.
• Provide thorough patient reports to healthcare team members to ensure continuity of care.
• Encourage professional development and learning among colleagues, participating in preceptorship and training opportunities.
• Identify risks to patient safety and seek opportunities to minimize medical or healthcare errors through appropriate reporting.
• Recognize ethical issues in patient care and develop plans to address them.
• Administer medications and intravenous therapy in accordance with physician orders and established guidelines.
• Assess patient pain levels upon admission and on an ongoing basis according to clinical indications.
• Reassess pain control effectiveness and notify physicians as required, documenting assessments and patient responses.
• Perform accurate identification of cardiac arrhythmias and interpretation of EKG configuration changes.
• Monitor and document thrombolytic and anticoagulation therapy per standards and protocols.
• Demonstrate knowledge of mechanical ventilation, including associated modes, settings, and adjuncts.
• Provide care for intubated patients, including suctioning and monitoring, while troubleshooting as needed.
• Accurately interpret arterial blood gases and assess features indicating impaired gas exchange and airway clearance.
• Understand hemodynamic monitoring processes, assist with equipment setup, and support arterial and central vein cannulation.
• Safely administer vasoactive medications, demonstrating knowledge of dosage, actions, side effects, and titration parameters.
• Conduct ongoing assessments and monitoring of patients in the immediate post-operative phase according to established protocols.
• Implement interventions for potential complications during the recovery phase of general, regional, or conscious sedation.
• Obtain necessary information for medication reconciliation documentation to support attending medical personnel.
• Implement components of the Ventilator-Associated Pneumonia (VAP) bundle consistently, alerting management of any anomalies for review.
• Actively participate in daily multi-disciplinary rounds for effective patient care planning and implementation.

Job Requirements

Minimum Education

• Graduate of an accredited school of nursing.

Minimum Experience

• 1 year of medical-surgical experience preferred.
• Previous telemetry experience required.
• ICU experience preferred.

Licensures and Certifications

• Current Massachusetts RN License required.
• ACLS certification upon hire or must obtain within 60 days if BLS certification is active.
• CCRN certification preferred.

Functional Demands

Physical Requirements:

• Exertion of 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently.
• Frequent reaching, handling, and feeling as part of patient care activities.
• Occasional stooping and kneeling required.

Organizational Expectations