Shift: night - 3x12
Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible for coordinating and delivering patient care utilizing the nursing process in a hospital setting.UNIT DESCRIPTIONThe Progressive Care Unit is a 37 bed, intermediate-acuity telemetry unit that manages complex cardiovascular conditions requiring continuous monitoring and advanced nursing care. The patient population includes acute coronary syndromes, decompensated heart failure, post-PCI and post-cardiac catheterization patients, arrhythmias requiring titratable antiarrhythmics, and patients requiring vasoactive drips (non-invasive) and high-flow oxygen support. Nurses are expected to have strong cardiac rhythm interpretation skills and experience with titratable infusions, as well as the ability to recognize subtle clinical changes. While there is an emphasis on cardiac care, these are not the only cases that are managed on this floor. The Progressive Care Unit does act as a step-down unit and cares for a variety of medical conditions that can be found on traditional step-down units. Ideal patient ratios: Days: 4:1; Nights: 5:1JOB RESPONSIBILITIES Administers patient care under the direction of a physician. Identifies and pursues expected patient outcomes in collaboration with the interdisciplinary care team. Reports and records the plan for care, nursing care given, and the patient s response to that care. Provides competent clinical nursing care consistent with healthcare organization and nursing standards, policies and procedures. Organizes and prioritizes care according to patient/family needs. Consults with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning. Collaborates with peers in a clinical operations environment, including fostering intra/interdepartmental communication. Synthesizes data from complex situations to determine priorities for care, including appropriate physical, psychosocial, education and safety needs. Assesses and anticipates discharge needs of individual patients and families. Communicates with patient/family to prepare or update the plan of care using cultural competency and active listening. Develops relationships with patients and their families that promote their ability to advocate for patient and family needs. Develops clinical and operational excellence in self and in peers through education and training. Promotes a safe, clean and secure hospital environment for all, including the application of standard precautions and principles of infection control. Ensures competency in all required skills and completes competency assessment annually per the documented competency checklist. Adheres to documented policies and processes as well as performing other related duties as assigned.QUALIFICATIONS:Some units may require Advanced Cardiac Life Support (ACLS) certification prior to performing clinical care. Training and certification opportunities will be provided.Required Must be licensed to practice as a Registered Nurse in the state of North Carolina or one of compact states by the day of clinical care. Basic Life Support (BLS) certification. Relias Arrythmia Exam - Basic for PCU - Must be completed within 7 days after acceptance of position. Must have EPIC ExperiencePreferred One (1) year of experience working in a registered nurse role in an acute care / inpatient hospital setting.SHIFT TIMES: Determined by SHIFT TYPE in Job Order/Job Posting Either Day - 6:45 am - 7:15 pmOrNight - 6:45 pm - 7:15 amEvery Other Weekend & Rotating Holidays Certifications:NIHSS - required BLS - required ACLS - required Guaranteed Hours: 36