Primary Purpose: The Registered Nurse (RN) is an individual who holds a current state license to practice nursing. The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social and nursing sciences to assess, plan, implement and evaluate patient care. The care is culturally based and age specific.
Graduate from an accredited school of nursing. Bachelor of Science in Nursing preferred.
License and Certification: Current Ohio RN License.
Years of Experience:
Medical/Surgical 0 (will accept new grads)
Critical Care 2 years equivalent experience preferred
Perioperative Services 2 years equivalent experience preferred
Emergency Department 2 years equivalent experience preferred
Obstetrics/Gynecology 2 years equivalent experience preferred
Mobile Care/Transport 2 years critical care/emergency nursing or 2 years' pre-hospital Paramedic level experience and 2 years' critical care/emergency experience. Transport nursing experience preferred.
Radiology 2 years of critical care or emergency care experience preferred; one year interventional radiology preferred
PICC (peripherally inserted central catheter) 2 years clinical nursing experience required; Prefer critical nursing experience or one year of PICC experience
Required Skills and Knowledge:
pecialties
Basic Life Support (American Heart Assoc.) current before end of department orientation.
Critical Care
Care for the patient requiring hemodynamic monitoring, including but not limited to pulmonary artery catheter, arterial line,
Care for the patient with a temporary pacemaker.
Care for the patient with acute respiratory failure requiring ventilator support.
Care for the patient with acute/chronic renal failure in need of continuous renal replacement therapy (CRRT)
Care for postoperative patient that initiated from ICU
Care for post-interventional procedural patient, including but not limited to, angioplasty, stent placement
Care for the patient requiring paralytic medical management
Care for the patient requiring intra-aortic balloon pump
Acts as resource for Centralized Monitoring Unit
Responds to Code Blue and Rapid Response Team
Perioperative Services
Initiates and participates in Universal Protocol for all surgical procedures
Demonstrates knowledge of patient safety by providing a safe O.R. experience overall, which includes: ESU, fire, and positioning safety; proper count procedures; proper use of specialty equipment used in the O.R.
Carries out effectively, core measure set activities and associated documentation requirements. IE: SCIP
Utilizes American Organization of Operating Room Nurses Standards (AORN), Recommended Practices and Guidelines when providing care within the Operation Room
Demonstrates the ability to effectively circulate on all types of surgical procedures
Demonstrates commitment to accountability in cost containment strategies with supply acquisition, handling and charging
Ability to fulfill on call requirements
Effectively functions in the scrub role as applicable
Emergency Dept.
PALS current within 1 year of hire
Passing grade on the basic dysrhythmias/EKG exam upon orientation completion and yearly.
Awareness and Operations HazMat Training required within one year of hire and annually
Procedural Sedation Competency
Rapid Sequence Intubation Competency
Triage patients utilizing 5-level Emergency Severity Index Triage and determine priority of care based on physical assessment.
Understands de-escalation principles and utilizes skills/techniques in appropriate situations
Labor and Delivery
NRP and STABLE are required to be obtained within the orientation period.
EFM certification required within 2 years of hire. (West Chester Hospital)
1-3 years' minimum experience working in Women's' Health Services, Labor and Delivery, Neonatal Nursing
Knowledge of labor, delivery, postpartum and nursery care essentials
Must know principles and practice of sterile technique and infection prevention
Skilled in technical aspects of mother/infant care
Able to perform effectively in stressful situations
Able to interact effectively with a wide variety of people and departments
Preferred PALS, NRP or obtain within one year
Special Care Nursery
Cares for infants transitioning to extra uterine life
Provides age and culturally appropriate care to patient
Consults and coordinates with health team members to assess, plan, implement and evaluate patient care plans
Provides nutritional assessment and specialized feedings
Changes dressings, inserts catheters, starts IV
Draws labs
Provides arterials and intravenous therapy
Monitors and adjusts specialized equipment used on patients, such as ventilators and incubators
Prepares, administers and records prescribed medications. Reports adverse reactions to medications or treatments
Monitors vital signs and initiates corrective actions when the patient displays adverse symptoms; communicates to the healthcare team
Assists physician during examinations, treatments and procedures which could include life-saving situations
Instructs and educates newborns' families
Participates in discharge planning
LTAC
Previous clinical experience or certification in critical care, medical/surgical, rehabilitation, and/or gerontology nursing is preferred.
BCLS required prior to patient contact.
ACLS and telemetry (EKG) required within 6 months of hire.
Radiology
Provides pre-procedure, intra-procedure and post-procedure care of patients undergoing Interventional Radiology procedures.
Is competent in moderate sedation under the direction of a physician
Follow proper radiation safety techniques including compliance with local, state or federal regulation. Uses proper shielding to reduce radiation exposure, adheres to correctly wearing dosimeter badges and maintains a working environment where radiation exposure to self, coworkers, and patients is as low as reasonably achievable.
Performs proper decontamination procedures in the event of radioactive spills/contamination incidents.
ACLS
Mobile Care
Apply and obtain Indiana and Kentucky Nursing License within three months of hire
Current Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Trauma Nurse Core Curriculum (TNCC), or Transport Nursing Advanced Trauma Course (TNATC)
Neonatal Resuscitation (NRP) or their equivalents must be obtained within the departmental orientation period.
Relevant certification (CEN, CCRN, CFRN OR CTRN) or equivalent required within two years of employment.
Ability to make independent, clinically and operationally competent decisions in a challenging environment.
PICC Team
Evaluate the appropriateness of vascular access request
Is competent in utilization of imaging equipment and PICC /midline catheter supplies
Knowledgeable in anatomy and physiology as it pertains to proper placement of PICC and midline catheters
Passing grade on the basic dysrhythmias/EKG exam upon orientation completion and annually
Maintain competency in EKG interpretation related to catheter placement
Must demonstrate principles and practice of sterile technique and infection prevention
Cardiac Cath
Passing grade on dysrhythmias/EKG exam upon completion and yearly
Procedural Sedation Competency yearly
Care for patient requiring hemodynamic monitoring
Competent in arterial and venous sheath pulls
Provides pre-procedure, intra-procedure, and post procedure care of patient undergoing cardiac catheterization procedures
Demonstrates ability to effectively circulate all types of cardiac catheterization procedures
Must know principles and practice sterile technique and infection prevention
Competent in radiation safety
Must perform and chart thorough cardiovascular assessments
Required to take "call". Must live within 30-minute radius.
ACLS required
Completes annual competency specific to MIS (West Chester Hospital only)
Wound Care
Completes an annually certification of mandatory unit specific, hospital and safety education.
Wound ostomy care knowledge
Diabetic education
Knowledge of adult learning principles
Cardiovascular Recovery
Passing grade on dysrhythmias/EKG exam upon completion and yearly
Procedural Sedation Competency yearly
Care for patients requiring hemodynamic monitoring- arterial lines and Swans Ganz catheters only
Care for pre and post procedural patients, including but not limited to; angiogram, angioplasty, pacemaker/ICD placement, ablation, TEE/Cardioversion, Tilt table test, Loop recorder placement/removal
Competent in management of post procedural care, including but not limited to; access site management, hemodynamic stability, complex assessment
Competent in arterial and venous sheath pulls
Demonstrates and verbalizes knowledge and understanding of the care for a heart failure patient
ACLS
Stress Testing Lab/Echo Lab
ACLS Current
Passing grade on dysrhythmias/EKG exam upon completion and yearly
Procedural Sedation Competency yearly
Competent in General Stress Testing, Echo Stress Testing & Nuclear Stress Testing
Competent in Holter Monitor application and removal
Competent in contrast administration and bubbles studies
Competent in radiation safety
Electrophysiology
Passing grade on dysrhythmias/EKG exam upon completion and yearly
Procedural Sedation Competency yearly
Care for patient requiring hemodynamic monitoring
Competent in arterial and venous sheath pulls
Provides pre-procedure, intra-procedure, and post procedure care of patient undergoing electrophysiology procedures
Demonstrates ability to function in the scrub role and effectively circulate all types of electrophysiology procedures
Must know principles and practice sterile technique and infection prevention
Competent in radiation safety
Must perform and chart thorough cardiovascular assessments