Registered Nurse Pediatric ICU
Company: Rhode Island Hospital
Location: Providence
Posted on: February 3, 2025
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Job Description:
Summary:
Under the direct supervision of the Clinical Manager (or designee)
implements supervises and evaluates the nursing care of each
patient using a nursing process and in accordance with established
hospital and departmental policies and procedures. From admission
to discharge plans with consideration of the aging process
throughout the life span including all developmental stages as well
as cultural patterns. Responsibilities:
Provides direct patient care.Provides leadership by delegating
supervising and participating in safe nursing care activities
provided by ancillary personnel.Evaluates effectiveness of patient
care and identifies opportunities for improvement.Collaborates with
the healthcare team patient family and community services regarding
the patient care outcome/discharge planning.Assesses and provides
appropriate teaching based on patient and family needs.Participates
in unit-based quality improvement and research activities.Utilizes
all available resources to provide quality cost effective patient
care.Meets and maintains clinical competencies measured by
pre-determined credentialing standards mandatory/safety education
and completion of Basic Life Support and ACLS/PALS as
appropriate.Identifies growth needs and participates in educational
opportunities and professional organizations.Serves as a role
model/preceptor to new graduate nurses and less experienced
personnel.Assumes charge nurse responsibility for the patient care
unit as delegated.Competency Assessment:Advanced Respiratory
Assessment and interventions:Successfully cares for patients
receiving all types of non-invasive and invasive ventilatory
interventionsCritical Airway GuidelinesMonitors and interprets end
tidal CO2Interprets blood gas resultsAssists with
intubationAdvanced Cardiac Assessment and Hemodynamic MonitoringECG
monitoring and arrhythmia recognition defibrillation cardioversion
drug intervention and internal and external pacing.Cares for
patient with congenital heart defectHemodynamic monitoring
including arterial line and central venous pressure
monitoringPerforms neurovascular checks /Utilizes Doppler for pulse
assessmentObtains a 12 lead EKGNeuro Critical Care Manages an EVD
Monitors ICP and delivers appropriate interventions Proficient in
Glasgow Coma Scale assessment Manages a lumbar drain Maintains
spinal precautions Cares for patient with spinal cord
injurySurgical Critical Care Manages immediate post-operative phase
of complex surgeries including (but not limited to) neurosurgical
orthopedic spinal plastic vascular otolaryngology and complex
general surgical.Patient Teaching Provides education to patient
according to age and developmental level. Evaluates the patients
and/or families/caregivers response to teaching using teach back
and GetWell Network methodologies. Knowledge/SkillsCare and
management of patient receiving extracorporeal membrane oxygenation
(ECMO)Care and management of patient receiving continual renal
replacement therapy (CRRT)Care and management of a patient with
> 20% BSA burns (see burn center orientation checklist)Care and
management of the post-operative kidney transplant patientCare and
management of the stroke patient including responding as part of
stroke team and administering tPACare and management of patient
requiring maximal personal protective equipment (PPE)Care and
management of patient with an oncological emergencySafely and
effectively travel with critically ill pediatric patients
throughout institution.Utilizes available smart pump technology to
safely deliver vasoactive sedation and other high risk meds to
pediatric patients.Monitors patient during sedation for
procedureResponds to pediatric code blue and pediatric rapid
response team calls throughout institutionCare of the patient and
family at end of lifeknowledgeable of palliative care
therapies.Complies with standards of care for bereavement in the
care of parents and families who are experiencing the loss of a
childCare of patient who has agreed to organ donation/support of
parents/familiesAble to use the following equipment:Cardiac
monitors (stationary and travel)Giraffe warmer/ Bair Hugger/cooling
blanketHot Line WarmerDopplerLeadershipPresents nursing report at
interdisciplinary roundsParticipates in unit based huddles
supporting culture of safety
Other information:
Licensure as Registered Nurse in the State of Rhode Island by the
Rhode Island Board of Nursing or licensure as a Registered Nurse in
accordance with the Nurse Licensure Compact agreement of the
National Council of State Boards of Nursing.BASIC
KNOWLEDGE:Baccalaureate in Nursing preferred.Must have current
licensure to practice as a Registered Nurse in the State of Rhode
Island.Demonstrates knowledge and skills necessary to provide care
to patients throughout the life span with consideration of aging
processes human development stages and cultural patterns in each
step of the care process.Twelve (12) months of Medical/Surgical
strongly preferred. Critical care experience highly desirable.WORK
ENVIRONMENT AND PHYSICAL REQUIREMENTS:Visual and aural ability to
monitor patient status.Physical ability to assist in lifting and
positioning patients.Exposed to patient care environment.Physical
ability for extensive walking and standing; lifting positioning and
pushing patients on stretchers. Brown University Health is an Equal
Opportunity / Affirmative Action employer. All qualified applicants
will receive consideration for employment without regard to race
color religion sex national origin age ethnicity sexual orientation
ancestry genetics gender identity or expression disability
protected veteran or marital status. Brown University Health is a
VEVRAA Federal Contractor. Location: Rhode Island Hospital
USA:RI:ProvidenceHasbro Work Type: Full Time Shift: Shift 3 Union:
UNAP
Keywords: Rhode Island Hospital, Providence , Registered Nurse Pediatric ICU, Other , Providence, Rhode Island
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