RN Charge/Staff RN Intensive Care Unit (stcharles)

Job Description

Full-Time, Days
Dual Role: Charge RN / Staff RN

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE:                                                   Charge Nurse

REPORTS TO POSITION:               Varies

DEPARTMENT:                                  Varies

DATE LAST REVIEWED:                 January 25, 2017

JOB SUMMARY

Collaborates with leadership in coordination of the assigned shift. Provides clinical support and mentorship to the assigned shift while delivering quality patient and family centered care as a member of the health care team in accordance with SCHS mission, philosophy, policies, and procedures.  Applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and all others.  Provide direct patient care as per article 7.15.2. 

JOB RESPONSIBILITIES   (May perform additional duties of similar complexity within SCHS as required or assigned)

Assist unit leadership in the following:

Coordination of the shift, bed management, and patient flow (inter and intra departmental).
Patient assignment.
Proactively monitoring and managing shift staffing to meet patient needs and productivity targets.
Determining patient acuity for download and staffing needs for next shift.
Successful handoff and communication between shifts.
Crisis management for the shift.
Serves as a mentor; teaches, guides, and supports the clinical staff.

Provides input into the evaluation process of unit caregivers.

Demonstrates ability to set priorities and adapt quickly to new situations.

Identifies work-related problems with possible solutions and implements solution(s) (within scope of practice) in collaboration with the clinical supervisor. 

Responsible to manage their patient’s experience by clarifying, integrating, and coordinating the roles of the interdisciplinary team and help mentor other nurses clinical skills accordingly.

Supports and assists physicians and staff with computerized documentation.

Serves as a resource within the unit and to other departments regarding unit specific best practices.

Provides 2-way communication of the SCHS mission, vision, values, and strategic plan for the shift.

Lives, models, applies and assures care delivery philosophy in interactions, care and service.

Clinical problem solving.

Help provide coverage for breaks and other times the primary nurse needs relief.

Maintains and demonstrates an in-depth knowledge of nursing principles, practices, standards, and techniques and applies this knowledge in accordance with SCHS policies and work instructions and within laws and regulations governing nursing practice in the State of Oregon.

Assesses the patient’s condition and needs using critical thinking and clinical judgment: sets outcomes; implements appropriate nursing actions and collaborates with other disciplines to meet the patient’s/family’s physical, emotional, spiritual, social, and intellectual needs; and evaluates patient’s progress.

Calculates dosages and administers medications accurately using the “5 Rights” of medication administration. 

Provides and maintains a safe environment for caregivers, patients and guests.

Ability to document in Electronic Medical Records with proficiency. 

Demonstrates awareness of and supports St. Charles Health System’s departmental and operating unit goals through participation in continuous quality improvement and departmental activities.

Participates in activities that promote professional growth and development of self and others.

Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients, and guests.

Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.

Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience.

Provides a therapeutic presence in service to others.  Therapeutic presence is purposefully responding to the needs of patients/customers in a caring way.  It includes introducing oneself and stating your purpose, asking the patient their preferred name, sitting with the patient to determine their care goals, active listening, and the skillful use of communication skills (touch, eye contact, etc.).

Performs other related work as directed by immediate supervisor.

REQUIREMENTS

Education:  As required by licensure, BSN preferred.

Licensure/Certification/Registration: 

Required:

Current Oregon RN license. 
AHA Basic Life Support for Healthcare Provider certification.
ACLS
PALS required within 90 days of hire
​TNCC required within 6 months of hire
Code Grey Training required within 6 months of hire
Moderate/Procedure Sedation required within 90 days of hire
 

Preferred:
CCRN

Experience:  

Varies by department.  Two years of nursing experience in the clinical area of assigned supervision required.  Previous leadership experience preferred.

* Must be able to wear appropriate PPE (Personal Protective Equipment) required to perform the job safely.

PHYSICAL REQUIREMENTS

Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers. Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/step-stool (varies by area), reaching overhead, lifting/carrying/pushing or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level. Rarely (10%): Climbing stairs. Never (0%): Climbing ladder/step-stool (varies by area), operation of a motor vehicle. Exposure to Elemental Factors Rarely (10%): Wet/slippery area, chemical solution. Never (0%): Heat, cold, noise, dust, vibration, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category Risk for Exposure to BBP

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE:                                     RN – Critical Care - System

REPORTS TO POSITION:        Department Manager/Director

DEPARTMENT:                       Varies

DATE LAST REVIEWED:         December 18, 2020

OUR VISION:               Creating America’s healthiest community, together

OUR MISSION:             In the spirit of love and compassion, better health, better care, better value

OUR VALUES:             Accountability, Caring and Teamwork

DEPARTMENTSUMMARY: The Critical Care RN positions include bedside RNs on various units throughout St. Charles Health System.  These departments include all Intensive Care Units, the Intermediate Care Unit, Progressive Care Unit and Critical Care Floats.  These departments provide 24/7 specialized care to patients throughout their hospitalization and discharge.

POSITION OVERVIEW: The RN provides quality patient and family centered care as a member of the health care team in accordance with St. Charles Health System mission, philosophy, policies, and procedures.  Applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and all others. As a nurse, this position will oversee the work of other caregivers, providing specific care to assigned patient(s) throughout the shift, as required under the scope of the RN licensure.

ESSENTIAL FUNCTIONS AND DUTIES: 

Maintains and demonstrates an in-depth knowledge of nursing principles, practices, standards, and techniques and applies this knowledge in accordance with St. Charles Health System policies and procedures and within laws and regulations governing nursing practice in the State of Oregon   Assesses the patient’s condition and needs using critical thinking and clinical judgment: sets outcomes; implements appropriate nursing actions and collaborates with other disciplines to meet the patient’s/family’s physical, emotional, spiritual, social, and intellectual needs; and evaluates patient’s progress.

Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration.

Documents all patient care with proficiency in compliance with hospital policies, procedures and regulatory agencies.  

Demonstrates awareness of and supports St. Charles departmental and operating unit goals through participation in continuous quality improvement and departmental activities.

Participates in activities that promote professional growth and development of self and others.

Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients, and guests.

Identifies work-related problems with possible solutions and implements solution(s) within scope of practice, as appropriate.

Supports the vision, mission and values of the organization in all respects.

Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.

Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.

Participates in creating intentional relationships and demonstrates focused attitudes and behaviors that enhance the care experience.

Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient’s care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, communicating effectively and appropriately through touch, eye contact, etc.

Provides and maintains a safe environment for caregivers, patients and guests

Conducts all activities with the highest standards of professionalism and confidentiality.  Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. 

Performs stand by callback as assigned.  Varies by department.

May perform additional duties of similar complexity within the organization, as required or assigned.

Additional Duties – Bend – Intensive Care Unit:

May function as Rapid Response Team Nurse as assigned following department specific guidelines.

EDUCATION

Required:  As required by RN licensure.

Preferred:  BSN          

LICENSURE/CERTIFICATION/REGISTRATION
Required: Current Oregon RN license.

AHA Basic Life Support for Healthcare Provider certification.

ACLS                                                    

Preferred: Department specific acute care certification (i.e. CCRN, PCCN, CEN)

BEND- INTENSIVE CARE UNIT:

Additional Requirements: 

PALS prior to caring for pediatric patients.  

TNCC certification within 12 months of hire. Will then be required to maintain a minimum of 16 hours of trauma education every 4 years or continue TNCC certification. 

Code Grey training within 12 months of hire.

EXPERIENCE 

Required: See below

Preferred: Department specific acute care experience.

BEND-INTENSIVE CARE UNIT:

Additional Requirements: One year of Intensive Care Unit experience within five years

Preferred:  ICU experience at a Level 1 or 2 Trauma Facility strongly preferred.

PERSONAL PROTECTIVE EQUIPMENT 

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION:  

General:

Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System.

Excellent organizational and multitasking skills. 

Strong teamwork and collaborative skills.

Strong analytical, problem solving and decision making skills. 

Basic to intermediate ability and experience with computer applications, specifically electronic medical records system and MS Office.

PHYSICAL REQUIREMENTS:

Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers.

Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/step-stool (varies by area), reaching overhead, lifting/carrying/pushing or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level.

Rarely (10%): Climbing stairs.

Never (0%):  Climbing ladder/step-stool (varies by area), operation of a motor vehicle.

Exposure to Elemental Factors

Rarely (10%): Wet/slippery area, chemical solution.

Never (0%):  Heat, cold, noise, dust, vibration, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category

Risk for Exposure to BBP

Schedule Weekly Hours:

36

Caregiver Type:

Regular

Shift:

First Shift (United States of America)

Is Exempt Position?

No

Job Family:

REGISTERED NURSE ACUTE CARE

Scheduled Days of the Week:

Variable; includes every other weekend and holidays

Shift Start & End Time:

0600-1830 and 0700-1930