As a Surgical or Medical Intensive Care Unit Nurse, you will provide intensive medical and post-operative management and personal care services to critically ill and injured patients. Duties include extensive documentation of observations, assessments, and minute changes in patients’ conditions; collaborating with health team members to facilitate positive patient care outcomes; and providing a full range of nursing care to patients with a variety of physical and/or behavior problems. Our facility is seeking individuals who possess good organizational skills which enable completion of work, a demonstrated ability to assume leadership in a patient centered program, and the ability to establish effective communication with patients, families, visitors, and members of the interdisciplinary team and participation in unit based quality improvement activities.
Main Job Tasks and Responsibilities
An ICU nurse is responsible for closely observing patients, noting specific procedures and prescribed medication for each case; assisting doctors in providing physical assessments and administering treatments; monitoring vital signs and ensuring the proper functions of feeding tubes, ventilators, catheters and other life support equipment’s; attending to the patient’s overall needs, such as feeding, bathing and grooming, dressing replacement, medication intake, and comfort. An ICU nurse work efficiently with other practical nurses and nursing assistants in the ICU ward and be able to provide clear directions and guidance for procedures and routines.
- Advocate for patients’ and families’ needs, or provide emotional support for patients and their families.
- Set up and monitor medical equipment and devices such as cardiac monitors, mechanical ventilators and alarms, oxygen delivery devices, transducers, and pressure lines.
- Monitor patients’ fluid intake and output to detect emerging problems such as fluid and electrolyte imbalances.
- Monitor patients for changes in status and indications of conditions such as sepsis or shock and institute appropriate interventions.
- Assess patients’ pain levels and sedation requirements.
- Assess patients’ psychosocial status and needs including areas such as sleep patterns, anxiety, grief, anger, and support systems.
- Collaborate with other health care professionals to develop and revise treatment plans based on identified needs and assessment data.
- Collect specimens for laboratory tests.
- Compile and analyze data obtained from monitoring or diagnostic tests.
- Conduct pulmonary assessments to identify abnormal respiratory patterns or breathing sounds that indicate problems.
- Document patients’ medical histories and assessment findings.
- Document patients’ treatment plans, interventions, outcomes, or plan revisions.
- Identify patients who are at risk of complications due to nutritional status.
- Prioritize nursing care for assigned critically ill patients based on assessment data and identified needs.
- Assist physicians with procedures such as bronchoscopy, endoscopy, endotracheal intubation, and elective cardioversion
Key Competencies and Characteristics
ICU nursing, a registered nurse must be able to handle critical and highly stressful situations with efficiency and composure. They must be able to react decisively and intelligently in emergencies, perform and assist in medical procedures with accuracy, expertly operate life support machines and other medical equipment’s, and carefully look after patients with severe medical conditions.
- Observing patients, noting specific procedures and prescribed medication for each case; assisting doctors in providing physical assessments and administering treatments; monitoring vital signs and ensuring the proper functions of feeding tubes, ventilators, catheters and other life support equipment; attending to the patient’s overall needs, such as feeding, bathing and grooming, dressing replacement, medication intake, and comfort. Work efficiently with other practical nurses and nursing assistants in the ICU ward and be able to provide clear directions and guidance for procedures and routines.
Key Competencies and Characteristics
- Identify patients’ age-specific needs and alter care plans as necessary to meet those needs.
- Provide post-mortem care.
- Perform approved therapeutic or diagnostic procedures based upon patients’ clinical status.
- Evaluate patients’ vital signs and laboratory data to determine emergency intervention needs.
- Administer blood and blood products, monitoring patients for signs and symptoms related to transfusion reactions.
- Administer medications intravenously, by injection, orally, through gastric tubes, or by other methods.
- Must pass pre-employment examination.
- Designated and/or Random Drug Testing required.
- Background and/or Security Investigation required.
- Must be proficient in written and spoken English
Education and Experience
- Candidates must have a bachelor’s, associates or diploma degree in Nursing.
- Full unrestricted Registered Nurse state Licensure, Certification, or Registration required
- The ideal candidate will have at least have one year of recent ICU specific unit experience
- Employment is conditional upon passing a drug test and background check
- Current TX or any state Compact license – American Heart Association ACLS, PALS, BLS certifications, CCRN certification preferred