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POSITION SUMMARY Registered Nurses provide direct care to patients and are a part of all care given by other departments. Registered Nurses must continually strive to provide the highest quality of care possible for the patients. They must also lead the nursing team toward the achievement of the goals of Cuyuna Regional Medical Center. High quality care and overall efficiency are essential components to this success. POSITION QUALIFICATIONS Education and Experience: A minimum of 2 years prior Critical Care experience preferred. If the nurse does not have a minimum of two years of recent ICU experience, a hospital designated critical care course must be completed within six month of hire. License/Certificates: Current Minnesota RN license. Current American Heart Association BLS required. American Heart Association ACL and PALS or ENPC required within 4 months of hire. TNCC, CALS or an approved course within 1 year of hire. For Charge RN: Must have current NRP. Special Skills and Aptitudes: The critical care nurse uses the nursing process to care for the critically ill patient in a manner consistent with recognized standards of nursing care and evidenced based practice as outlined by the American Association of Critical Care Nurses and the Minnesota Board of Nursing. Specific skill expectations include: The critical care nurse collects data from the patient, collaborates with other members of the health care team, physicians, and the patient's family/significant other to conduct a thorough assessment of the patient condition. This information is used to prioritize care for the patient across the continuum of care. Patient information is documented in the medical record timely. The critical care nurse uses the data from the assessment to formulate a nursing diagnosis. The critical care nurse uses critical thinking skills to identify outcomes based on the assessment. The critical care nurse is aware of available resources, and serves as an advocate for the patient when additional resources are needed. The critical care nurse develops and implements a plan of care based on the assessment and diagnosis and plans interventions based on identified outcomes using available resources to promote homeostasis. The plan of care includes attention to the patient's physiological, psychological, emotional, psychosocial, spiritual, community, and educational needs. The plan of care is communicated to other members of the team as appropriate and is revised in response to the patient condition changes. The critical care nurse evaluates the effectiveness of care delivered using evidence based outcomes criteria. This is achieved through ongoing assessment and reassessment and trending of patient assessment data. The nurse communicates changes in patient condition to the physician in a timely manner. The critical care nurse demonstrates effective communication and interpersonal skills. The critical care nurse demonstrates leadership by creating an encouraging environment for nurses new to the critical care environment, serving as mentors, participating on hospital committees, and demonstrating flexibility in the dynamic critical care environment. The critical care nurse is accountable for own professional development and learning; attends internal and external educational offerings, in-services, and unit meetings. The critical care nurse keeps current in the specialty of critical care nursing practice standards and promotes an environment of collegiality and collaboration. The critical nurse demonstrate competence and skill with use of hospital equipment, follows hospital policies and procedures, and conducts self in a professional manner at all times. ESSENTIAL RESPONSIBILITIES RN: Exercises concern for the patient's welfare, maintains knowledge of the patient's condition, administers medication and performs treatment while practicing and maintaining high ethical standards. Responsible for the direct and indirect care of residents/patients assigned to her/him under the guidance of the Director of Nursing and/or Assistant Director of Nursing, maintains accurate and complete records of nursing assessment and care, and counsels the client and family in meeting nursing and related needs. Remains up-to-date on new nursing skills and technology, utilizing the nursing process (observation, assessment, planning, implementation, and evaluation) in the delivery of care. Performs duties in accordance with physician's orders, the Medical Center's policies, methods, and techniques, and in coordinating with other departments and Medical Center personnel. Provides leadership and promotes teamwork. When requested, participates in in-service programs, education programs, and orientation of new personnel. Demonstrate a Can-Do Spirit when other duties are assigned. ICU RN: Remains up-to-date on skills and maintains proper CEU's for critical care certifications. Monitor all ICU patients to and from procedures and/or other departments. Charge Nurse: Assesses staffing requirements and makes assignments based on acuity and census and ensures adequate and safe staffing for each shift. Handles bed control for admissions, discharges and transfers. Assists and supports staff with all levels of patient care delivery, including Medical, Surgical, ICU, OB, and ED. Performs pharmacy duties as appropriate when pharmacist is not available. Coordinates and directs the daily patient care operations for the department of nursing. Analyzes workloads and skill requirements to meet patient care needs. Assesses staff competencies and makes patient care assignments. Delegates appropriate tasks to appropriate personnel, consistent with legal and professional guidelines and departmental standards. Maintains clear communications with the Chief Nursing Officer and Nurse Manager regarding nursing needs and/or incidents. Serves as a resource person in all identified areas. Completes initial individual unit competencies appropirate to charge nurse role. Maintains competency by both seeking out opportunities to work in these areas and completing unit specific ongoing education. Assists with patient care as needed. Identifies appropriate internal controls for department; provides mechanisms to monitor and enforce compliance. Acts as a facilitator for employee experiencing on the job injuries, connecting them to appropriate resources.