RN/Registered Nurse - Daniel Drake Center - Post Acute Care

Knowledge and Skills:

Education: Associate's degree, minimum required. Bachelor's degree, preferred.

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
* ACLS required

Daniel Drake Ctr Post Acute Cr