CentralCare, Inc. is currently looking for a Registered Nurse - Intensive Care Unit to fill an opening with a facility located at Tripler Army Medical Center in Hawaii. Interested candidates must be a graduate of a nursing program accredited by the American Association of Colleges of Nursing and National League for Nursing. If candidate is an international nurse graduate from jurisdictions other the U.S., must possess a valid certification for Full Education Course-by-Course Report by the Commission on Graduates of Foreign Schools. a degree from an accredited program and hold a current, active and unrestricted license with at least three (3) years of experience as a registered nurse with at least one (1) year of experience within the last three years in a critical care area of four or more beds as a registered nurse.
Job Responsibilities. Registered Nurse – ICU’s areas of responsibility shall include but not necessarily be limited to the following.
Knowledge of interpersonal relationships and the ability to maintain composure and react appropriately while relating to patients and families; to manage distraught, irritable, unreasonable or angry individuals; and to maintain positive rapport with all individuals involved in patient care.
Ability to react with alertness and skill in any emergency situation, e.g., cardiac or respiratory arrest, hemorrhage, shock, severe physical trauma and psychiatric reaction. Serves as member of the resuscitation team.
Assess patients' conditions for potential or life threatening crises. Distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment). Plan appropriate nursing care.
Obtain patient history and pertinent family history.
Document plan of care and care given in patient's medical record.
Utilize appropriate nursing personnel to assist in delivery of care when indicated (LPNs/paraprofessionals).
Transcribe or verify transcription of physician orders.
Carry out prescribed physician orders and document in patient medical record. Communicate pertinent patient data to charge nurse and/or physician as appropriate.
Reassess patient's condition and revise plan of care based on identified nursing problems.
Possess knowledge of the pharmacology of emergency drugs, anticipated results, usual dosages, and their location on crash cart.
Administer medications by any ordered route. Assess and document patient response to medications administered.
Instruct patient/family regarding prescribed medications/therapies and surgical/diagnostic procedures that must be accomplished.
Give inhalation therapy treatments, with knowledge of medications utilized in this treatment and reactions.
Be able to interpret and intervene cardiac rhythms to include recognizing lethal rhythms and their implications.
Assess patient/family knowledge level, implement plan of instructions and record patient/family demonstrated level of understanding.
Operate defibrillator, EKG machine and cardiac monitor.
Contract nurse shall administer blood and their competencies for blood administration will be verified.
Interpret pertinent lab values.
Use electronic thermometers, infusion and Patient Controlled Analgesia pumps and various other pieces of medical equipment.
Provide nursing care to a group of patients with other individuals assisting him/her, which may include making patient care assignments.
Be able to initiate life saving measures in the absence of a physician.
Identify impending or existing emotional or psychiatric crisis and provide appropriate intervention.
Completion of Critical Care Unit Checklist. A hands-on checklist will be completed during the orientation period. To remain a contract nurse under this contract, an employee must demonstrate competence in pathophysiology and rhythm recognition during the first week of performance.
To remain a contract nurse under this contract, an employee must demonstrate competence in pathophysiology and rhythm recognition during the first week of performance
Successful completion of certification for the following tasks:
Critical Care Medications (monitor, mix in emergency situations, administer/titrate):
o Dysrhythmia Recognition;
o Moderate Sedation
o Arterial Blood Gas Sampling and Interpretation;
o Hemodynamic Pressure Interpretation;
o Assists with Synchronized Cardioversion; Apply noninvasive external pacemaker;
o Perform emergency defibrillation; Demonstrate use and operation of defibrillator; perform as a member of the code team,
o Administer thrombolytic agents; i.e. cathflo
o Perform the Postoperative Recovery and discharge within established criteria;
o Draw blood from invasive monitoring lines; Care and maintenance of central lines
o Assists with Procedures
o Obtain Hemodynamic variables;
o Provide intensive nursing care to critically ill patients of all ages with medical and/or surgical problems and/or Infectious Disease related problems;
o Administer prescribed medications to include multiple medication drips and intravenous push drugs;
o Care for patients on ventilators;
o Operate hemodynamic equipment safely and effectively.
May be required to work in the Critical Care Unit, Progressive Care Unit, Post Anesthesia Care Unit (PACU), Cardiac Catheterization Lab, Emergency Room, Medical Ward/Clinics, Surgical Wards/Clinics, and Obstetrics/Gynecology Wards/Clinics.
The Registered Nurse – Critical Care position is mission essential.
Must hold current American Heart Association Basic Life Support for Healthcare Provider and Advanced Cardiovascular Life Support (ACLS).
Staffing and Scheduling:
The performance hours of the MTF are as follows:
Work schedule may include rotating 8, 10, 12-hour or part-time shifts per week including nights, days, weekends, and federal holidays. Work will not exceed 12 hours in a 24-hour period and 80 hours in a consecutive 14-day period.
Why Work Here?
CAN BE LICENSED IN ANY STATE!!