Attachment B - Statement of Duties Intensive Care Unit RN.pdf

03/2016

Indian Health Service

Statement of duties

Position title:

Duty location:

Provide specific statement of duties for position to be filled:

1. ACLS

2. BCLS

3. TNCC

Shift:

84 Hrs Per Pay Period 12 Hr D/N Rotating/Weekends/Holidays

Statement of Duties:This position is located in the Division of Nursing Service at Gallup Indian Medical Center. The ICU is a six bed unit. Clinical specialties for this unit include surgery, trauma, medical, psychiatry, and many other sub-specialties.

The incumbent will:

• Initiate treatment, medications, emergency and resuscitative measures based on appropriate utilization of standing ICU protocols in conjunction with ACLS and TNCC guidelines.

• Administers therapeutic measures as prescribed by the physician such as medication, treatments, IV fluids, blood transfusions, nasogastric tubes, foleys, etc.

• Observes and assesses critically ill patient’s health status by physical assessment and examination, interviewing the patient and family members, and reviewing the patient’s health history and ongoing hemodynamic monitoring.

o Makes an assessment of the patient’s condition recognizing the range of normal and the manifestations of common abnormalities, nursing interventions needed, therapeutic measures, hemodynamic monitoring data analysis, and other relevant information to the patient’s condition.

• Makes an individualized plan of care for the patient

• Provides intensive nursing care to meet the physical, emotional, spiritual, and sociocultural needs of the patient in the intensive care setting.

• Operates and monitors specialized equipment such as cardiac monitors, volume respirators, swan ganz catheters, arterial lines, defibrillators, pulse oximeters, internal and external pacemakers, chest tubes and triple lumen catheters.

• Functions as a primary nurse on all units of the hospital when a cardiac or respiratory emergency occurs.

• Functions as an intravenous therapy resource on all units

• Provides pre- and post-operative care

• Collaborates with members of the multi-disciplinary care team

• Documents in EHR assessments , interventions, and referrals for follow-up care

• Provide patient and family teaching

• Identifies specific critical care problems that affect program planning and development

• Participates in performance standards, measures, and projects for improved patient outcomes

• Initiates change in procedures and approaches to care as necessary for quality assurance

• Fosters patient motivation and compliance in adhering to required routines by counseling and assisting patient to understand and accept implications of care, diagnosis, and treatment.

• Maintains professional knowledge and skill, and keeps license and certifications current