Registered Nurse PRN -Medical Critical Care Step Down
The MCCSU is a 24 bed acute care unit specializing in the care of stable but critically ill patients. Our goal is to provide transition level care to patients who while stable, still require a high degree of support. The IMC patient population consists of a wide range of both medical and surgical diagnosis including: Kidney transplant, Diabetic Ketoacidosis, Respiratory Disorders, End of Life Cancer, and Ventilator management with an emphasis on weaning. Assignments are based on patient acuity and staff skill level. The usual nurse/patient ratio is 3:1.
- Performs comprehensive assessments by interpreting multiple, sometimes conflicting, data sets and synthesizing their interrelationships.
- Formulates individualized plans of care based on assessment findings and interpreting trends in patient populations to achieve best practice.
- Supports and empowers patients/families as they progress through the healthcare continuum from health promotion to end of life decisions.
- Advocates for patients' rights from the patient/family perspective while providing counsel and acting as a resource to resolve issues.
- Anticipates ethical, spiritual and cultural needs of patients and intervenes to maximize outcomes. Coordinates healthcare and alternate services for patient/family transition planning.
- Makes clinical decisions based on experience, patient population data and intuition. Promotes the development of clinical decision making of all team members.
- Documents all patient care activities, as per documentation standards, and assists healthcare team members with documentation.
- Evaluates the outcomes of documentation and contributes to related performance improvement initiatives.
- Provides validation of clinical decisions for other staff members and seeks validation from others for complex patients or unfamiliar situations.
- Collaborates with the healthcare team and leads other disciplines to meet desired outcomes. Mentors staff in understanding and advocating for the importance of utilizing relationship based care initiative in nursing practice.
- Evaluates processes to achieve desired outcomes and anticipates patient variances while making revisions to plans of care.
- Communicates effectively and works cooperatively with others.
- Has respect for and an understanding of other clinical disciplines.
- Uses an integrated approach toward achieving desired patient outcomes.
- Demonstrates effective communication skills and assists in the resolution of conflict among healthcare team members, patients and families.
- Collaborates with the multidisciplinary team and incorporates their expertise to achieve desired patient outcomes.
- Keeps informed of unit initiatives and incorporates the outcomes of team or committee work into practice.
- Delegates patient care activities and coordinates unit activities.
- Assists staff with assessing patients' learning needs and outcomes measurement of patient education.
- Accesses resources from all disciplines to achieve desired patient outcomes.
- Demonstrates a willingness to give 100 percent and assist others voluntarily.
- Works with the team to achieve maximum productivity.
- Demonstrates role model and leadership behaviors consistently.
- Acts as a clinical resource and serves as a mentor to healthcare team members.
- Identifies own learning needs and develops professional goals.
- Seeks opportunities to obtain education to enhance practice.
- Collaborates in the development and implementation of an educational plan for identified needs.
- Reviews self-development plan and professional goals.
- Seeks new knowledge toward the progression of professional goals.
- Demonstrates evidence of self-development by obtaining a minimum of six formal contact hours.
- Maintains own Team Member Continuing Education Record.
- Seeks validation from others for complex patients or unfamiliar situations.
- Participates in quality improvement initiatives. Incorporates research findings into nursing practice.