Travel Nurse RN - Neuro ICU
Saint Louis, MO
Magnet Medical
3x12 hrs, Nights

Patient Assessment and Monitoring:

• Conduct detailed assessments of patients with neurological conditions, including vital signs, neurological exams (e.g., Glasgow Coma Scale, pupil response, limb movement), and monitoring for signs of intracranial pressure (ICP).
• Continuously monitor for changes in neurological status, including altered consciousness, pupil reaction, motor function, and speech.
• Utilize advanced technology and equipment to assess patient status, such as intracranial pressure (ICP) monitoring devices, electroencephalography (EEG), and cardiac monitoring.

Critical Care Management:

• Administer prescribed medications, including pain management, sedatives, anticonvulsants, and intravenous medications, ensuring correct dosages and monitoring for side effects.
• Provide specialized care for patients undergoing procedures such as strokes (tPA administration), neurosurgical interventions, brain injury management, or spinal cord surgery.
• Monitor and manage ventilator settings for intubated patients, ensuring proper oxygenation and ventilation.
• Manage patients with external drains, such as ventriculostomies (for ICP monitoring), and ensure proper positioning and drainage.

Neuro-Assessment and Interventions:

• Perform neurological assessments using appropriate tools (e.g., Glasgow Coma Scale, pupil reactivity, motor and sensory function).
• Monitor for signs of deterioration, including increased ICP, seizures, or changes in consciousness, and intervene as necessary, following established protocols.
• Administer anti-seizure medications for patients at risk of or experiencing seizures and ensure continuous monitoring.
• Provide hyperventilation or other interventions to decrease ICP if necessary.

Family Education and Support:

• Offer support and guidance to families of critically ill patients, explaining the nature of the neurological condition, prognosis, and treatment options.
• Provide education on the care process, expected outcomes, and potential complications, ensuring families are informed and involved in decision-making.
• Address emotional needs of family members, providing a comforting presence and helping them cope with the uncertainty of critical illness.

Collaboration with Multidisciplinary Team:

• Collaborate with neurologists, neurosurgeons, intensivists, respiratory therapists, physical therapists, and other healthcare providers to deliver comprehensive care for neurocritical patients.
• Participate in case discussions and rounds to provide input on the patient's condition, treatment plan, and progress.
• Communicate effectively with the team to adjust care plans based on the evolving needs of the patient.

Post-Operative and Recovery Care:

• Provide post-operative care for patients who have undergone neurological surgeries, including monitoring for signs of complications such as hemorrhage, infection, or changes in neurological function.
• Assist in the rehabilitation planning process by preparing patients for further care, such as transitioning to a step-down unit, long-term acute care, or rehabilitation facilities.
• Monitor for complications related to immobility, such as pressure ulcers, and take appropriate preventive measures.

Documentation and Compliance:

• Accurately document all patient assessments, interventions, medications, treatments, and changes in condition in the electronic health record (EHR).
• Ensure all documentation is detailed and complies with hospital policies, nursing standards, and regulatory requirements.
• Maintain up-to-date records for all patient interactions and treatments, ensuring clear communication between team members.

Emergency Response and Crisis Management:

• Respond quickly to emergency situations, including stroke alerts, seizures, and deteriorating neurological conditions.
• Provide advanced life support (ALS) and manage critical neurological emergencies with a focus on stabilizing the patient and preventing further brain injury.
• Participate in rapid response teams and code blue situations, providing immediate care for patients in critical need of intervention.

Patient and Family Advocacy:

• Advocate for the patient’s best interests by ensuring the care plan aligns with their clinical needs and family preferences.
• Provide guidance to families on long-term care planning, including possible neurological rehabilitation, home care, and follow-up treatments.

Professional Development and Education: