Registered Nurse (RN) - Med Surg
Kaiser Permanente
Clackamas, OR
5x8 hrs, Days

• Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.


• Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.


• Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.


• Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities.

• Minimum nine (9) months of RN experience.

Two (2) years of experience within the last five (5) years, any of the following nursing care units: ICU, CVICU, MSICU, CVL, CCU, or pre/post cardiac surgery/recovery.

• Graduate of an accredited nursing program.

• Registered Nurse License (in the state where care is provided)

• Advanced Cardiac Life Support

• Basic Life Support

• Computer keyboarding skills.

• Procedural sedation competent, including patient prep and recovery.


• Pre and post procedure patient management. - Expert IV access skills.


• Satisfactory or better on prior annual performance evaluation.


• Must be able to perform the following:


• Cardiac rhythm interpretation and arrhythmia recognition.


• Thrombolytic therapy management.


• Management of arterial and venous sheath sites.


• Hemodynamics/Monitoring including wave form interpretation.


• Preparation, calculation, administration, and management of intravenous medications inclusive of cardiac and critical care medications.


• Temporary and permanent pacemaker/defibrillator management.


• Patient teaching r/t cardiovascular conditions and procedures.


• Timely and appropriate documentation in the patient electronic medical record.


• 12 lead ECG interpretation.

• Previous health care experience.


• Bachelors degree in nursing or related field.

• Cath lab experience preferred.


• CCRN or CPAN certification preferred.


• Phase 1 anesthesia recovery competent preferred.


• If internal employee, Clinical Ladder participation preferred.

Notes:

• Fair share call