Currently recruiting a Registered Nurse (RN) - Pediatric Intensive Care Unit (PICU) to work at Naval Medical Center Portsmouth, VA, to provide care to family members of Active Duty heroes and retirees. The Registered Nurse (RN) - PICU is a Full-time, 12 hr shifts, 80 hrs/2 weeks, Sun - Sat. Shifts are normally 06:45 - 19:15 and 18:45 - 07:15. Registered Nurse (RN) - PICU part-Time/PRN positions are also available, under a different job posting.
DUTIES OF THE REGISTERED NURSE (RN) - PEDIATRIC INTENSIVE CARE UNIT (PICU):
Perform a full range of RN duties in accordance with assignment, including: triage; patient assessment and monitoring; use of patient monitoring and treatment equipment; appropriate nursing care, procedures, and treatments; execution of physicians’ orders within the guidelines of standard nursing practice; documentation of patient care and observations; and patient education and emotional support.
Render professional intensive nursing care to critically ill pediatric patients with medical and/or surgical conditions within the PICU. Continually assess condition of patients for potential or life threatening crises. Identify and address deviation from baseline vital signs, assessments and laboratory tests. Document, report and follow through on abnormal findings with physicians/nurses.
Recover both stable and unstable pediatric patients from general and regional anesthesia and deep sedation.
Document all aspects of care reflective of the nursing process. Assess patients, identify problems, and formulate a plan of care based on nursing standards and protocols for the unit. Use discharge planning, nursing diagnosis and nursing judgment to formulate outcome goals based on patient and family needs.
Interact professionally with patient/family and involve patient/family in the formation of the plan of care. Make appropriate referrals to meet short and long term goals in preparation for patient discharge.
Consult other services as appropriate to provide for an interdisciplinary approach to the patient’s needs. Order diagnostic and therapeutic services as directed.
Demonstrate knowledge of medications and their correct administration based on age of the patient and the patient’s clinical condition. Administer a wide variety of rapid-acting, highly potent medications (direct intravenous and other routes) according to unit policies, procedures, and protocols. Use a broad knowledge of drugs and intravenous therapy, including properties, indications, dosages/rates and side effects. Closely monitor and document patient response, and adjust therapy accordingly.
Be knowledgeable and observant in recognizing signs of abuse/neglect and take appropriate action following NMCP policies/guidelines.
Provide RN coverage when warranted for medical transports to retrieve critically ill children from other health care facilities for the purpose of receiving care at NMCP.
Operate, troubleshoot, and monitor the performance of sophisticated equipment used in the care of critically ill patients,
Assist the privileged providers with examinations, treatments, and procedures.
Assess patient for emotional and social impact of illness or hospitalization.
Perform routine unit duties independently without specific instructions. Information is obtained from the nurse on the previous shift.
Participate in unit collateral duties as assigned. Maintain required clinic/unit records, patient charts, forms, logs, records, registers, census reports, and collect required statistics. Maintain crash cart. Report discrepancies to both shift Team Leader and Nursing Leadership.
Assess each patient and perform triage duties as assigned.
Formulate and carry out a goal directed plan of care which based on determined nursing diagnosis and patient outcomes and which is prioritized according to patient needs and available resources including time, personnel, equipment, and supplies.
Provide treatment and discharge instructions upon patient release.
Identify patient/significant other learning needs and implement appropriate measures to meet identified needs.
Perform documentation (manually and/or by use of computer) duties on unit and in-patient record that are timely, accurate, and concise.
Demonstrate competency in medication and intravenous (IV) administration to include blood products and Total Parental Nutrition (TPN) intramuscular (IM) and subcutaneous (SQ) administration and demonstrate competency in phlebotomy as specific to the position.
Safely administer prescribed medications to include intravenous drips and intravenous push drugs.
Practice effective problem identification and resolution skills as a method of sound decision making.
If directed, perform phone triage based on accepted protocols and assist as needed in accessing appropriate ambulatory/emergency care for beneficiaries.
Operate and manipulate automated systems such as CHCS, AHLTA, ADS, Essentris, and Clinical Information System (CIS)
QUALIFICATIONS OF THEPEDIATRIC REGISTERED NURSE (RN) - PICU:
Possess a minimum of eighteen (18) months of full-time experience as an RN working in PICU within the last twenty four (24) months.
Possess and maintain Pediatric Advanced Life Support (PALS) certification, Avanced Cardiac Life Support (ACLS) certification, Neonatal Resuscitation Program (NRP) certification.
Possess a Baccalaureate Degree in Nursing, a Graduate Diploma in Nursing, or an Associate Degree in Nursing, from an accredited agency such as the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).
Possess and maintain a current unrestricted license to practice as a registered nurse in any one (1) of the 50 States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.
Maintain current certification in one of the following: American Heart Association Basic Life Support (BLS) or American Red Cross Basic Life Support (BLS) for Healthcare Providers or American Heart Association or American Red Cross Healthcare Provider Course. Web-based classes do not meet these standards.
Must be a U.S. citizen (for access to Gov't computer systems)
COMPENSATION & BENEFITS: • Competitive pay • 17 days paid vacation and sick leave • 10 paid Federal holidays • Health & Welfare allowance covers the cost of health insurance, long term/short term disability, and life insurance • Dental and vision plans offered, 401(k)
ABOUT THE ARORA GROUP: The Arora Group is an award-winning, Joint Commission-certified nationwide healthcare services company that, for almost 30 years, has provided medical care for the men and women who serve our country in the U.S. Armed Forces. Our mission is to provide world-class care and give our healthcare professionals opportunities to improve their skills, learn from the best, and serve the needs of active duty service members, their families, and veterans.
EOE AA M/F/Vet/Disability
Additional Salary Information: Shifts diff for nights and weekends plus an allowance to cover the cost of medical insurance.