RN - Registered Nurse - MICU and SICU

Legal Entity

Aultman Hospital

Position Summary

The Aultman Registered Nurse (RN) is a professional nurse that provides direct, primary nursing care to patients/residents. The RN delegates and coordinates patient care, based upon a documented assessment of the patient’s/resident’s needs. The RN supervises the care provided by individuals such as licensed practical nurses, patient care technicians/state tested nursing assistants/nurse aides, medical assistants, and etc., if applicable.

Department Summary

SICU and is located on the second floor, east wing of the Memorial Building and has 18 private rooms with one designated for Airborne Infectious Isolation. Rooms are equipped with hardwire monitoring with the capability to perform acute dialysis. The Surgical Intensive Care Unit is designed for care specializing in trauma, thoracic, neurosurgery, orthopedics, major abdominal surgeries including urology, and post-airway management surgeries. The care may include pre-operative care, post-operative care, post anesthesia recovery phase, or deteriorating clients from step-down or medical-surgical units.

Common admissions include but are not limited to:

• Neurosurgery- Including but not limited to emergent craniotomies, evacuation of subdural hematomas with drain insertion, insertion of intra-cranial pressure monitoring or ventriculostomies.
• Orthopedics-Including but not limited to post hip/knee arthroplasties, cervical and lumbar laminectomies.
• Major Abdominal/Urology- Including but not limited to total abdominal hysterectomies, s/p C-Section complications, colectomies with colostomies or ileostomies, perforated bowel with sepsis, and TURP’s with continuous bladder irrigation.
• Any nose or throat complications intra-operatively or preventative care post-operatively-thyroidectomy or tracheostomy.
• Other common admissions include but not limited to respiratory distress, sepsis, neurological change, acute hemodynamic changes, Lifebanc patients preparing for donation, and post anesthesia recovery of surgical patients.

MICU is located on the third floor, east wing of the Memorial Building and consists of 20 rooms, with two rooms designated for Airborne Infectious Isolation. Rooms are equipped with hardwire monitoring with the capability to perform acute dialysis. The Medical Intensive Care Unit is designed for care specializing in critically ill patients requiring advanced life support and close monitoring, including those with respiratory failure, hemodynamic instability, severe metabolic disturbances, acute neurologic events, toxicologic emergencies, renal failure requiring CRRT, multi-organ dysfunction, septic shock, and the need for continuous titration of high-risk intravenous medications.

Common candidates for admission include

• Patients who require acute ventilatory assistance
• Hemodynamically unstable gastrointestinal bleeding patients
• Unstable patients with diabetic ketoacidosis
• Ischemic stroke patients requiring TNK administration/Post Intervention
• Unstable drug overdose and/or suicidal patients
• Patients requiring Continuous Renal Replacement Therapy (CRRT)
• Patients with multi-system organ failure
• Patients with diagnosis of unstable septic shock.
• Patients whose condition requires IV infusion and titration of medications with vasodilator, vasopressor or anti-arrhythmic effects .

Qualifications

• Graduate of an accredited school of nursing; BSN preferred.
• Current, active licensure as a Registered Nurse through the Ohio Board of Nursing.
• Obtain and maintain current American Heart Association (AHA) training in Basic Life Support (BLS) utilizing Resuscitation Quality Improvement (RQI) is required.
• Certification preferred for RNs meeting applicable certification eligibility requirements.
• Membership in professional nursing organization preferred.

Department Qualifications

• Obtain and maintain current American Heart Association (AHA) training in Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS utilizing Resuscitation Quality Improvement (RQI) is required.
• Obtain and maintain current National Institute’s of Health Stroke Scale (NIHSS). Certification required within 90 days of hire.
• Trauma Nursing Core Course (TNCC) certification obtained and maintained, demonstrating competency in evidence‑based trauma assessment, intervention, and patient stabilization. Training classes are proved by Trauma Services following orientation for SICU applicants.
• Certified Nurse in Critical Care (CNCC) certification must be obtained within six months of hire and maintained in accordance with organizational standards. Training classes are sponsored by the Education and Development Department.
• Complete required orientation for position.

Skills

• Proficient computer skills to complete tasks as required.
• Must be organized, able to effectively prioritize tasks and exhibit appropriate time management skills.
• Must be detail oriented while focusing on safe practices and quality care.
• Demonstrates effective communication.
• Effective appropriate and professional interactions with colleagues/physicians, patients and visitors.

Department Skills

Responsibilities & Expectations

• RN applies the nursing process of assessment, planning interventions, accurately implements and/or delegates patient care, evaluates that care, and accurately communicates patient information in a timely manner.
• RN is a patient/resident advocate in conjunction with the other members of the healthcare team and fosters patient safety, comfort and satisfaction.
• Attains knowledge and competency that reflects current nursing practice.
• Demonstrates quality and effectiveness of nursing practice.
• Adhere to professional standards and guidelines, including ethical actions, relevant statutes, rules and regulations, during nursing practice.
• Collaborates with patient, family, and others in the conduct of nursing practice.
• Exhibits High Reliability Organization (HRO) tools and tones.
• Provides leadership in the professional practice setting and contributes to the professional development of peers, colleagues and students.
• Integrates research findings into practice.
• Responsible for timely review of emails, department communications and applicable learning assignments and completion as applicable.

Department Responsibilities & Expectations

Working Conditions

• Meal and break times are coordinated with other staff members to maintain adequate coverage.
• Shifts are scheduled or changed due to the staffing needs of the unit/department based upon volume and acuity.
• Work weekends and holidays as assigned or as applicable based on department needs.
• Cross training depending upon department needs.

Department Working Conditions

Hazardous Exposure Category

Category I - Includes tasks that involve exposure to blood, body fluids, or tissues. All procedures or other job-related tasks that involve an inherent potential for spills or splashes of, or mucous membrane or skin contact with blood, body fluids or tissues are Category I tasks. Use of appropriate protective measures is required for every employee engaged in Category I tasks.

Physical Addendum

Demands

Frequency

Remarks

Lifting 0-10 lbs

Frequent 34-65%

Lifting 10-20 lbs

Frequent 34-65%

Lifting 20-35 lbs

Frequent 34-65%

Lifting 35-50 lbs

Occasional 10-33%

Lifting 50-75 lbs

Occasional 10-33%

Lifting 75-100 lbs

Occasional 10-33%

Lifting over 100 lbs

Occasional 10-33%

Forward Reaching

Frequent 34-65%

Overhead Reaching

Frequent 34-65%

Standing

Continuous 66% of the day

Walking

Continuous 66% of the day

Sitting

Occasional 10-33%

Climbing

Occasional 10-33%

Stairs/Ladder

Occasional 10-33%

Bending/Stooping

Frequent 34-65%

Twisting/Turning

Occasional 10-33%

Kneeling/Squatting

Occasional 10-33%

Crawling

Never

Pushing/Pulling 0-10 lbs

Frequent 34-65%

Pushing/Pulling 10-20 lbs

Frequent 34-65%

Pushing/Pulling 20-35 lbs

Frequent 34-65%

Pushing/Pulling 35-50 lbs

Frequent 34-65%

Pushing/Pulling 50-100 lbs

Occasional 10-33%

Pushing/Pulling over 100 lbs

Occasional 10-33%

Carrying 0-10 lbs

Frequent 34-65%

Carrying 10-20 lbs

Frequent 34-65%

Carrying 20-35 lbs

Frequent 34-65%

Carrying 35-50 lbs

Occasional 10-33%

Carrying 50-100 lbs

Occasional 10-33%

Carrying over 100 lbs

Never

Grasping/repetitive sustained

Frequent 34-65%

Fine motor coordination

Continuous 66% of the day

Vision: Near/Far/Color

Continuous 66% of the day

Hearing: ordinary conversation/other

Continuous 66% of the day

Sitting

Continuous 66% of the day

Climbing

Occasional 10-33%

Stairs/Ladder

Occasional 10-33%

Twisting/Turning

Occasional 10-33%

Kneeling/Squatting

Occasional 10-33%

Pushing/Pulling 50-100 lbs

Occasional 10-33%

Pushing/Pulling over 100 lbs

Occasional 10-33%

Carrying 35-50 lbs

Occasional 10-33%

Carrying 50-100 lbs

Occasional 10-33%

Fine motor coordination

Continuous 66% of the day

Vision: Near/Far/Color

Continuous 66% of the day

Hearing: ordinary conversation/other

Continuous 66% of the day

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability, gender identity, sexual orientation or protected veteran status. The organization is an EEO/AA Employer Disability/Vet.

The organization will provide reasonable accommodations to employees or applicants with disabilities, as defined by the Americans with Disabilities Act, who are otherwise qualified to safely perform the essential functions of the job, with or without accommodation, unless such accommodation would constitute an undue hardship on the organization or poses a direct threat to the health and safety of the individual or others that cannot be sufficiently mitigated by reasonable accommodation. Any applicant or employee who requires an accommodation to perform the essential functions of his or her job or to enjoy equal benefits and privileges of employment should notify the Aultman Human Resource Department and request such an accommodation.

CONVERSION JOB CODE