Description
Kindred Hospital San Antonio is a long-term acute care (LTAC) hospital specializing in the treatment of patients recovering from post-intensive care and medically complex conditions. Our hospital provides both intensive care and telemetry-level services, offering advanced monitoring and support for patients requiring extended medical care. With a multidisciplinary team dedicated to personalized treatment plans, we focus on helping patients achieve significant recovery and transition to the next level of care.
Job Summary
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Provides quality patient care to critically ill patients, through the nursing process of Assessment, Planning, Intervention, and Evaluation
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Serves as a patient advocate at all times
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Supervises the nursing care provided to each patient by other caregivers
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Develops the plan for nursing care as a result of coordination with the patient, family and staff of other disciplines as necessary
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Applies critical thinking in order to promote positive clinical outcomes
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Ensures patient education. Participates in discharge planning
Essential Functions
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Maintains the standard of nursing care and implements the policies and procedures of the hospital and the nursing department
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Assesses the patient on admission within the required time frame. Makes referral to other disciplines based on the assessment, such as rehabilitation and nutritional services
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Develops a nursing care plan for assigned patient on admission and updates the plan of care as needed
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Ensures the plan is discussed and developed as a result of the coordination of patient and family and the interdisciplinary team
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Able to release, remove, and reapply restraints to patient. Ensures patient is in proper position and alignment
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Documents patient admission assessment and reassessments, patient care plans, and other pertinent information completely in the patient’s electronic medical record
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Demonstrates correct use of Biomedical equipment such as defibrillator, Suction machine, IV and feeding pumps, PCA pump, blood glucose monitoring machine
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Demonstrates safe and effective delivery of patient care such as completing team/patient assignments on time, making effective use of available time, showing initiative and teamwork.
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Obtains consents for procedures and blood transfusions, ensuring patient has necessary information to make an informed decision
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Receives physician’s orders, ensures transcription is accurate, and order entry is accurate
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Follows through to ensure order is carried out
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Recognizes and responds appropriately to patient change in condition such as Cardiac rhythm, respiratory distress, GI bleed, pulmonary emboli/ edema, diabetic Ketoacidosis, adverse drug reaction and Blood transfusion reaction, etc. Institutes emergency action, notifies physician, obtains orders, etc.
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Completes and documents patient admission assessment and reassessments as required according to policy
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Reports pertinent observations and reaction regarding patients to the appropriate person (i.e., physician, supervisor, charge nurse) and records these observations accurately
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Administers medications with verbalized knowledge of the action, side effects, correct dosages and route according ICU policies and procedures.
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Demonstrates ability to recognize and Institute arrhythmia protocol for the following Cardiac rhythms V-tach, V-fib, PVC’s, asystole, 1st, 2nd and 3rd degree heart block, atrial fibrillation, and atrial flutter
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Directs, supervises, and evaluates nursing care provided to patients
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Administers medications utilizing the seven “rights” of medication administration: right patient, route, time, medication, dose, reason and documentation
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Assist physicians with special tests and procedures such as thoracentesis, paracentesis, arterial line and bronchoscopy
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Participates in economical utilization of supplies and ensures that equipment is maintained in a clean and safe manner
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Participates in orientation of new personnel and performance evaluations of nursing staff
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Assists team members in giving care to patients or administers direct care when professional nursing skills and judgment are needed
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Coordinates nursing care of patients when scheduled for therapy or procedures by other departments
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Assists with or institutes emergency measures for sudden adverse developments in patients such as cardiac arrest, respiratory arrest, or sepsis
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Participates in the maintenance of a clean and safe environment
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Is knowledgeable about the emotional and rehabilitative aspects of care and is capable of applying appropriate therapeutic interventions
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Provides assessment utilizing current ACLS certification and protocols renders lifesaving first aid and makes appropriate referral to the nearest organization that is capable of providing needed services
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Demonstrates ability to manage various types of tubes and other devices such as Foley /straight catheter, feeding tubes, chest tubes, JP drains, Hemovacs. T-tubes, wound drains, ostomy care, suprapubic catheter, continuous bladder irrigation
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Demonstrates correct set up and performance monitoring of hemodynamic systems such as Swan-ganz catheter, arterial catheter, and cardiac output
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Demonstrates accurate knowledge of critical Lab values and their normal ranges. Reports and documents appropriately
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Demonstrates ability to verify correct lead telemetry placement
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Validates telemetry strips every 4 hours and PRN. Documents appropriately
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Participates in assessing and meeting patient and family education needs
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Provides complete patient report to oncoming RN, ensures documentation is complete, physician orders are signed off, and patient rooms are in order
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Communicates pertinent information to RN, physician, and patients as needed
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Adheres to dress code, appearance is neat and clean and wears appropriate identification while on duty
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Completes annual health, safety, and education requirements. Maintains professional growth and development
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Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected
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Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served
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Attends all mandatory in-services and staff meetings
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Represents the organization in a positive and professional manner
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Complies with all organizational policies regarding ethical business practices
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Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department
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Maintains current licensure/certification for position, if applicable
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Demonstrates Guest Relation’s skills to patients, physicians, visitors, employees, and any other individuals with whom they may come in contact
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Follows departmental and hospital Health, Safety, Security, Hazardous Materials policies and procedures
Knowledge/Skills/Abilities/Expectations
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Excellent oral and written communication and interpersonal skills
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Knowledge of medications and their correct administration based on age of the patient and their clinical condition
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Basic computer knowledge
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Organize tasks, develop action plans, set priorities, and function under stressful situations
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Maintain good working relationship with co-workers
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Must read, write and speak fluent English
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Must have good and regular attendance
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Approximate percent of time required to travel: 0%
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Performs other related duties as assigned
Qualifications
Education
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Graduate from an accredited Registered Nursing program
Licenses/Certifications
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Current state licensure as Registered Nurse
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BCLS and ACLS certifications required
Experience
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Minimum one year training and experience in Critical Care
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Able to communicate effectively in English- both written and verbal
