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Boulder Community Hospital Registered Nurse - ICU in Boulder, Colorado

Boulder Community Health is a not-for-profit, integrated regional health system with facilities throughout Boulder and the surrounding areas. Our mission is to provide our community with the highest value healthcare in an innovative, patient-centric environment. Our vision: We are partnering to create and care for the healthiest community in the nation. BCH is known across Colorado for its clinical excellence in heart care, orthopedics, cancer care, surgery, primary care, emergency and trauma, urgent care, stroke care and neurology. Some 540 physicians in 54 medical specialties have privileges at BCH.

POSITION SUMMARY Provides patient care, identifying and implementing nursing interventions and evaluating outcomes. This person is responsible for behaviors and functions outlined in essential duties, personal competency and involvement in quality improvement. Care is provided to ages 13 years and up.

JOB QUALIFICATIONS Education or Formal Training Special Qualifications (Licensure, Registration, etc.)

  • Colorado RN license in good standing

  • BLS required by end of conditional period. Employees hired prior to 3/6/15 must have current BLS by 12/31/15.

  • ACLS certification required before conditional period ends. Suspension will occur if certification lapses.

  • NIHSS certification required by 12/31/17and within 6 months of hire.

Knowledge, Skill and Ability

  • Demonstrated physical and mental health to apply nursing theories, procedures and standards to clinical practice.

  • Cardiac monitor interpretation

Experience One-year telemetry or critical care experience preferred

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Coordinates and provides nursing care for critically ill or injured patients ages 13 through the lifespan with respect to diversity. In life threatening emergent situations, will provide care for critically injured children with support from physicians, pediatricians, and pediatric nurses until transfer can be done safely. Employees must demonstrate knowledge of the principles of growth and development and the knowledge and skills necessary to provide for the primary population of patients served in the department. Employees demonstrate the ability to alter care and patient/family education based on the age or developmental level of the patient.

  • Competency in rhythm recognition, ACLS guidelines, hemodynamics, and basic principles of critical care nursing.

  • Assesses patient status systematically, demonstrates critical thinking by anticipating and responding to changes in clinical condition. Works together as a team to meet patient individual plan.

  • Demonstrates an understanding of patient education tools, assesses learning ability and needs then develops an education plan to meet patient and family deficits.

  • May be required to perform point of care testing. May be a point of care trainer.

  • May be required to do moderately complex lab testing.

  • Committed to support patient safety and quality initiatives, ongoing transitions in standards of care as evidence based practice and research mandate change, and adhere to hospital standards for care.

  • Serves at patients and families liaison.

  • It is the expectation that all care providers document accurately and in real time, utilizing the electronic medical record within their department.

  • Adheres to Standard Precautions as appropriate, which may include:

  • the use of protective barriers, as appropriate (e.g., gloves, masks, gowns, pocket masks, and/or safety glasses);

  • handling and disposing of infectious waste appropriately; and

  • hand washing as appropriate.

Communication

  • Reports missed communication, documentation, care or any pertinent information to co-workers in a non-punitive way in order to reduce system and future care issues as well as to improve practice.

  • Feedback will be given to peers and co-workers when errors in patient care are identified.

  • Communication is given and received politely and with respect.

  • No loud, disrespectful, or verbally abusive conduct is tolerated.

  • Documents of care legibly, concisely, accurately, and according to standard.

  • Asks for help when needed.

Education

  • Nurses shall recognize their own learning needs and those of peers and assist in meeting those needs to maximize professional development and optimal critical care nursing practice.

  • Annual competency requirements to include completion of material from one Skills Lab and 4 Round Robins / year

  • Trauma Education 4 hours / year

  • Participates in the orientation of new staff.

  • Acts as resource to other staff and temporary staff.

  • Attends or receives information from all staff meetings.

Professionalism

  • ICU nurses shall be competent and current, adhering to established unit standards of practice.

  • Delegates according to nurse practice act.

  • Demonstrates dependability and adherence to other personnel standards such as dress code, attendance, tardiness, and reporting for duty expectations.

  • Serves on unit and hospital committees as requested.

  • Provides cost effective care and identifies opportunities to reduce cost.

  • Assists other team members and provides clinical consultation in areas of expertise and clinical competence to co-workers with less experience.

  • Assumes patient care and accepts requests by clinical coordinator for patient assignments

  • Employees are expected to comply with all regulatory requirements, including Joint Commission Standards.

  • Is familiar with organization, department and job specific Environment of Care areas, including Life Safety, Utilities Management, Hazardous Materials Communications, Emergency Preparedness, Infection Control and Medical Equipment Failure.

OTHER DUTIES/RESPONSIBILITIES Performs other duties as assigned.

MATERIALS AND EQUIPMENT DIRECTLY USED Standard medical/hospital equipment: i.e., hospital beds, wheelchairs and carts, positioning aids, monitoring equipment, phone and intercom systems, computers, etc. While performing the duties of this job, the employee is required to constantly stand and walk.

WORKING ENVIRONMENT/PHYSICAL ACTIVITIES

  • Physical working environment may include, but is not limited to, any of the following hazards: chemicals, electrical, mechanical, biowaste, explosive, radiation, etc.

  • Environmental conditions may include, but not limited to: variations in temperature, noise, odors, etc.

  • While performing the duties of this job, the employee is required to constantly stand and walk. The employee frequently is required to stoop, crouch and twist. The employee is occasionally required to kneel, squat and sit.

  • The employee must be able to consistently support, push, pull and/or lift up to 10 pounds, frequently support, push, pull and/or lift up to 30 pounds and occasionally support, push, pull and/or transfer up to 50 pounds and over (for example, moving a patient from a wheelchair to a bed).

  • Functional physical demands include manual dexterity, fine motor skills and reaching. The following senses will be needed for essential duties of the job: speech, vision, hearing, smell and touch.

INTERRELATIONSHIPS Staff, physicians, patients, families, visitors

SUPERVISORY DUTIES Volunteers, Patient Support Staff

PATIENT CARE/INTERACTION When applicable, employees must be able to adjust the essential functions they perform appropriately to the age of their patient/customer. Employees must demonstrate knowledge of the principles of growth and development and the knowledge and skills necessary to provide for the primary population of patients served in the department. Employees demonstrate the ability to alter care and patient/family education based on the age or developmental level of the patient. Primary patient population served. (Check all that apply)

Neonate/Infant (birth – 12 months)

X Adult (18 – 69 years)

Child (13 months – 12 years)

X Older Adult (70+ years)

X Adolescent (13 – 17 years)

EMPLOYEES ARE HELD ACCOUNTABLE FOR ALL DUTIES OF THIS JOB A detailed list of all competencies is listed in the competency-based orientation checklist.

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