Job Description
We are the Adult Critical Care Unit, with 28- 36 beds which includes cardiac thoracic surgery; cardiac interventions, and critically ill patients with a variety of surgical and medical problems. The staffing ratio is 1:1 to 1:2. Staff utilizes a supportive and collaborative approach to interactions with the patients and their families including 24/7 visitation. SUMMARY: In collaboration with a physician, provides comprehensive assessment of patient’s health status, evaluates assessment data, and makes treatment decisions. ESSENTIAL FUNCTIONS: Initiates patient admissions and collects health, illness psychosocial, and family history from patients; provides initial care of emergencies. Performs physical examinations, and orders appropriate diagnostic tests. Records patient’s health information, performs periodic health evaluations, and establishes/records care plans; evaluates care plans, monitors and records progress, and makes modifications accordingly. Determines normal and abnormal findings on patient history, physical examination, diagnostic tests; initiates referral and consultation when appropriate. Consults and collaborates with members of the health care team in the assessment and management of health care problems; functions as a liaison between physicians, nursing, technologists and area support staff. Prescribes, regulates, and adjusts medications including over the counter medications and treatments. Provides teaching and counseling aimed at prevention of illness and modification of risk factors to health, and maintenance of high-level wellness; instructs and supervises students and hospital personnel in methods and theories of diagnostic testing. Assumes responsibility for the therapeutic management of stable long-term health problems in the critically ill. Completes patient discharge summary. Assists in the development, implementation, and revision of nursing protocols and standards of care. Provides IT skills and familiarity, by using the basic functionality of the computer, Word, Excel, Outlook e-mail and attachment capabilities. Maintains compliance with regulatory requirements. Performs other evaluative and supportive duties, due to the advanced nature of training and the Licensed Independent Practitioner (LIP) status, as needed. Researches and provides advice on patient care processes, nursing processes, and larger-scale quality improvement projects. Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication. Adheres to TMCH organizational and department-specific safety and confidentiality policies and standards. Performs related duties as assigned. Diabetes: Provides support to patients who have Diabetes including managing insulin therapies and infusions, monitoring patients glucose levels and provide education on diet and exercise. Follow appropriate policies, procedures and protocols for Diabetes patients. Develop diabetes education plan based on assessment of the patient’s medical, nutritional, lifestyle and educational needs. Collaborates as needed with the physician in developing an appropriate treatment plan including discharge instructions and follow-up.
