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Critical Care RNs for Nellis AFB, NV
Summary
Title:Critical Care RNs for Nellis AFB, NV
ID:1495
Department:ICU
Location:Nellis AFB, NV
Work Status:Full Time
Scheduled Work Hours:12 hour shifts, Days or Nights
Description
Critical Care RNs needed –99th Inpatient Critical Care Unit, Nellis AFB, NV
OMV Medical, Inc., a recognized leader, has been providing medical staffing and management services for over a quarter of a century. OMV is always looking for dedicated individuals who share our values; flexibility, dependability and quality patient care. When you choose OMV Medical as your employer of choice, you can be confident that you are working with an organization that values you as an individual and understands your dreams, aspirations and wants to help you make your career goals real. Come partner with us!
 
RNs Needed (FT, Day and Night)
Registered Nurse services 24 hours a day, 365 days per year (366 days during leap years), including holidays. 0700-1900 or 1900-0700, for a minimum of 3 shifts per week and/or 40 hours per week.
 
Qualifications
• Education: A graduate of a Diploma, Associate, Bachelor or Master’s Program of Registered Nursing. The institution will be from a National League of Nursing (NLN) approved program.
• Experience: Minimum of two years of experience with at least one year in a critical care area of four or more beds. One year of experience must have occurred within the last 24 months.
• Licensure: Valid and current, unrestricted license in Nevada
• Life Support: MTF Training: Additional training requirements are as follows:
Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) are mandatory and requirements and therefore will be provided to the Contracted nurse, will be able to complete Computer Based Training (CBT) on Swank Health and Joint Knowledge Online (JKO).
 
• OTHER QUALIFICATIONS:
• Shall be able to read, write, speak and understand English well enough to effectively communicate with all patients and other health care providers.
• Possess knowledge of a wide range of medical disorders/conditions, diagnostic studies and treatments related to prevention, and detection of illnesses in adults, is desirable.
• The contracted RN will be knowledgeable in professional care theories, principles, practices, and procedures to perform nursing assignments of moderate difficulty and experience in assessing adult and geriatric patients, as appropriate.
• Knowledge of interpersonal relationships and the ability to maintain composure and react appropriately while relating to patients, families, physicians, coworkers and ancillary staff; manage distraught, irritable, unreasonable or angry individuals; and, maintain positive rapport with all individuals involved in patient care.
• Knowledge of a wide range of medical disorders and conditions as appropriate and seen in critically ill patients (e.g., Ventilator Associated pneumonia and the VAP bundle, Sepsis, and ARDS).
• Knowledge of professional care theories, principles, practices, and procedures to perform nursing assignments of critically ill patients. Demonstrates knowledge of growth and development, and pathophysiology of disease processes specific to the critical care unit population to include all ages from adult to geriatrics.

Duties
• Assess patients' conditions for potential or life-threatening crises. Distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment). Plan appropriate nursing care. Notify physician if needed and carry out appropriate interventions as ordered.
• Identify impending or existing emotional or psychiatric crisis and provide appropriate intervention.
• Ability to react with alertness and skill in any emergency situation, (e.g., cardiac or respiratory arrest, hemorrhage, shock, severe physical trauma and psychiatric reaction). Serves as member of the Rapid Response Team (RRT) and Code Blue resuscitation/response team.
• Reassess patient's condition and revise plan of care based on identified nursing problems.
• Assess patient/family knowledge level, implement plan of instructions and record patient/family demonstrated level of understanding.
• Implement the Nursing process (assessment, planning, diagnosis, intervention and evaluation) to include holistic approach.
• Effectively communicates and collaborates with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization. Effectively uses appropriate communication format in addressing professional issues.
• Obtain patient history, pertinent family history, and document in patient’s medical record.
• Utilize appropriate nursing personnel to assist in delivery of care when indicated (LPN's/paraprofessionals).
• Transcribe or verify transcription of physician orders.
• Carry out prescribed physician orders and document in patient medical record.
• Communicate pertinent patient data to charge nurse and/or physician as appropriate.
• Reassess patient's condition and revise plan of care based on identified nursing problems.
• Possess knowledge of a variety of pharmacological agents used in treatment of critically ill patients, the desired effects, side effects, complications and usual dosage of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required.
• Administer prescribed critical care medications to include multiple critical care medication drips and intravenous push drugs (e.g., sedatives, narcotics, vasoactive medications, neuromuscular blockades, anti-dysrhythmic, antihypertensive, thrombolytic, and emergency drugs). Administration consideration based on protocols, policy and recommendations by medical references.
• Assess and document patient response to medications administered and intervene if desired response is not achieved.
• Instruct patient/family regarding prescribed medications/therapies and surgical/diagnostic procedures that must be accomplished.
• Administer inhalation therapy treatments, with knowledge of medications utilized in this treatment and reactions.
• Properly apply cardiac monitor leads and 12 lead EKG machine, analyze rhythm strips and notify Physician of any abnormal results (e.g., dysrhythmias for patient situation). Be able to interpret cardiac rhythms and their implications, intervene on emergent changes.
• Assess patient/family knowledge level, implement plan of instructions and record patient/family demonstrated level of understanding.
• Care for patients with a variety of hemodynamic monitors to include pressure lines/transducers, Swan-Ganz catheters, and arterial lines. Obtain hemodynamic parameters and interpret results. Notify physician of any parameters outside of expected results.
• Participate in Discharge Planning as appropriate.
• Demonstrate use and operation of defibrillator to include emergency defibrillator.
• Obtain Arterial Blood Gas via arterial puncture or drawing from arterial line. Interpret results, notify physician of abnormal results and anticipate intervention as appropriate.
• Perform the Postoperative Recovery and discharge within established criteria.
• Draw blood from invasive monitoring lines, lab value interpretation and intervene as appropriate (follow hospital protocols when applicable and/or notify physician).
• Care of patients on ventilators to include knowledge of the modes of ventilation, Ventilator Associated Pneumonia Bundle.
• Be able to initiate life saving measures in the absence of a physician.
• Operate infusion pumps, enteral feeding pumps, and Patient Controlled Analgesia pumps, epidural pumps, electronic thermometers, and wound-vacs.
• Administration of Blood products.
• Function as Charge Nurse for the Critical Care Unit when needed. Charge nurse duties consist of but are not limited to:
• Receive report from prior shift charge nurse NLT 0700/1900. The Shift Leader (Sr. Med Tech on duty) will assign technicians to pts. Charge nurse reviews staffing for oncoming shift to ensure appropriate nurse/patient ratio and can adjust staff according to changing workloads and protects staffing needs for incoming shift.
• Verify OR, Cath Lab and Bedside Procedure Schedule is correct and up to date.
• OR Schedule/Cath Lab Schedule
• Complete/Update CCU Report sheet located on black charge nurse clipboard throughout shift. Night shift charge nurse initiates form for the Dayshift.
• Ensure pt has billing number in Essentris, if not call AOD. Call Pharmacy to have patient listed in Pyxis.
• Assist with order acknowledgement, ensure room is ready for admissions and help team as needed.
• Help fill out WMSN, Nurse Care Plan, Patient Education, Multi-Disciplinary Note etc. as able.
• Intra-Facility Transfers: Charge nurse facilitates admissions from the ER, clinic or transfers from MSU. Call AOD for transfers from 3A so the AOD can update the patient location in CHCS. This allows for an accurate account of patients on our unit.
• Inter- Facility Transfers: ER Charge Nurse will coordinate external transfers, those coming FROM the VA or Civilian Hospitals.
• Discharge Planner will coordinate transfer TO civilian hospital during normal duty hours. For after hours or weekend, the CCU Charge Nurse will begin coordination, please refer to the Transfer Binder for further info. Ask ED for ambulance support of any CCU patient transferring out.
• Complete PACU After-Hours Tracker in black clipboard when there is a PACU Recovery in CCU. Complete and give back to Shift Lead.
• At the beginning/end of each shift, perform Narcotic Count and check Pyxis for discrepancies.
• If report exists, resolve at that time; notify pharmacy and/or flight commander if unable to resolve.
• Sign the Shift Narcotic Count Form on brown clipboard once Narc Count is completed.
• Check emergency/crash go kits each shift.
• Ensure all information and logs (CLABSI, Central Line Insertion Form, CAUTI, VAP, Device Days, CRRT/IABP log, Restraints, Pressure Ulcers, Moderate Sedation and Charge Nurse Form) in binder are correct and up to date. Continually update this binder throughout the shift as needed.
• Participate daily/ensure the Daily Bundle Checklists are reviewed for each patient. Complete in Essentris by 0200/1400hrs daily.
 
OMV Medical offers its employees Competitive pay & benefits:
Competitive benefits include:
 
• Major Medical, Dental and Vision coverage
• Life Insurance
• Short Term Disability
• Paid holidays
• PTO time
• 401(K)
• 24/7 on-call access
OMV Medical Inc., is an Equal Employment Opportunity Employer.
 
To apply, go to: omvmedical.applicantstack.com/x/openings.
For more information: please call the recruiting department at 301-766-0400 or email: charlene@omvmedical.com
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