Occasional Travel may be required Night Shift The MICU RN maintains BLS and ACLS certification. The MICU RNs are members of the Cardiac Arrest Team and the Rapid Response Team. The RN follows AACN and AHA standards when treating lethal arrhythmias. Provides direct care for but not limited to: Sepsis, status post RRT events or Cardiac Arrest, Stroke, Diabetic Ketoacidosis, AMI, GI bleed, Hematology/Oncology conditions, post-op procedures, CHF and patients requiring antiarrhythmic drugs. The registered nurse (RN) provides care and counseling of persons or in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health problems through such services as case finding, health teaching, health counseling; provision of care supportive to or restorative of life and well-being; and executing medical regimens including administering medications and treatments prescribed by a licensed or otherwise legally authorized provider (Illinois Board of Nursing). The nurse's primary commitment is to the patient, whether an individual, family, group, or community (ANA Code of Ethics for Nurses). Recognizes early signs and symptoms of cardiac and pulmonary distress. - Comprehension of administration/dosage of pressor agents or antiarrhythmics. - Monitors hemodynamic status and initiates and titrates these agents to maintain normotensive readings based on physician orders. - Recognizes early signs and symptoms of cardiac and pulmonary distress. - Comprehension of administration/dosage of pressor agents or antiarrhythmics. - Collaborates with LIPs regarding pulmonary status on various modalities of invasive and noninvasive ventilation such as Optiflow, BiPap, C-Pap, and mechanical ventilation and follows all protocols for weaning patients. - Ensures appropriate time outs performed on all invasive procedures. - Assist with invasive lines and bedside procedures such as Central and Arterial Lines, temporary pacemaker, dialysis catheters, chest tube, TEE, cardioversions, bronchoscopy, GI procedures, Impella, and IABP. - Monitor, assess, and intervene on patients with various intensive therapies e.g. hypothermia Protocol, Continuous Renal Replacement Therapy (CRRT). - Administer moderate sedation during procedures and assess/monitor patient status. - Assess and monitor patient's status post cardiac catheterization and electrophysiology procedures. The RN adheres and enforces Infection Prevention Standards. The RN will provide a safe environment for all patients with altered sensorium due to medication or acute/chronic illness and follow protocols to maintain safety. The RN maintains competency of various types of equipment in the CMICU. The RN adheres to facility and unit SOPs, protocols and guidelines regarding documentation. The RN follows the protocols for End of Life issues providing supportive measures for patient and significant others. Edward Hines, Jr. VA Hospital is a Level 1a major interdisciplinary teaching facility with service-lines serving medical, surgical, and neurological inpatients and outpatients, with a comprehensive adult Emergency Department, and multiple community-based outpatient clinics (CBOC). There is a large outpatient psychiatric population, with admissions for medical co-morbidities. The Hines VA Hospital Blind Rehabilitation Center provides services in a residential setting. Home-Based Primary Care is provided in the veteran's home. Work Schedule: Nights 7:30pm-8:00am(rotating weekends and holidays) Telework is NOT Authorized Uniform Allowance is Authorized for this position Financial Disclosure Report: Not required
Internal Number: 599051700
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.