RN - ICU - Days

Intensive Care Unit RN Job Summary:

The ICU RN is responsible for managing the care of the adult or elderly patient experiencing

life-threatening problems requiring complex assessment, high intensity therapies and

interventions, and continuous nursing vigilance. The ICU RN is responsible to the Clinical

Manager for assigned ICU deliver care to patients utilizing the nursing process of assessment,

planning, intervention, implementation, and evaluation, in accordance with established

philosophy. Nurses collaborate with other professional disciplines to ensure effective patient

care delivery and achievement of desired patient outcomes. Nurses effectively interact with

patient and significant others, while maintaining the standard of professional nursing. The nature

of the direction and supervision required for this position varies by State and job setting.

Intensive Care Nurses provide care to acutely and critically ill patients, in a highly technical and

ongoing monitoring environment. These patients are facing life-threatening problems with

varying needs, which require extensive medication protocols and therapies. The ICU nurse faces

the additional responsibility for the emotional and psychosocial health of the patient, family and

significant others.

Supervisory Responsibilities:

• Oversees the daily workflow of the department.
• Promote the mission, vision, and values of the organization.
• Assess the acuity of care required by patient and develop staffing plan for shift based on

patient acuity, patient census and available staff.

• Serve as a resource to staff for solving clinical problems.
• Assist staff to efficiently utilize staffing resources to meet patient care requirements and

other professional responsibilities.

• Work collaboratively with nursing and ancillary staff to solve problems in a fair, consistent

manner.

• Provide support, guidance, and feedback to staff.
• Identify and communicate staff needs for continuing education to the Education Director.
• Assist staff to interpret change in a positive manner.
• Assist staff to provide a safe work environment for patient care.
• Assist in the preparation and implementation of the annual goals for the department.
• Keep professionally current, by attending continuing education programs, seminars,

workshops, Supervisor Conference Group Meetings, and/or independent research reading.

• Performs other related duties as assigned.

Duties and Responsibilities:

• Complete annual skills check list.
• Attend annual skills day.
• Intensive care nurses calculate medication doses and titrate potent medications.
• They insert and care for specialized venous and arterial infusions.
• ICU nurses must be adept at mathematics and the use ventilators and other high-tech

equipment.

• Intensive care nurses provide care to a diverse patient population.
• They care for dying patients and provide education and support to family members faced

with critical decisions such as discontinuing life support and deciding how to care for

people with brain injuries.

• Maintaining accurate, complete health care records and reports
• Administering medications to patients and monitoring them for side effects and reactions
• Recording patient vital signs and medical information
• Ordering medical diagnostic and clinical tests per MD order
• Monitoring, reporting, and recording symptoms or changes in patient conditions.
• Assessing, implementing, planning, or evaluating patient nursing care plans by working with

healthcare team members

• Modifying patient health treatment plans as indicated by patient conditions and responses.
• Observing and interpreting patient’s symptoms and communicating them to physicians.

Basic computer skills.

• Complete annual skills check list.
• Attend annual skills day.
• Professional, friendly attitude
• Excellent knowledge of nursing care methods and procedures.
• Ability to identify when a patient is going bad and contact the Physician in a timely

manner.

• In-depth knowledge of health and safety guidelines and procedures (sanitation,

decontamination etc.) and willingness to always follow them.

• A team player with excellent communication and interpersonal skills
• Responsible and compassionate
• Outstanding organizational and multi-tasking skills
• Excellent problem-solving skills and attention to detail
• Ability to function well in a high-paced and stressful environment.
• Familiarity with professional and technical emerging knowledge
• Problem solving skills and ability to multi-task.
• Compassionate and caring with good communication skills.
• Excellent teamwork skills
• Maintains confidentiality in matters related to patient, family, and client facility staff.
• Performs appropriate treatments as ordered by physician in an accurate and timely

manner.

• Provides care in a non-judgmental, non-discriminatory manner that is sensitive to the

patient’s and family’s diversity, preserving their autonomy, dignity, and rights.

• Communicates patient’s condition to appropriate personnel during each shift.
• Maintains current competency in nursing specialty by attending educational workshops;

reviewing professional publications; establishing personal networks; participating in

professional societies and other education provided by facility.

• Ability to undertake a variety of diverse care tasks and work in a multidisciplinary team.
• Familiarity with hospital health, safety and sanitation standards and procedures
• Understanding of confidentiality obligations and nursing best practices
• Excellent knowledge of medical and hospital terminology
• Good physical condition and stamina
• Excellent communication and interpersonal skills
• Compassionate and able to handle stress.
• Successful completion of LPN license program
• Keeping a check on the eating habits of the patients and how many times they are using

the washroom.

• Assembling the equipment like gastrostomy tubes, catheters, and oxygen supplies.
• Providing the basic bedside care like dressing wounds, changing bandages, inserting

catheters, and giving injections.

• Taking the patient's vital signs such as respiration, temperature, blood pressure, and heart

rate.

• Enter the data related to the record of patients in computer systems.
• Admitting and billing patients
• Interview patients and examine their medical history.
• Regulate vaccinations and injections.
• Educate and encourage patients to avoid unhealthy routine.
• Keep the health records updated.
• Inform the patients about the doctor’s order or test results via mail or call.
• Assist registered nurses and other superior nurses to develop best care plan for the

patients.

• Help the patients to understand documentation or paperwork.
• Talk to the patients about their present problems, allergies, medications and keep an eye

on their medical records.

• Accomplish scheduled immunizations, visual acuity testing, nebulizer treatments, and

regulate TB tests.

• Talk to the patients and their families about their treatment plan, tests, and diagnoses.
• Supervise certified nursing assistants and other non-licensed nursing professionals.
• Starting, monitoring, or discontinuing the intravenous catheters or the intravenous fluids.
• Taking verbal orders from the MD (Doctor of Medicine)
• Aid in phlebotomy - analyze patients, look over the requisition form for requested tests,

and set equipment, patient and puncture site.

• Assists in IV set-ups: validate solution to be regulated, analyzing infusion site, keep track

of IV function and patient comfort, and terminate IV at an appropriate time, as ordered by

MD.

• Manage adequate inventory of examination room supplies and set the rooms.
• Undertake various office responsibilities: answer calls and reply to messages and execute

triage within the scope of licensed practical nursing practice in an accurate and precise

way.

• Take part in the training and orientation of new employees.
• Medical knowledge
• Patience
• Compassion
• Kindness
• Critical thinking skills
• Knowledge of infection control practices
• Stamina and physical endurance
• Observational skills
• Knowledge of occupational hazards and safety rules
• Empathy
• Must have excellent communication and interpersonal skills, including the ability to deal

with patients and family in a respectful, warm way.

• Ability to demonstrate good judgment and decision-making skills.
• Must have proficient computer skills.
• Observe and interpret patient’s symptoms and communicate them to physicians.
• Perform routine procedures (blood pressure measurements, administering injections

etc.) and file in patient’s chart.

• Adjust and administer patient’s medication and provide treatments according to

physician’s orders.

• Inspect the facilities and act to maintain excellent hygiene and safety

(decontaminating equipment, sanitizing surfaces)

• Provide instant medical care in emergencies.
• Guide LPNs and nursing assistants in assignments
• Foster a supportive and compassionate environment to care for patients and their

families.

• Expand knowledge and capabilities by attending educational workshops, conferences

etc.

• Identify patients’ care requirements, focus on their needs and act on them.
• Performs appropriate treatments as ordered by physician in an accurate and timely

manner.

• Nurture a compassionate environment by providing psychological support.
• Resolve or report on patients’ needs or problems.
• Prepare patients for examinations and perform routine diagnostic checks (monitor

pulse, blood pressure and temperature, provide drugs and injections etc.)

• Monitor and record patient’s condition and document provided care services.
• Administer workloads.
• Follow care regulations and standards.
• Work within and cooperate with a multidisciplinary team.
• Report’s patient condition to appropriate personnel during each shift change
• Maintains current competency in nursing specialty by attending educational workshops;

reviewing professional publications; participating in professional societies.

• May float to other departments as needed.
• Punctual for shifts
• Consults and coordinates with health care team members to assess, plan, implement and

evaluate patient care plans.

• Prepares and administers (orally, subcutaneously, through an IV) and records prescribed

medications. Reports adverse reactions to medications or treatments in accordance with

the policy regarding the administration of medications by a licensed registered nurse.

• Provides basic, bedside care.
• Initiate’s patient education plan, as prescribed by physician. Teaches patients and

significant others how to manage their illness/injury, by explaining: post-treatment home

care needs, diet/nutrition/exercise programs, self-administration of medication and

rehabilitation.

• Records patients’ medical information and vital signs ƒ Orders, interprets and evaluates

diagnostic tests to identify and assess patient’s condition ƒ Takes samples for lab work,

orders prescribed lab work and evaluates/interprets lab reports.

• Prepares equipment and aids physician during examination and treatment of patient.
• Responds to life-saving situations based upon nursing standards and protocol.
• Records all care information concisely, accurately, and completely, in a timely manner,

in the appropriate format and on the appropriate forms.

• Applies Hemodynamic, Phlebotomy and IV protocols
• Monitors and adjusts specialized equipment used on patients, and interprets and records

electronic displays, such as intracranial pressures, central venous pressures, pulmonary

artery pressures, and cardiac rhythms from cardiac monitors, respirators, ventilators,

manometers, oxygen pumps, etc.

• Monitor’s catheters, leads and tubing for proper placement and functioning.
• Initiates corrective action whenever information from monitoring/life support equipment

shows adverse symptomatology.

Required Skills and Abilities:

• Ability to effectively communicate with patients, families, physicians and hospital staff.
• Basic computer skills.
• Complete annual skills check list.
• Attend annual skills day.
• Professional, friendly attitude.
• Excellent knowledge of nursing care methods and procedures d
• Critical care nurses need to be proficient at performing and interpreting

electrocardiograms (EKGs). aw venous and arterial blood. Critical care nurses insert,

maintain, and use invasive devices.

• Ability to identify when a patient is going bad and contact the Physician in a timely

manner.

• In-depth knowledge of health and safety guidelines and procedures (sanitation,

decontamination etc.) and willingness to follow them at all times.

• A team player with excellent communication and interpersonal skills
• Responsible and compassionate
• Outstanding organizational and multi-tasking skills
• Excellent problem-solving skills and attention to detail
• Ability to function well in a high-paced and stressful environment.
• Familiarity with professional and technical emerging knowledge
• Problem solving skills and ability to multi-task.
• Compassionate and caring with good communication skills.
• Excellent teamwork skills
• Monitor exact, detailed reports and records of the critical ICU patients.
• Monitor and record symptoms and changes in patients’ conditions and information to the

physician.

• Order, interpret and evaluate diagnostics tests to identify and assess the patient’s condition.
• Carefully observe and document patient medical information and vital signs.
• Document patients’ medical histories and assessment findings.
• Document patients’ treatment plans, interventions, outcomes, or plan revisions.
• Consult and coordinate with health care team members about whole patient care plans.
• Modify patient treatment plans as indicated by patient’s response and conditions.
• Monitor the critical patients for changes in status and indications of conditions such as

sepsis or shock and institute appropriate interventions.

• Administering intravenous fluids and medications as per doctor’s order.
• Monitor patients’ fluid intake and output to detect emerging problems such as fluid and

electrolyte imbalances.

• Monitor all aspects of patient care, including diet and physical activity.
• Identify patients who are at risk of complications due to nutritional status.
• Direct and supervise less-skilled nursing/health care personnel or supervise a particular

unit on one shift to patient’s response and conditions.

• Treating wounds and providing advanced life support.
• Assist physicians with procedures such as bronchoscopy, endoscopy, endotracheal

intubation, and elective cardioversion.

• Ensuring that ventilators, monitors, and other types of medical equipment function

properly.

• Ensure that equipment or devices are properly stored after use.
• Identify malfunctioning equipment or devices.
• Collaborating with fellow members of the critical care team.
• Responding to life-saving situations, using nursing standards and protocols for treatment.
• Critical care nurses may also care for pre-and post-operative patients when those patients

require ICU care.

• Besides, some act as managers and policymakers, while others perform administrative

duties.

• Assess patients’ pain levels and sedation requirements.
• Prioritize nursing care for assigned critically ill patients based on assessment data and

identified needs.

• Assess family adaptation levels and coping skills to determine whether intervention is

needed.

• Acting as a patient advocate.
• Providing education and support to patient families.
• ICU nurses must be able to draw ABG Blood and interpret the report correctly.
• ICU nurses should perform GCS (Glasgow Coma Scale) and the evaluation capacity of

patient condition.

• Maintains confidentiality in matters related to patient, family, and client facility staff.
• Performs appropriate treatments as ordered by physician in an accurate and timely

manner.

• Provides care in a non-judgmental, non-discriminatory manner that is sensitive to the

patient’s and family’s diversity, preserving their autonomy, dignity, and rights.

• Communicates patient’s condition to appropriate personnel during each shift.
• Fills out daily logs (crash carts and refrigerator checks)
• Maintains current competency in nursing specialty by attending educational workshops;

reviewing professional publications; establishing personal networks; participating in

professional societies and other education provided by facility.

• Monitor exact, detailed reports and records of the critical ICU patients.
• Monitor and record symptoms and changes in patients’ conditions and information to the

physician.

• Order, interpret and evaluate diagnostics tests to identify and assess the patient’s

condition.

• Carefully observe and document patient medical information and vital signs.
• Document patients’ medical histories and assessment findings.
• Document patients’ treatment plans, interventions, outcomes, or plan revisions.
• Consult and coordinate with health care team members about whole patient care plans.
• Modify patient treatment plans as indicated by patient’s response and conditions.
• Monitor the critical patients for changes in status and indications of conditions such as

sepsis or shock and institute appropriate interventions.

• Administering intravenous fluids and medications as per doctor’s order.
• Monitor patients’ fluid intake and output to detect emerging problems such as fluid and

electrolyte imbalances.

• Monitor all aspects of patient care, including diet and physical activity.
• Identify patients who are at risk of complications due to nutritional status.
• Direct and supervise less-skilled nursing/health care personnel or supervise a particular

unit on one shift to patient’s response and conditions.

• Treating wounds and providing advanced life support.
• Assist physicians with procedures such as bronchoscopy, endoscopy, endotracheal

intubation, and elective cardioversion.

• Ensuring that ventilators, monitors, and other types of medical equipment function

properly.

• Ensure that equipment or devices are properly stored after use.
• Identify malfunctioning equipment or devices.
• Collaborating with fellow members of the critical care team.
• Responding to life-saving situations, using nursing standards and protocols for treatment.
• Critical care nurses may also care for pre-and post-operative patients when those patients

require ICU care.

• Besides, some act as managers and policymakers, while others perform administrative

duties.

• Assess patients’ pain levels and sedation requirements.
• Prioritize nursing care for assigned critically ill patients based on assessment data and

identified needs.

• Assess family adaptation levels and coping skills to determine whether intervention is

needed.

• Acting as a patient advocate.
• Providing education and support to patient families.
• ICU nurses must be able to draw ABG Blood and interpret the report correctly.
• ICU nurses should have enough knowledge about GCS (Glasgow Coma Scale) and the

evaluation capacity of patient condition.

• Monitor exact, detailed reports and records of the critical ICU patients.
• Monitor and record symptoms and changes in patients’ conditions and information to the

physician.

• Order, interpret and evaluate diagnostics tests to identify and assess the patient’s

condition.

• Carefully observe and document patient medical information and vital signs.
• Document patients’ medical histories and assessment findings.
• Document patients’ treatment plans, interventions, outcomes, or plan revisions.
• Consult and coordinate with health care team members about whole patient care plans.
• Modify patient treatment plans as indicated by patient’s response and conditions.
• Monitor the critical patients for changes in status and indications of conditions such as

sepsis or shock and institute appropriate interventions.

• Administering intravenous fluids and medications as per doctor’s order.
• Monitor patients’ fluid intake and output to detect emerging problems such as fluid and

electrolyte imbalances.

• Monitor all aspects of patient care, including diet and physical activity.
• Identify patients who are at risk of complications due to nutritional status.
• Direct and supervise less-skilled nursing/health care personnel or supervise a particular

unit on one shift to patient’s response and conditions.

• Treating wounds and providing advanced life support.
• Assist physicians with procedures such as bronchoscopy, endoscopy, endotracheal

intubation, and elective cardioversion.

• Ensuring that ventilators, monitors, and other types of medical equipment function

properly.

• Ensure that equipment or devices are properly stored after use.
• Identify malfunctioning equipment or devices.
• Collaborating with fellow members of the critical care team.
• Responding to life-saving situations, using nursing standards and protocols for treatment.
• Critical care nurses may also care for pre-and post-operative patients when those patients

require ICU care.

• Assess patients’ pain levels and sedation requirements.
• Prioritize nursing care for assigned critically ill patients based on assessment data and

identified needs.

• Assess family adaptation levels and coping skills to determine whether intervention is

needed.

• Acting as a patient advocate.
• Providing education and support to patient families.
• Follows facility and OSHA safety rules and procedures.
• Respects cultural and religious practices of patients
• Upholds HIPAA regulations

Education, Certifications, and Licensing:

• American Heart Association Basic Life Support (BLS) certification.
• Advanced Cardiac Life Support (ACLS) (Pals) Certification.
• Crisis Prevention and Intervention (CPI) certification advantageous.
• Able to work under high pressure.
• Attention to detail.
• Good organizational skills.
• Excellent written and verbal communication.
• RN license & College diploma.

Physical Requirements:

• Must be able to help a patient move from one bed to another or walk to the bathroom,

turn patient (side to side) using safe lifting techniques to protect the

patient from injury.

• Must also be able to bend over to grab items off the floor or connect medical equipment.
• Must be able to lift 25 pounds.
• Must be able to see and hear well to adequately monitor patients. ability to stand or walk

for extended periods of time, as well as lift patients and medical equipment. Ability to

demonstrate resilience in emotionally difficult situations.

Safety Practices:

• Consistently follows all established Safety procedures, incident/accident protocol and

precautions or universal precautions when performing duties relating to work area.

• Always follows good infection control practices and is familiar with Infection control

policies, procedures PPE guidelines and guidance relevant to area of work

• Practices proper body mechanics and ergonomics always.
• Follows established plans, policies, and procedures during emergencies, such as fire

evacuation, fire drills and actively participates in emergency exercises/disasters etc.

• Reports all Life Safety maintenance issues, defective equipment, etc. through the

Environmental Services work order system.

DISCLAIMER STATEMENTS:

1) PHI access

2) Equipment Utilized

3) Reasonable accommodation may be made to enable individuals with disabilities

to perform the essential functions