Under the direction of an Attending Physician or a licensed independent practitioner, RN provides technically complex and high risk nursing care services to patients which may include one or more of the following categories: sedation, intravenous infusions, complex procedures, e.g., lumbar puncture, cardiac catherization; This may also include specialized monitoring during procedure and recovery phase; The RN may have Charge Nurse responsibility for his/her assigned unit.
Essential UCMC Job Functions
Essential Specialty Procedures Job Functions
- Represents The University of Chicago Medical Center (UCMC) in a positive manner with the prospective, former and current community we serve; interacts effectively with a diverse group of faculty, staff, and other customers of our services; demonstrates knowledge of the operating practices of UCMC.
- Upholds the Mission Statement of UCMC: to provide superior health care in a compassionate manner, ever mindful of each patient’s dignity and individuality. To accomplish our mission, we call upon the skills and expertise of all who work together to advance medical innovation, serve the health needs of the community, and further the knowledge of those dedicated to caring.
- Handles confidential information consistent with Federal HIPAA legislation.
- Performs a variety of clinical and research procedures with efficiency and high standards of quality; assures that the proper protocol is used for each sedation.
- Provides patient care in a compassionate and empathetic manner; demonstrates knowledge of age-specific considerations in the provision of care. Involves a multidisciplinary team as needed to support patient and family psychological, social and spiritual needs.
- Accurately completes required patient assessment, documentation, and interpretations for each patient encounter. Possesses sound professional judgment for timely physician intervention as needed. Recognizes patient conditions requiring immediate actions, initiates appropriate life supporting interventions while communicating appropriately with physicians.
- Maintains nursing equipment and work areas in proper working condition; reports malfunctioning equipment or housekeeping issues to the appropriate person. Maintains a neat and clean work area with equipment. Maintains adequate inventory control of all necessary supplies. Emergency equipment maintained with adequate availability, good working order and restocks as needed with a fiscal awareness and accountability.
- Interfaces with customers, specifically patients, families, visitors, and UCMC staff in a professional, positive and accommodating manner; demonstrates knowledge of AIDET principles and employs in all situations; demonstrates flexibility in accommodating special needs of customers whenever possible.
- Performs all required Quality Assurance testing as indicated or as required by UCMC
- Rotates to clinical areas as directed to assist in safe staffing ratios; utilizes resources to safely transport sedated patients to an appropriate or designated area within the UCMC
Essential Sedation Service Job Functions (if applicable)
- The RN is expert in assessing and treating and evaluating patient conditions specific to their work area, e.g., anxiety, pain, claustrophobia and underlying disease conditions. Due to the complex nature of pain, RN will evaluate and treat pain in a prompt, caring fashion and reassess after each intervention, charting per UCMC protocol.
- RN maintains hospital required nursing & ICU unit specific competencies needed to provide proficient nursing care; RN will provide continuity of care for infant, pediatric or adult patients based on area of specialty. This includes assisting in the care of critically ill patients during sedation/procedural encounters. Administering high-risk infusion and transfusion (i.e. chemotherapy medicines).
- Contributes to the Patient Services Sector/Outpatient Services Sector offering constructive suggestions for change and participating in the planning, implementation and evaluation of new and existing programs utilizing evidence based practice.
- RN uses nursing knowledge to anticipate and plan for patient care needs. The RN understands and applies safety principles and serves as a resource to other healthcare personnel on patient care. RN knows the potential risks and complications from specialty procedures and can assist in the initial treatment of adverse effects in their area of expertise.
OTHER FUNCTIONS AND RESPONSIBILITIES (Will Vary Based on Area)
- Under the Physician direction, the RN administers minimal / moderate sedation analgesia providing patients the ability to tolerate unpleasant procedures while maintaining adequate cardiorespiratory function, protective reflexes, and the ability to respond purposefully to verbal and /or tactile stimulation.
- As it is not always possible to gauge how a patient may respond to sedation, the registered nurse must possess clinical skills to rescue the patient whose level of consciousness progresses to deep sedation.
- Patient selection for sedation is based on established criteria developed through interdisciplinary collaboration by UCMC Critical Care Professionals; the RN will utilize a sedation assessment to determine a patient’s suitability for RN monitored minimal/moderate sedation by identifying potential risk factors for undesirable outcomes. The monitoring RN will conduct the assessment and include data from numerous sources, such as chart review, patient physical assessment and interview, and consultation with other health care providers as appropriate.
- The RN must have the ability to analyze patient data obtained during sedation to identify risks and/or complications throughout a procedure. Must possess excellent airway management skills to prevent adverse outcomes that could potentially occur during moderate sedation. RN identifies changes in patients’ condition and reports findings immediately to the physician. RN must comply with UCMC sedation monitoring documentation protocols throughout the patient encounter.
- The RN will understand the pharmacology of sedation medications and reversal agents and observes the patients for desired medication effects thereby avoiding medication reactions or complications; accurate documentation of the patients’ response is an integral component of the monitoring process.
- Patient education is an integral component for successful moderate sedation; The RN will provide pre-procedure preparation information and education, verbal and written post-procedure instruction. RN will assess for sufficient understanding of patient/families ability to process information. RN will work collaboratively with interpreter as needed and other multidisciplinary team members as needed.
ADDITIONAL CORE COMPETENCIES/ FUNCTIONS/RESPONSIBILITIES:
- Computer proficiency: familiarity with UCMC Information Systems preferred
- Strong interpersonal skills; ability to handle a wide variety of public contacts, including conflict resolution and communicating both verbally and in writing with discretion and courtesy with patients, families and co-workers
- Requires the knowledge & ability to administer minimal and moderate sedation as prescribed and directed by the attending or licensed independent practitioner.
- May require extensive familiarity with hematologic and oncologic diseases, chemotherapy drugs and treatment protocols
- Follows UCMC sedation policy to monitor and recover sedated patients.
- Maintains critical care competencies not limited to: management of artificial airways, including endotracheal tubes and tracheostomy tubes, hemodynamic stability, and thermoregulation for critically ill patients
- Brings excellent organizational skills as demonstrated by: abilities to prioritize and work independently with a high degree of initiative, flexibility, problem solving and adaptability to an ever changing work environment
- Demonstrates ability to work under pressure, exercise good judgment and assume responsibility in a stressful work environment
- Ability and willingness to cooperate with multidisciplinary team to fulfill patient/family needs
- Identifies issues, presents strategies and acts as a change agent to resolve unit and patient care issues
- Accepts responsibility for learning as part of the development of their own professional practice
- Maintains annual competencies for area of expertise
- If applicable will commit to acquiring OCN certification within two years of hire
- Participates in unit based councils under shared governance model
ADDITIONAL REQUIRED QUALIFICATIONS:
- Narcotic Auditing
- UCMC Dialysis Program Policies and Procedure Manuals
- Nephrology Nursing Standards of Practice and Guidelines for Care
- Core Curriculum for Nephrology Nurses
- Contemporary Nephrology Nursing: Principles and Practice.
- Medical Equipment Operators Manuals
- Employee Competency Binder, modules 1 thru 10, checklist to be completed every three years.
- Maintain appropriate PPE at all times while exposed to blood and body fluids
We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing.
- Successful Completion of Pediatric and/or Adult Sedation Education Module specific to patient population served
- Port-A-Cath, Central line experience preferred
- Pediatric Phlebotomy and injections (age-specific developmental competencies)
- BSN required, ACLS preferred
- Certified by the American Nephrology Nurses' Association (ANNA) either as a Certified Dialysis Nurse (CDN) or a Certified Nephrology Nurse (CNN) required
- Two years clinical nursing experience preferred
- One year nephrology nursing experience preferred
- BLS certification