UNC Health Care RN/CRITICAL CARE - MEDICAL SURGICAL ICU in Raleigh, North Carolina


Job ID: NUR00OC0



Position: RN/Critical Care



The essential duties and responsibilities of a Critical Care RN for the Medical Surgical ICU includes:

-Supporting patient safety initiatives by maintaining an environment of safety for patients, self and others

-Following hand hygiene protocols,falls prevention and HAPU prevention, andusing Positive Patient Identification Devices

-Complying with HIPPA regarding patient protected health information (PHI)

-Responding to the Code Blue, Rapid Response Team, and Code Stroke calls appropriately, as well as completing the required documentation and follow-up

-Performing bedside safety checks with oncoming caregivers

-Ensuring that reports are given using the SBAR format and utilizing SBAR Ticket to Ride when transferring patients

-Maintaining courteous and professional in all interactions with patients, visitors, and staff from other departments

-Making an extra effort, showing good follow through in meeting the patient's/family's needs, responding promptly to their needs regardless of the assignment and delivering patient care without making an excessive amount of noise

-Coordinating the placement of patients with Patient Reservations/AC throughout the shift

-Evaluating the patient assignments at the beginning and throughout the shift for appropriateness, and basing oncoming shift assignments on patient acuity and staff qualifications

-Evaluating and adjusting the staffing throughout the shift to accommodate any increase or decrease in patient acuity or census, communicating with the Administrative Coordinator (AC) and Clinical Manager regarding staffing adjustments, reviewing the staffing pattern for the next shift to ensure adequate coverage and following the scheduling policy guidelines for staffing levels, mandatory call-in’s, low census, on call shifts and floating to other units

-Communicating appropriately and in a timely manner with coworkers concerning changes in assignments and/or admissions/transfers

-Directing activities to ensure unit coverage during the staff's meals/breaks, sedation for patient procedures, and transportation of patients to special procedures such as CT or MRI

-Assisting with admissions, discharges and transfers as needed

-Verifying that all vacant patient rooms are prepared and equipped for admission

-Upon admission and per protocols, completing assessments of the patient’s condition, including their biophysical, psychosocial, and age-specific needs

-Providing a clear and organized review of this assessment data

-Completing patient documentation according to the unit specific, and nursing division policies and procedures

-Completing all patient care and documentation by the end of the shift, and appropriately ending patient assignments in the EMR

-Initiating and implementing an individualized plan of care (POC), while addressing the primary medical diagnosis and pertinent comorbidities

-Documenting the nursing POC per patient encounter

-Ensuring that the POC and/or pathway is consistently initiated upon admission, that problems are prioritized to include individuality and mutuality, and that the problems are resolved appropriately

-Identifying and initiating independent nursing interventions to deal with any potential complications, and communicating with the interdisciplinary team when issues do occur

-Ensuring that orders are verified correctly and completely, and that critical lab value follow-up is documented on the Provider Notification tab in the EMR

-Resolving any narcotic discrepancies and assisting/completing event reporting as needed

-Ensuring that hand-off of medication orders are reviewed in the EMR at shift changes, that the medication is administered using two patient identifiers such as the patient's name and their medical record number, that the medication is explained to the patient, such as the name of the medication, its action and its side effects prior to administration, and maintaining barcode scanning compliance of the patient and of the medication per unit standards

-Providing patient and family education according to the patient's individualized needs, and as delegated by the physician and/or hospital procedure, and documenting any education provided to the patient/family into their electronic medical record (EMR) at least once per shift

-Completing charge nurse checklists and ensuring that PCT tasks are completed by the end of the shift

-Completing the daily Inpatient Staffing Report and verifying that the patient level of care and accommodation codes are accurate

-Validating the nursing Stroke, Falls and Restraint documentation at the end of the shift

-Supporting teamwork and a positive work environment on the unit by engaging in open and positive communication with peers, and displaying a willingness to assist others

-Demonstrating autonomy in finding solutions to problems and effectively and appropriately delegating tasks to coworkers

-Maintaining a willingness to function as a new employee preceptor and/or charge nurse

-Assisting the staff in finding the answers to their questions, and serving as a clinical resource both to critical care nurses and other hospital units

-Adhering to the self-scheduling guidelines and maintaining flexibility with schedule changes as required by the unit's needs

-Attending at least 50% of the annual MSICU staff and Cardiovascular/Pulmonary Service department meetings during the fiscal year

-Meeting the requirements for annual compliance training, licenses, certification (ACLS/BLS) renewals, and annual TB testing without reminders or follow-ups

-Participating in continuing education activities, conferences and/or classes to improve nursing practice

-Supporting performance and quality improvement by participating in unit-based and/or hospital-wide committees or councils

-Recognizing, supporting, and utilizing evidence based nursing practices and adhering to the American Nurses Association Code of Ethics

-Demonstrating knowledge of policies, procedures, guidelines and protocols

-Following hospital and unit specific policies and procedures

Other duties may be assigned.


Candidate is required to havean Advanced Cardiovascular Life Support (ACLS) certification,a Basic Cardiac Life Support (BCLS) certification andbe licensed as a Registered Nurse in the state of North Carolina (RN NC LIC).

It is preferred that the candidate have a Bachelor's degree (BSN) from an accredited School of Nursing.

Primary LocationUnited States-North Carolina-Raleigh

DepartmentREXH-11510-Medical Surgical ICU