Registered Nurse, ICU, Full time nights, Clarksville - NEW INCREASED NIGHT SHIFT DIFFERENTIAL

About this role

Discover Vanderbilt Health : With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.

Organization: VCH Intensive Care Unit Job Summary: Responsible for planning, organizing, and administering patient care within the scope of his/her training and expertise, collaborating with other professional disciplines to ensure effective and efficient patient care delivery and achievement of desired patient outcomes is met. This is done in conjunction with the objectives and policies of the hospital and the Nurse Practice Act of the State of Tennessee. . NEW INCREASED NIGHT DIFFERENTIAL TO $10/HOUR FOR NIGHT SHIFT RNs!

Hours of Position: Full-time (36 hours/week), nights (6:45p - 6:45a)

Vanderbilt Clarksville Intensive Care Unit (ICU), is a 21 bed mixed medical/surgical adult ICU specialized in providing close monitoring and treatment for patients with a wide-range of diagnosis . We care for patients being treated for Cardiovascular conditions, Acute Respiratory Failure, Acute Respiratory Distress Syndrome (ARDS), Multisystem Organ System Failure, Sepsis, Drug Overdoses, Gastrointestinal Bleeds, Diabetic Ketoacidosis, Hypertensive Crisis, Acute/Chronic Renal Failure, STEMI, cardiogenic shock and post heart catheterization.

Our staff is committed to provide exceptional care to our patients. Our environment is challenging, team oriented, patient and family centered. We work collaboratively to provide opportunities for nurses to grow in critical thinking, professionalism, and participate in ongoing education.

Our team consists of Intensivists, advanced practice nurses, critical care nurses, and respiratory therapists.  Daily multidisciplinary rounds include the intensivist, advanced practice nurse, ICU nurse, case manager, respiratory therapy, pharmacy, infectious disease, and a nurse leader. SWAT team consists of intensivist, advance practice nurse and charge nurse available as bedside consult. ICU charge nurse responds to codes, and RRT’s. Each shift begins with a safety huddle to look back and forward 24 hours to review safety and quality concerns. Certifications: BLS, ACLS, NIH, ECG interpretation Orientation:  12 weeks of orientation is offered based on nursing experience for nurses with at least one year of experience. Ratios 2:1

Medical Equipment - cardiac monitors, mechanical ventilators, high flow, bipap, feeding tubes,  intravenous (IV) lines, arterial lines swan ganz catheters, foley catheters, chest tubes, alaris, pca, epidural, arctic sun, blanketrol, ultrasound, glidescope, bladder scanner, tele neurobot, ventilator, ETc02, wound vac.

Clinical Skills: Hemodynamic monitoring, invasive and noninvasive, Tracheostomy care, ventilator management protocols, cardiac arrthymias, drip titration, cardiac drips, oxygenation management, lines tubes, drains, Sheath pulls. Professionalism:  critical thinking, collaboration, multidisciplinary rounding, bedside shift report, shared governance, certifications.

New Services: Neurosurgery

Drips:  Vasopressors, inotropes, paralytics, thrombolytic, all sedation, insulin, Blood products, TPN

Bedside procedures: Central lines, bronch, chest tube, arterial lines, paracentesis, thoracentesis, sheath pulls, cardioversions. Specialized competencies: Intra-Aortic Balloon pump, Impella device, EVD, Swan Ganz, Arterial Line

KEY RESPONSIBILITIES • Collaborates in establishing the plan of care, coordinates and implements care delivery while anticipating patient care needs across the continuum. • Analyzes comprehensive information pertinent to the patient's care and management to determine nursing diagnosis. • Continually utilizes the nursing process to evaluate patient's progress towards goals and applies appropriate interventions to ensure effective outcomes. • Employs strategies to promote health and a safe and healthy environment. • The responsibilities listed are a general overview of the position and additional duties may be assigned.

TECHNICAL CAPABILITIES • NURSING PATIENT ASSESSMENT & EVALUATION HOME CARE(NOVICE): Possesses ample fundamental proficiency to successfully demonstrate the ability to assess and evaluate patients in practical applications of moderate difficulty in the home setting. The RN Home Care works autonomously to provide safe, thorough and effective physician-ordered care in the home setting. Conducts primary care patient interviews, assesses the safety of the home environment and performs a comprehensive physical assessment. The RN Home Care demonstrates appropriate acumen to recognize problems, ask questions and to contact the patient's primary care provider. • Nursing Patient Education (Novice): Possesses sufficient fundamental proficiency in providing patient education in practical applications of moderate difficulty. • Care Planning (Novice): Demonstrates ability to anticipate resource needs, identify distinct tasks, set priorities, schedule activities, meet deadlines, and organize work within areas of direct responsibility. Competently handles multiple assignments often simultaneously by prioritizing work into manageable and measurable units. Ability to adapt to changes to patient care and area needs with minimal disruption and loss of productivity. Follows up to assure problems and issues are resolved. • Evidence-Based Nutrition Practice (Novice): Possesses sufficient fundamental proficiency to successfully search for nutrition evidence to

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