Cleveland Clinic RN-Hospital-Resident-J8-1-Vascular-Surgery-Stepdown in Cleveland, Ohio

Job Summary:

We are a 25-bed surgical step-down telemetry unit with private rooms. Our patient census is largely individuals with vascular diseases/disorders. Common diagnoses include: acute DVT, extremity ischemia, abdominal aortic aneurysm, and peripheral ulcers. Most commonly, our post-operative patients are those who have undergone thrombolytic therapies, amputations, peripheral bypasses and vascular grafts or stenting. Co-morbidities of these patients often include hypertension, diabetes, renal failure and CAD. J81 is capable of cardiac monitoring on every patient. The patients admitted to J81 are evaluated by a physician team made up of a resident and PA. Through a collaborative process with the physicians and nursing personnel, a thorough assessment, plan of care, and therapeutic intervention for each patient is executed. Multidisciplinary rounds from Physical Therapy, Case Management, Respiratory Therapy, Nursing, Nutrition, Pharmacy and Social Services are frequently involved in assessing patient needs. J81 Research | Predictors of Pressure Ulcer Development in Patients with Vascular Disease. J81 has developed this research project based on our vascular patient population and the fact that there is limited research on patients with PAD. This project has been a work in progress for the past 3 years and has been published and presented multiple times the past two years.

Provides direct nursing care in accordance with established policies, procedures and protocols of the healthcare organization.

Responsibilities:

  • Provides direct nursing care in accordance with established policies, procedures and protocols of the healthcare organization. Implements and monitors patient care plans.

  • Monitors, records and communicates patient condition as appropriate.

  • Monitors and documents patient's condition and effectiveness and timeliness of care and/or interventions.

  • Evaluates, updates and revises plan of care to facilitate achievement of planned and expected outcomes.

  • Serves as a primary coordinator of all disciplines for well-coordinated patient care.

  • Administers prescribed medications and treatments in accordance with approved nursing protocol.

  • Notes and carries out physician and nursing orders.

  • Assesses and coordinates patient's discharge planning needs with members of the healthcare team.

  • Assesses educational needs of the patient and significant others considering cultural issues and other special concerns.

  • Provides teaching and educational material as appropriate.

  • Validates and documents patient and family understanding of teaching.

  • Maintains professional growth and development through ongoing formal and informal education and clinical nursing study.

  • Other duties as assigned.

Education:

  • Graduate from an accredited school of professional nursing. BSN preferred.

Certifications:

  • Current state licensure as Registered Nurse (RN).

  • Proof of Basic Life Support (BLS) certification must be presented upon hire.

  • If in a Critical Care area an Advanced Cardiac Life Support (ACLS) Certification must be presented upon hire or within first year of employment.

  • Within one year of hire RNs in Children's Hospital and Children's Hospital for Rehabilitation will achieve and maintain Pediatric Advanced Life Support (PALS) with the exception of the Neonatal Intensive Care Unit RNs who must achieve and maintain Neonatal Resuscitation Program (NRP) provider status and RNs in the Special Delivery Unit, who must achieve and maintain Advanced Cardiac Life Support (ACLS).

  • ONS Chemo/Bio course complete within 2 years of employment if employed on units inpatient and/or outpatient where chemo is administered.

  • If in an Adult/Combined EDs, ACLS upon hire or within one year of beginning work in the Emergency Department.

  • If in a Pediatric ED, PALS upon hire or within one year of beginning work in the Emergency Department.

  • In Dedicated Trauma Centers, Trauma Nursing Core Course (TNCC - adult) or Emergency Nurse Pediatric Course (ENPC - pediatric) upon hire or within 24 months of beginning work in the Emergency Department.

  • Vascular Access Registered Nurse (VARN) program attendance required and obtains either a Certified Registered Nurse Infusion (CRNI) or Vascular Access Board Certified (VA-BC) certification upon hire or within a year of hire in Peripherally Inserted Central Catheter (PICC) areas.

Complexity of Work:

  • Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.

  • Must be able to work in a stressful environment and take appropriate action.

Work Experience:

  • Minimum one year current acute care RN experience in a hospital setting required for acute care settings.

  • Minimum one year current acute care RN experience and/or skilled nursing facility (SNF) experience required for SNF care settings.

  • Minimum one year current acute care RN experience and/or rehab experience required for rehab care settings.

  • Minimum one year current acute care RN experience and/or Emergency Department (ED) experience required for ED settings.

Physical Requirements:

  • Requires full range of body motion including handling and lifting patient, manual and finger dexterity, and eye-hand coordination.

  • Requires standing and walking for extended periods of time.

  • Requires corrected vision and hearing to normal range.

  • Requires working under stressful conditions and irregular hours.

  • Exposure to communicable diseases and/or body fluids.

  • Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects.

  • Physical Demand requirements are in excess of those for Light Work.

Personal Protective Equipment:

  • Follows standard precautions using personal protective equipment as required.

The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic’s Smoking Policy will be offered smoking cessation assistance and will be permitted to reapply for open positions after 90 days. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic facility.

Cleveland Clinic is pleased to be an equal employment employer: Women/Minorities/Veterans/Individuals with Disabilities