West Chester Hospital
Registered Nurse - West Chester Hospital - Med/Surg, Tele Unit (5PCT) (Finance)
Knowledge and Skills:
Education: Associate's degree, minimum required. Bachelor's degree, preferred.
Graduate from an accredited school of nursing. Bachelor of Science in Nursing preferred.
License and Certification: Current Ohio RN License.
Years of Experience:
Medical/Surgical 0 (will accept new grads)
Critical Care 2 years equivalent experience preferred
Perioperative Services 2 years equivalent experience preferred
Emergency Department 2 years equivalent experience preferred
Obstetrics/Gynecology 2 years equivalent experience preferred
Mobile Care/Transport 2 years critical care/emergency nursing or 2 years’ pre-hospital Paramedic level experience and 2 years’ critical care/emergency experience. Transport nursing experience preferred.
Radiology 2 years of critical care or emergency care experience preferred; one year interventional radiology preferred
PICC (peripherally inserted central catheter) 2 years clinical nursing experience required; Prefer critical nursing experience or one year of PICC experience
Required Skills and Knowledge:
pecialties • Basic Life Support (American Heart Assoc.) current before end of department orientation.
Critical Care • Care for the patient requiring hemodynamic monitoring, including but not limited to pulmonary artery catheter, arterial line,
• Care for the patient with a temporary pacemaker.
• Care for the patient with acute respiratory failure requiring ventilator support.
• Care for the patient with acute/chronic renal failure in need of continuous renal replacement therapy (CRRT)
• Care for postoperative patient that initiated from ICU
• Care for post-interventional procedural patient, including but not limited to, angioplasty, stent placement
• Care for the patient requiring paralytic medical management
• Care for the patient requiring intra-aortic balloon pump
• Acts as resource for Centralized Monitoring Unit
• Responds to Code Blue and Rapid Response Team
Perioperative Services • Initiates and participates in Universal Protocol for all surgical procedures
• Demonstrates knowledge of patient safety by providing a safe O.R. experience overall, which includes: ESU, fire, and positioning safety; proper count procedures; proper use of specialty equipment used in the O.R.
• Carries out effectively, core measure set activities and associated documentation requirements. IE: SCIP
• Utilizes American Organization of Operating Room Nurses Standards (AORN), Recommended Practices and Guidelines when providing care within the Operation Room
• Demonstrates the ability to effectively circulate on all types of surgical procedures
• Demonstrates commitment to accountability in cost containment strategies with supply acquisition, handling and charging
• Ability to fulfill on call requirements
• Effectively functions in the scrub role as applicable
Emergency Dept. • PALS current within 1 year of hire
• Passing grade on the basic dysrhythmias/EKG exam upon orientation completion and yearly.
• Awareness and Operations HazMat Training required within one year of hire and annually
• Procedural Sedation Competency
• Rapid Sequence Intubation Competency
• Triage patients utilizing 5-level Emergency Severity Index Triage and determine priority of care based on physical assessment.
• Understands de-escalation principles and utilizes skills/techniques in appropriate situations
Labor and Delivery • NRP and STABLE are required to be obtained within the orientation period.
• EFM certification required within 2 years of hire. (West Chester Hospital)
• 1-3 years’ minimum experience working in Women’s’ Health Services, Labor and Delivery, Neonatal Nursing
• Knowledge of labor, delivery, postpartum and nursery care essentials
• Must know principles and practice of sterile technique and infection prevention
• Skilled in technical aspects of mother/infant care
• Able to perform effectively in stressful situations
• Able to interact effectively with a wide variety of people and departments
• Preferred PALS, NRP or obtain within one year
Special Care Nursery • Cares for infants transitioning to extra uterine life
• Provides age and culturally appropriate care to patient
• Consults and coordinates with health team members to assess, plan, implement and evaluate patient care plans
• Provides nutritional assessment and specialized feedings
• Changes dressings, inserts catheters, starts IV
• Draws labs
• Provides arterials and intravenous therapy
• Monitors and adjusts specialized equipment used on patients, such as ventilators and incubators
• Prepares, administers and records prescribed medications. Reports adverse reactions to medications or treatments
• Monitors vital signs and initiates corrective actions when the patient displays adverse symptoms; communicates to the healthcare team
• Assists physician during examinations, treatments and procedures which could include life-saving situations
• Instructs and educates newborns’ families
• Participates in discharge planning
LTAC • Previous clinical experience or certification in critical care, medical/surgical, rehabilitation, and/or gerontology nursing is preferred.
• BCLS required prior to patient contact.
• ACLS and telemetry (EKG) required within 6 months of hire.
Radiology • Provides pre-procedure, intra-procedure and post-procedure care of patients undergoing Interventional Radiology procedures.
• Is competent in moderate sedation under the direction of a physician
• Follow proper radiation safety techniques including compliance with local, state or federal regulation. Uses proper shielding to reduce radiation exposure, adheres to correctly wearing dosimeter badges and maintains a working environment where radiation exposure to self, coworkers, and patients is as low as reasonably achievable.
• Performs proper decontamination procedures in the event of radioactive spills/contamination incidents.
• ACLS
Mobile Care • Apply and obtain Indiana and Kentucky Nursing License within three months of hire
• Current Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Trauma Nurse Core Curriculum (TNCC), or Transport Nursing Advanced Trauma Course (TNATC)
• Neonatal Resuscitation (NRP) or their equivalents must be obtained within the departmental orientation period.
• Relevant certification (CEN, CCRN, CFRN OR CTRN) or equivalent required within two years of employment.
• Ability to make independent, clinically and operationally competent decisions in a challenging environment.
PICC Team • Evaluate the appropriateness of vascular access request
• Is competent in utilization of imaging equipment and PICC /midline catheter supplies
• Knowledgeable in anatomy and physiology as it pertains to proper placement of PICC and midline catheters
• Passing grade on the basic dysrhythmias/EKG exam upon orientation completion and annually
• Maintain competency in EKG interpretation related to catheter placement
• Must demonstrate principles and practice of sterile technique and infection prevention
Cardiac Cath • Passing grade on dysrhythmias/EKG exam upon completion and yearly
• Procedural Sedation Competency yearly
• Care for patient requiring hemodynamic monitoring
• Competent in arterial and venous sheath pulls
• Provides pre-procedure, intra-procedure, and post procedure care of patient undergoing cardiac catheterization procedures
• Demonstrates ability to effectively circulate all types of cardiac catheterization procedures
• Must know principles and practice sterile technique and infection prevention
• Competent in radiation safety
• Must perform and chart thorough cardiovascular assessments
• Required to take â€callâ€. Must live within 30-minute radius.
• ACLS required
• Completes annual competency specific to MIS (West Chester Hospital only)
Wound Care • Completes an annually certification of mandatory unit specific, hospital and safety education.
• Wound ostomy care knowledge
• Diabetic education
• Knowledge of adult learning principles
Cardiovascular Recovery • Passing grade on dysrhythmias/EKG exam upon completion and yearly
• Procedural Sedation Competency yearly
• Care for patients requiring hemodynamic monitoring- arterial lines and Swans Ganz catheters only
• Care for pre and post procedural patients, including but not limited to; angiogram, angioplasty, pacemaker/ICD placement, ablation, TEE/Cardioversion, Tilt table test, Loop recorder placement/removal
• Competent in management of post procedural care, including but not limited to; access site management, hemodynamic stability, complex assessment
• Competent in arterial and venous sheath pulls
• Demonstrates and verbalizes knowledge and understanding of the care for a heart failure patient
• ACLS
Stress Testing Lab/Echo Lab • ACLS Current
• Passing grade on dysrhythmias/EKG exam upon completion and yearly
• Procedural Sedation Competency yearly
• Competent in General Stress Testing, Echo Stress Testing & Nuclear Stress Testing
• Competent in Holter Monitor application and removal
• Competent in contrast administration and bubbles studies
• Competent in radiation safety
Electrophysiology • Passing grade on dysrhythmias/EKG exam upon completion and yearly
• Procedural Sedation Competency yearly
• Care for patient requiring hemodynamic monitoring
• Competent in arterial and venous sheath pulls
• Provides pre-procedure, intra-procedure, and post procedure care of patient undergoing electrophysiology procedures
• Demonstrates ability to function in the scrub role and effectively circulate all types of electrophysiology procedures
• Must know principles and practice sterile technique and infection prevention
• Competent in radiation safety
• Must perform and chart thorough cardiovascular assessments