Registered Nurse - Internal Agency Contract - Critical Care

Job Description

Flex RN – Internal Agency Contract (CVICU & MSICU)

Location: TriHealth Bethesda North Hospital

Contract Length: 4–13 weeks

Schedule: 3x12 hour shifts/week, every third weekend (minimum), one holiday per contract

Join our elite Critical Care team as a Flex RN, delivering high-acuity care in two of our most advanced units: the Cardiovascular Intensive Care Unit (CVICU) and the Medical-Surgical Intensive Care Unit (MSICU).

About Our Units

CVICU – Cardiovascular Intensive Care Unit

Our 32-bed CVICU Specializes In Post-operative Care For Patients Recovering From Complex Cardiovascular Surgeries, Including Open-heart Procedures, Heart Failure Interventions, And Vascular Surgeries. Nurses In This Unit Manage Advanced Technologies Such As

• ECMO (Extracorporeal Membrane Oxygenation)
• Impella and Balloon Pumps
• LVADs (Left Ventricular Assist Devices)
• Post-op Open Heart Surgery Care
  
  

CVICU nurses receive hands-on experience running ECMO circuits and collaborate closely with cardiothoracic NPs, surgeons, and a multidisciplinary team. We also partner with the Cleveland Clinic to offer premier educational opportunities. Around-the-clock intensivist coverage and holistic support from pharmacists, therapists, and dietitians ensure comprehensive patient care.

MSICU – Medical-Surgical Intensive Care Unit

Our MSICU Is a 28-bed ICU With An Adjacent 14-bed Progressive Care Unit (PCU), Forming a Dynamic Environment For High-acuity Medical And Surgical Patients. As a Key Component Of Our Level III Trauma And Comprehensive Stroke Programs, The MSICU Provides

• Continuous Renal Replacement Therapy (CRRT)
• Ultrasound-Guided Peripheral IV (USGPIV) techniques
• Care for trauma, stroke, and soon LVAD patients
  
  

We emphasize professional development through our Critical Care Nurse Development Program, offering ongoing education and hands-on training to advance your critical care expertise.

Why Join us?

As a Flex RN, you’ll be part of a collaborative, technology-driven, and education-focused team that delivers exceptional care to critically ill patients. This role is ideal for experienced Critical Care RNs seeking flexibility, variety, and the opportunity to work in two of TriHealth’s most innovative units.

Job Overview

This position applies the nursing process in providing direct and indirect holistic care to patients and their families. The position also collaborates, in a collegial manner, with physicians and other health care team members in meeting the patient's needs. This position may delegate certain aspects of care to those under their direct supervision, within the scope of nursing practice. This position works in a variety of areas across the system, requiring flexibility and a broad range of nursing knowledge.

Job Requirements

Bachelor's Degree in Nursing (Required)

2 - 3 years Clinical Nursing in Acute Care Setting (Required)

Knowledge, judgement, and skills derived from the Principles of Biological,

Physical, Behavioral, Social, and Nursing sciences to meet complex health care needs at various stages of the life cycle

Basic Life Support (BLS) Required

Registered Nurse Required

Job Responsibilities

Demonstrates organizational responsibilities. Identifies areas for self-improvement through self-assessment and peer review. Functions in roles and provides leadership on the unit as needed and requested. Cooperates with instructor to facilitate learning experiences for students. Demonstrates knowledge and is supportive of organizational and unit changes. Supports organizational activities by participating in activities such as committees, staff meetings, and councils. Utilizes chain of command appropriately. Builds collegial relationships with physicians and other health team members. Demonstrates autonomy in identifying opportunities for process improvement. Maintains and improves current knowledge in area of practice through activities such as continuing education, formal education, professional organization membership, and/or certification. Shares knowledge and skills with colleagues and others. Provides peers with constructive feedback regarding their practice.

Evaluates the plan of care for the patient based on optimal specific patient outcomes. Documents the patient/family response to care including teaching. Collaborates with patient/family and with other members of the healthcare team, including physicians, to revise plan of care as needed. Supervises the care that was delegated to other health care team members.

Implements plan of care for patient. Provides safe and therapeutic environment while maintaining patient's autonomy, dignity, and rights. Determines plan of care based on ethical principles as outlined in the TriHealth Code of Ethical Business and Professional Behavior. Acts as a patient advocate. Delivers care in a non-judgmental and non-discriminatory manner that is sensitive to patient diversity. Seeks available resources to help formulate ethical decisions. Prioritizes the workload according to patient's needs, requests, and the needs of the unit/facility. Recognizes emergent situations, notifies appropriate personnel, and begins emergency measures. Completes patient assignment inc

Performs initial and ongoing assessment of patient and family. Completes initial assessment tool. Documents ongoing assessment per unit/TriHealth guidelines. Communicates assessment findings to other health care providers as appropriate. Includes health counseling and health teaching needs in assessment.

Performs technical skills according to policy and procedure and accepted standards within their area of practice. Safely administers medications/treatments and monitors their effects. Uses all equipment in a safe, appropriate manner.

Plans care for patient and family based on assessment, standards of care, and optimal specific outcomes. Initiates and individualizes appropriate patient care guidelines/plan of care or clinical pathways. Updates current plan of care as needed based on patient/family input and healthcare needs. Develops both short and long term goals with patient/family and healthcare team including discharge planning. Communicates plan of care to others.

Other Related Information

The TriHealth Nursing Vision, Mission, and Philosophy speaks to the professional development, collaboration, and our nursing culture. To achieve excellence in nursing care, TriHealth encourages: pursuit of improved knowledge through continuing education classes, formal education leading to advanced degrees, and the attainment of specialty certification; nurse membership in local, regional, and national nursing organizations related to the appropriate nurse specialty; involvement in activities that better the health of our community; nursing research activities and use of evidence-based practice, and all nurses to foster, support, and personally model collaborative relationships amongst nurses, physicians, and other caregivers for the betterment of patient care.

Working Conditions

Bending -

Climbing - Rarely

Concentrating - Consistently

Continuous Learning - Consistently

Hearing: Conversation - Consistently

Hearing: Other Sounds - Consistently

Interpersonal Communication - Consistently

Kneeling - Occasionally

Lifting <10 Lbs. - Consistently

Lifting 50+ Lbs. - Consistently

Lifting <50 Lbs. - Consistently

Pulling - Consistently

Pushing - Consistently

Reaching - Consistently

Reading -

Sitting - Occasionally

Standing - Consistently

Stooping - Frequently

Talking -

Thinking/Reasoning - Consistently

Use of Hands -

Color Vision - Consistently

Visual Acuity: Far -

Visual Acuity: Near -

Walking - Consistently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, We Believe There Is No Responsibility More Important Than To SERVE Our Patients, Our Communities, And Our Fellow Team Members. To Achieve Our Vision And Mission, ALL TriHealth Team Members Are Expected To Demonstrate And Live The Following

Serve: ALWAYS...

• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas
  
  

Excel: ALWAYS...

• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service
  
  

Respect: ALWAYS...

• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone's opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.
  
  

Value: ALWAYS...

• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
  
  

Engage: ALWAYS...

• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community