PJC -Critical Care Nurse DACUM Chart - Workforce 3 One

Job ProfileofCritical Care NursePrepared forByThe Facilitation Center at EKUVersion 1

DACUM Job Profile for Critical Care NurseDutiesTasksAAssess PatientNeedsA-1Complete admissionprocessA-2Perform completeassessmentA-3Identify potential protocolsA-4Review chart and recordsA-5Analyze diagnostic dataBImplement PatientCare PlanB-1Prepare for interventionsB-2Implement ordersB-3Delegate interventionsappropriatelyB-4Assist / perform withproceduresB-5Engage patient / family incareBaCare for Critically IllNeurovascular PatientBa-1Perform in-depthneurological assessmentBa-2Manage patient with ICPmonitorsBa-3Manage patient withcompromised cerebralperfusionBa-4Manage patient with CVA /TPABa-5Manage patient requiringcontinuous EEG monitoringBbCare for Critically IllRespiratory PatientBb-1Perform in-depth pulmonaryassessmentBb-2Maintain patent airwayBb-3Utilize and manageappropriate oxygen deliverysystemBb-4Manage patient onmechanical ventilationBb-5Manage patient inrespiratory crisisBcCare for Critically IllCardiovascular PatientBc-1Perform cardiacassessmentBc-2Monitor and analyze EKGBc-3Manage hemodynamicmonitoringBc-4Manage patient withcompromisedhemodynamicsBc-5Manage patient withmechanical dysrhythmiadevicesBdCare for Patient in ShockStatesBd-1Perform in-depthmulti-system assessmentBd-2Manage hypovolemic shockBd-3Manage cardiogenic shockBd-4Manage neurogenic shockBd-5Manage anaphylactic shockBeCare for Critically IllGI / GU PatientBe-1Assess elimination ofmetabolic wasteBe-2Perform in-depthassessment of GI / GUsystemBe-3Manage patient with acuterenal failure / chronic renalfailureBe-4Mange patient with hepaticcoma / disordersBe-5Manage patient with acutepancreatitisBfCare for Critical TraumaPatientBf-1Identify life-threateningprimary / secondary injuriesBf-2Perform volumeresuscitationBf-3Monitor lab workBf-4Initiate hypothermia protocolBf-5Monitor for compartmentsyndromesBgCare for Patient inEndocrine CrisisBg-1Identify endocrineemergenciesBg-2Recognize and managepatient with SIADHBg-3Identify and manage patientwith DKABg-4Identify and manage patientwith HHNKBg-5Identify and manage patientwith thyroid stormBhManage PharmacologicalInterventions in CriticalCareBh-1Implement ACLS protocolBh-2Support / manage patientreceiving IV conscious /moderate sedationBh-3Manage patient receivingneuromuscular blockingagentBh-4Manage patient recoveringfrom various anesthesiasBh-5Manage IV medicationsCDevelop PatientCare PlanC-1Identify actual / potentialproblemsC-2Prioritize immediate / futureneedsC-3Review and evaluatephysician’s ordersC-4Obtain necessaryequipment / suppliesC-5Develop goals with patientand familyDPursueProfessionalDevelopmentD-1Obtain / maintain requiredcertificationsD-2Participate in qualityimprovement activitiesD-3Cooperate in researchprocess (as applicable)D-4Serve as preceptorD-5Actively participate inprofessional organizationsEEvaluate PatientResponse to CareE-1Perform a physicalassessmentE-2Analyze patient dataE-3Evaluate interventionoutcomesE-4Determine if goals havebeen metE-5Reassess knowledge baseFFunction as anInterdisciplinaryTeam MemberF-1Serve as a patient advocateF-2Participate in patient careroundsF-3Facilitate problem resolutionF-4Maintain a safe environmentF-5Review and contribute tomulti-disciplinary notes

February 26, 2007A-6Assess discharge / needstransferA-7Obtain appropriate consultsA-8Document assessment andinterventionsB-6Implement educational planB-7Provide holistic careB-8Continue interdisciplinarycommunicationB-9Document interventionsBa-6Manage spinal cord injurypatientBa-7Initiate process for organdonationBb-6Monitor patient receivingrespiratory therapyBb-7Monitor pulmonary profiledataBb-8Manage chest drainagesystemsBc-6Manage patient with cardiacassist devicesBc-7Manage patient with acutemyocoronary syndromeBc-8Manage patient post-cardiacinterventionBc-9Manage patient with heartfailureBc-10Manage post-OPcardiovascular patientBc-11Manage patientpost-procedureinterventional radiologyBd-6Manage septic shockBd-7Manage multi-system organdysfunctionBd-8Promote normal acid-basebalanceBd-9Optimize tissue oxygenationBe-6Manage patient with acuteGI bleedBe-7Manage patient after majorabdominal surgeryBe-8Manage patient havinginvasive endoscopic /interventional proceduresBe-9Manage patient with renaltransplantBe-10Analyze diagnostic testingBf-6Initiate wound caremodalitiesBf-7Manage skeletal injuriesBf-8Manage burn injuriesBf-9Provide crisis interventionBg-6Identify and manage patientwith DIBg-7Manage patient inaddisonian crisisBg-8Manage glucose levelsBh-6Monitor patient receivingthrombolytic therapyBh-7Monitor patient receivinganti-platelet therapyBh-8Manage patient receivingcritical medicationsBh-9Administer bloodcomponentsC-6Coordinate interdisciplinaryapproachC-7Develop educational planC-8Re-evaluate dischargeneedsC-9Document care planprogressD-6Attend professionalconferencesD-7Contribute to professionaldevelopment of peersD-8Seek advanced educationD-9Develop professional goalsD-10Maintain best practicesD-11Demonstrate corecompetenciesE-6Identify unmet needsE-7Identify treatmentalternativesE-8Revise care planE-9Update discharge plansE-10Document response tointerventionsF-6Coordinate careconferencesF-7Participate in emergencyresponse teamsF-8Serve on interdisciplinarycommitteesF-9Participate in ethicaldecision making processF-10Support other departments(upon request)

Critical Care NurseJob ProfileA Critical Care Nurse manages the care of critically ill patients by assessing, planning, implementing, evaluating, and advocating to optimize quality of life for each patient.• Acid baseKnowledge• Advanced knowledge of the following:o Age specifico Cardiovascular / Hemodynamico Culturalo Diagnostic toolso Endocrineo Gastrointestinalo Genito-urinaryo Hematologyo Immunologyo In-depth pathophysiologyo Integumentaryo Multi-system organ dysfunctiono Neurologyo Pharmacologyo Pulmonaryo Renalo Shocko Spiritualo Trauma• Fluid & electrolytes• Grieving process• Infection control• Multi-system relationships• Nursing process• Psychosocial• Scope of practice• Tools, equipment, supplies and materialsTools, Equipment, Supplies and Materials• Cardiac chair, wheelchair, stretcher, and bed scale• Cardiac output machine and continuous arterial venousdialysis machine• Chest drainage system, oxygen delivery system, centralmonitoring system, and specimen collection system• Computer, telephone (including emergency phonesystem), fax machine, and pager• Defibrillator, ventilator, and pacemaker• Dressings, sutures, and tape• Hypothermia blanket• Intra-aortic balloon pump console• Intravenous medication, and feeding pump• Invasive line and noninvasive line monitoring device,peripheral nerve stimulator• Patient lift devices• Policy and procedure manual, patient education material,and resource books• Specialty beds / bedside monitoring equipment• Suction equipment and point -of-care testing equipment,drainage collection bag• Supply cart and respiratory cart• Thermometer, hemostat, pen light, specialty trays,stethoscope, and flow sheetsFor additional information on the DACUM OccupationalAnalysis Process visit http://dacum.eku.edu/.Traits• Accountable• Active listener• Altruistic• Articulate• Assertive• Attentive to detail• Calm• Creative and inventive• Diplomatic• Empathetic and caring• Energetic• Flexible• Focused• Independent• Inquisitive• Integrity• Intuitive• Negotiator and mediator• Open and receptive• Positive• Pro-active• Productive• Professional• Proficient• Prudent• Realistic• Reliable and dependable• Resilient• Self-motivated• Works well with othersSkills• Ability to handle multiple priorities• Ability to see the whole picture• Advanced nursing• Basic EKG interpretation• Communication• Computer• Conflict resolution• Critical thinking• Interpersonal• Medication administration• Multi-tasking• Organizational• Problem solving• Psychomotor• Time managementThis DACUM profile was facilitated and developedby the following Eastern Kentucky University Staff:Pensacola Junior CollegeCritical Care Nurse Panel MembersKaren Bransten , CCRNSacred Heart HospitalKaren RussellSarah GilbertIn Conjunction withFebruary 26, 2007Jacquelin Posey, ICU / CVI CU Nurse ManagerWest Florida HospitalBarbara Smith, Clinical Education ManagerBaptist HospitalSusan Veazey, Critical Care EducatorWest Florida HospitalSandra Vickrey, Critical Care EducatorSacred Heart HospitalTerrie Wood, Director of Critical Care ServicesBaptist Hospital• ABG Arterial Blood GasesAcronyms• ACLS Advanced Cardiac Life Support• AMI Acute Myocardial Infarction• CVA Cerebrovascular Accident• DI Diabetes Insipidus• DKA Diabetic Ketoacidosis• EEG Electroencephalogram• ETCO2 End Tidal Carbon Dioxide Level Monitoring• GI Gastrointestinal• GU Genito-Urinary• HHNK Hyperosmolar Hyperglycemic Non-Ketotic Coma• ICP Intracranial Pressure• MSOD Multi-system Organ Dysfunction• PNS Peripheral Nerve Stimulation• SAH Subarachnoid Hemorrhage• SAO2 Oxygen Saturation (arterial)• SCI Spinal Cord Injury• SIADH Syndrome of Inappropriate Antidiuretic Hormone• SJD2 Oxygen Saturation (jugular)• SVO2 Oxygen Saturation (venous)• TNCC Trauma Nurse Core Curriculum• TPA Tissue Plasminogen Activator