The Medical-Surgical Intensive Care Unit (MSICU) at Piedmont Atlanta Hospital is a specialized environment consisting of 28-beds. Critically ill medical and post-operative surgical patients ranging from adolescents to geriatrics are cared for within the MSICU. The highest priority patients are admitted to the intensive care unit including those that are unstable and in need of intensive treatment and monitoring that cannot be provided outside the ICU. Treatments include ventilator support, continuous vasoactive drug infusions, intensive monitoring and life-saving medical interventions. The MSICU uses a closed admission structure through the managing intensivist group for the unit.
The MSICU specializes in the care of liver, kidney, and pancreas transplant patients. Nurses provide specialty-nursing care by utilizing a primary nursing process mode for the following patient populations:
- Neurological and neurosurgical patients with ventriculostomies, craniotomies, strokes and lumbar drains
- Immediate Post-Operative Hyper thermic Intraperitoneal Chemotherapy (HIPEC) patients
- Septic and multi-organ system failure patients
- Acute respiratory distress and failure patients
- Vascular surgeries and procedure patients, including EkoSonic Endovascular System (EKOS) catheters for deep vein thrombosis or pulmonary embolism
- Pulmonary artery hypertension patients who are managed with Swann-Ganz Catheters and IV prostacyclin therapy including Flolan and Remodulin
- Critically ill patients receiving other treatments including therapeutic hypothermia post cardiac arrest, continuous renal replacement therapy (CRRT), or prone therapy on RotoProne beds
- Immediate post-operative patients after complex surgeries such as abdominal organ transplants (liver, kidney, and pancreas), and esophagogastrectomies.
- Deceased donor patients in conjunction with LifeLink Georgia, as a designated organ donor hospital
The staff nurse provides nursing care to patients from birth through the lifecycle utilizing nursing processes to assess, plan, implement, and evaluate the care for patients. He/she functions within the framework of the policies and procedures of the organization and demonstrates professional growth and accountability. The staff nurse is responsible for maintaining standards of practice, coordinating patient care activities of all assigned staff in the provision of quality nursing care.
MINIMUM EDUCATION REQUIRED:
Graduate of a nursing program
MINIMUM EXPERIENCE REQUIRED:
New Graduates of a nursing program eligible
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
Current License in the State of Georgia as a Registered Nurse
BLS certification required.
Additional Required Certifications:
ACLS Certification - within 6 months from hire date
Coordinates and directs the delivery of nursing care for the Medical-Surgical unit at times when critical care has no patients in order to provide ready in-house access to staffing for critical care admissions
Provides direct clinical care for critically ill adult patients according to established protocols and utilizes evidence-based clinical practices standards under the supervision of the critical care supervising physician
Asses patient for change in status and institute appropriate emergency interventions to stabilize patient
Implements treatment plan for acute illness in collaboration with designated primary supervising physician.