Registered Nurse ICU Nights

Qualifications

Education

• Associate Degree in Nursing (ADN) required.
• Bachelor of Science in Nursing (BSN) preferred.
• Licensure
• Current Texas Registered Nurse license in good standing
• Experience

Additional information

Minimum of three years work experience as an ICU nurse in an acute care hospital setting. - If the candidate/employee has less than three years of acute care hospital experience there will be an education plan in place required for the orientation period.

Certifications

• Basic Life Support (BLS) - required.
• Advanced Cardiac Life Support (ACLS) - required.
• NIH Stroke Scale Certification required within orientation period.

Essential Duties and Responsibilities

Clinical Care

• Performs assessment/data collection in an ongoing and systematic manner, focusing on physiologic, psychological and cognitive status of the critically ill patient.
• Formulates a goal directed plan of care, which is prioritized and based on determined nursing diagnosis and patient outcomes.
• Implements care in a knowledgeable, skilled consistent manner in reaching the desired patient outcomes through nursing processes.
• Demonstrates applied knowledge base in areas of critical care patient care, pain assessment and actions of pharmaceuticals and anesthetic agents, laboratory values, safety and legal issues and all emergency equipment.
• Monitors patient response to treatment and promptly communicates changes in condition to the provider.
• Provides care to patients across the lifespan, including pediatric, adolescent, adult, and geriatric populations as applicable.
• Assists with emergency procedures including trauma resuscitation, stroke alerts, STEMI activations, code blue responses, rapid responses, and disaster management.
• Initiates and maintains IV access and assists with advanced airway management as needed.
• Performs and interprets patient monitoring including cardiac telemetry, pulse oximetry, capnography, and hemodynamic monitoring.
• Remains flexible, adaptive and able to accept and implement new ideas and approaches.
• Treats all patients equally adopting the hospital's Patient Rights policy.
• Reviews and carries out physician orders in an appropriate professional manner.
• Willingness to assist with other duties when asked.

Patient Throughput and Coordination

• Collaborates with physicians and multidisciplinary teams to facilitate timely patient evaluation, treatment, admission, transfer, or discharge.
• Coordinates patient care activities to support efficient patient flow and reduce length of stay.
• Ensures appropriate documentation and communication during patient handoffs.
• Participates in transfer processes and stabilization of patients requiring a higher level of care.

Documentation

• Documents assessments, interventions, patient responses, and outcomes accurately and timely within the electronic medical record.
• Maintains compliance with regulatory, legal, and accreditation requirements.
• Completes required quality and safety documentation.

Patient and Family Education

• Provides education regarding diagnoses, medications, procedures, discharge instructions, and follow-up care.
• Assesses patient understanding and readiness to learn.
• Promotes patient engagement and shared decision-making.

Quality and Safety

• Adheres to infection prevention and control practices.
• Identifies and reports safety concerns, adverse events, and near misses.
• Participates in performance improvement, patient safety, and quality initiatives.
• Maintains compliance with hospital policies, CMS, Texas Department of State Health Services, and accreditation standards.

Professional Practice

• Demonstrates professional communication and collaboration with patients, families, physicians, and staff.
• Serves as a patient advocate.
• Participates in departmental meetings, education, and competency validation.
• Maintains required certifications and licensure.

ICU Specific Responsibilities

• Rapid assessment, stabilization, and continuous care of critically ill patients.
• Care of patients presenting with:
• Cardiac emergencies
• Stroke symptoms
• Respiratory distress
• Sepsis
• Medical and surgical conditions of a critical nature requiring critical care.
• Participation in disaster preparedness and emergency management activities.
• Assists with procedural sedation and emergency procedures within scope of practice.
• Responds to hospital emergency codes as assigned.
• Other responsibilities as directed by leadership.

Knowledge, Skills, and Abilities

• Strong critical thinking and clinical judgment skills.
• Ability to prioritize and manage multiple patients simultaneously.
• Knowledge of emergency nursing principles and standards.
• Ability to recognize and respond to rapidly changing patient conditions.
• Effective communication and teamwork skills.
• Proficiency in electronic medical record documentation.
• Ability to maintain composure and effectiveness during high-stress situations.

Physical Requirements

• Frequent standing, walking, bending, lifting, pushing, and pulling.
• Ability to lift and move patients and equipment with appropriate assistance.
• Ability to respond quickly to emergency situations.

Performance Expectations

• Demonstrates commitment to patient safety, quality outcomes, customer service, and regulatory compliance.
• Maintains competency in critical care nursing skills and hospital-required competencies.
• Supports departmental goals related to patient satisfaction, throughput, quality metrics, and clinical outcomes.
• Visual and auditory acuity sufficient for patient assessment and monitoring.

Core Values

• The ICU RN is expected to uphold the hospital's mission, vision, and values while providing compassionate, safe, high-quality care to every patient, every time.

Our organization is an Equal Opportunity Employer