Registered Nurse; RN - Medical Respiratory ICU - Nights

Overview

The Medical Respiratory Intensive Care Unit is a 28–bed unit specializing in the care of patients with multisystem organ failure and complex pulmonary needs. Our patients include various respiratory disorders and failures, such as COPD, ARDS, status asthmatic us, and pneumonia. The latest advances in care delivery are given to patients with sepsis, GI bleeds, DKA, oncological issues, acute kidney and liver dysfunction, and acid–base and metabolic imbalances.

Through true collaboration with the interprofessional team, MRICU nurses translate evidence‑based practice, quality improvement, and research into bedside clinical practice, leading the way to advancing safe and quality care for all patients.

• 28‑bed adult ICU caring for complex medical and pulmonary patients, including post‑codes, sepsis, GI bleeds, DKA, renal and liver failure, and those requiring various bedside procedures and advanced pulmonary and invasive interventions
• Nurse‑to‑patient ratios are 1:1 and 1:2, with charge nurse, unlicensed assistive personnel, and unit secretary support 24/7

Clinical Nurse I:
Integrates technical skills and theoretical knowledge to meet patient and family needs, assists the health care team with prevention of illness and injury, maintenance of wellness, and provision of comfort. Provides direction, education, and begins to acquire leadership skills at the unit level. Delivers and documents direct, age‑specific care based on medical orders and a multidisciplinary plan of care. Safely administers prescribed medications, identifying incompatibilities and/or interactions.

Clinical Nurse II:
Demonstrates mastery of clinical skills and applies knowledge to a specific patient population. Recognizes changes in patient situations, intervenes appropriately, mobilizes resources, and assumes leadership responsibilities at the unit level. Provides direction, education, and delivers and documents direct, age‑specific care. Safely administers medications, identifying incompatibilities and/or interactions.

Clinical Nurse III:
Demonstrates clinical knowledge at the unit level and applies knowledge to a specific patient population. Anticipates changes in patient situations, intervenes appropriately, serves as a role model, and delivers and documents direct, age‑specific care. Safely administers medications, identifying incompatibilities and/or interactions.

• Current RN licensure in Virginia or eligible/compact state for Clin I, II, III

• Current RN licensure in Virginia, AHA BLS HCP Certification or equivalent for Clin I, II, III

• Clin I: N/A
• Clin II: 12 to 24 months RN experience
• Clin III: 3 years of clinical experience

• Clin I:
  Experience as an LPN, nursing assistant, or care partner in an acute care setting or applicable area of practice
• Clin II and III:
  Academic health care experience; experience with similar patient population in acute care setting or applicable area of practice

• Clin I, II, III:
  Diploma or Associate’s Degree from a professional nursing program recognized and/or approved by the state Board of Nursing
• All RNs without a Bachelor’s degree in Nursing (or higher) must enroll in an approved RN to BSN program within two years of start date and complete within five years unless grandfathered

• Clin I, II, III:
  Completion of a Bachelor’s Degree in Nursing (or higher) from an accredited program
• Clin III:
  Certification in specialty area

• Follow documented physician/licensed independent provider orders
• Practice within Virginia nursing regulations
• Guided by ANA Code of Ethics and national nursing standards
• Follow VCUHS policies and procedures

• Organize work, delegate, and supervise others (RNs, LPNs, care partners, unit secretaries, etc.) in carrying out assignments

• Work all three shifts, weekends, and holidays
• Shift rotation and schedule established with Nurse Manager/Practice Manager
• Schedule may be adjusted to meet unit requirements

• Appropriate based on unit assignment

• Lifting 20–50 lbs.
• Exposed to potentially hazardous and infectious substances
• Prolonged standing, sitting, frequent bending, walking, climbing steps or ladder, reaching overhead
• Strong recall, reasoning, problem solving, hearing, speaking clearly, writing legibly, reading, logical thinking
• Fast pace environment, steady pace, handle multiple priorities, frequent and intense customer interactions, noisy environment

EEO Employer/Disabled/Protected Veteran