Regitered Nurse - Intensive Care Unit

Job Description

Job Title:

Registered Nurse - Intensive Care Unit

Location:

Show Low, Arizona

Schedule:

Full-Time | Night Shift | 12-Hour Shifts, 6:00 PM-6:30 AM
Pay Range: $31.00-$47.00 per hour
Openings: 2

Start Date:

ASAP

A healthcare organization in Show Low, Arizona, is seeking experienced Intensive Care Unit Registered Nurses for permanent night-shift opportunities.

The ICU RN will provide comprehensive critical-care nursing to medically complex and high-acuity patients in a 12-bed ICU with typical staffing ratios of approximately 1:2. The unit cares for patients requiring mechanical ventilation, vasoactive medications, invasive monitoring, post-cardiac intervention care, and management of complex medical emergencies.

Candidates must have at least two years of ICU experience and be comfortable managing ventilators, critical-care drips, arterial lines, and rapidly changing patient conditions.

• Provide direct nursing care to critically ill and high-acuity patients
• Perform comprehensive assessments and frequent reassessments
• Maintain typical patient assignments of approximately 1:2 based on acuity
• Manage mechanically ventilated patients
• Monitor and care for patients with arterial lines and other invasive monitoring
• Administer and titrate critical-care medications and continuous IV infusions
• Recognize changes in patient condition and initiate rapid interventions
• Provide care to patients following cardiac catheterization and coronary interventions
• Manage patients with diagnoses and conditions such as:
  • STEMI and other acute cardiac conditions
  • Pneumonia and respiratory failure
  • ARDS
  • Sepsis
  • DKA
  • Atrial fibrillation with rapid ventricular response
  • Renal failure
  • Stroke following thrombolytic therapy
  • Postoperative complications
  • EVAR recovery
  • Alcohol withdrawal and overdose
• Participate in therapeutic hypothermia/temperature-management protocols
• Provide care to patients requiring sedation and neuromuscular blockade
• Assist with management of intra-aortic balloon pump patients when appropriately trained
• Collaborate with physicians, respiratory therapists, pharmacy, PCTs, HUCs, and other interdisciplinary team members
• Educate patients and families regarding diagnoses, treatments, medications, and ongoing care
• Maintain accurate and timely clinical documentation
• Follow infection-control, critical-care, medication-safety, and patient-safety standards
• Float to the Emergency Department or Medical-Surgical units when appropriately experienced and operationally necessary

The ICU manages a broad range of continuous infusions, including:

• Amiodarone
• Cardizem
• Levophed / Norepinephrine
• Precedex
• Propofol
• Fentanyl
• Vecuronium
• Dopamine
• Dobutamine
• Lasix
• Insulin
• Weight-based Heparin

• Current Registered Nurse license or eligibility for Arizona licensure
• Minimum of two years of ICU nursing experience
• Current Basic Life Support certification
• Current Advanced Cardiovascular Life Support certification
• Current NIH Stroke Scale certification
• Experience with mechanical ventilation
• Experience administering and titrating critical-care drips
• Experience with basic ICU monitoring and equipment
• Strong cardiac, respiratory, neurological, and hemodynamic assessment skills
• Ability to recognize and respond rapidly to clinical deterioration
• Strong critical-thinking, prioritization, and emergency-response skills
• Ability to work 12-hour night shifts
• Availability for required weekend scheduling

• Experience caring for post-cardiac catheterization or post-PCI patients
• Experience with arterial lines
• Experience with therapeutic hypothermia or targeted temperature management
• Experience caring for patients with ARDS, sepsis, DKA, and acute stroke
• IABP experience; not required
• Emergency Department experience for candidates who may float to the ED

• 12-bed Intensive Care Unit
• Typical RN-to-patient ratio of approximately 1:2
• Usually approximately 1-2 ventilated patients on the unit at any given time, although volume varies
• Respiratory Therapy available 24/7
• Patient Care Technician and Health Unit Secretary support
• Administrative Shift Coordinator / House Supervisor available in-house 24/7
• Nurse Manager available to assist with patient care when needed
• No open-heart surgery program
• No neurosurgery program
• No fresh transplant patients, although patients with a history of transplant may be admitted

Full-time night shift