CMICU RN – Cardiac Medical Intensive Care Registered Nurse

Trinity Health•MMCIA - MercyOne Des Moines Medical Center Central IA, IA

About The Position

The Cardiac Medical Intensive Care Registered Nurse provides and directs safe, effective, and culturally competent care for high-risk, critically ill patients with actual or potential life-threatening conditions. Using evidence-based practice and critical thinking, the RN assesses, plans, implements, and evaluates outcome-based care for critically ill cardiovascular and surgical patients. The role may include responsibility and accountability for assigned ECMO patients. The RN supervises and coordinates care delivered by LPNs, Patient Care Assistants, and other nursing team members, and facilitates communication with physicians, patients, families, departments, and colleagues. The role follows MercyOne performance expectations and applicable policies, standards, and procedures. This is a full-time position of 36 hours per week on a 12-hour night shift, scheduled from 7 PM to 7 AM.

Requirements

  • Associate degree required.
  • Current Iowa RN license; current Illinois license if working in Illinois.
  • BLS certification and Mandatory Reporter training.
  • ACLS certification within 12 months of hire.
  • Cardiac monitoring course and/or selected units of advanced nursing or critical care coursework, or comparable training.
  • TNCC.
  • Non-Violent Crisis Intervention Training (NVCI) within 6 months of hire.
  • High language ability, intermediate-to-high math ability, and high critical-thinking ability.
  • Basic computer skills.
  • Ability to work with diverse groups of people.
  • Ability to work under pressure with a high degree of independence and accountability.
  • Ability to lead or direct others in a high-stress situation or environment.
  • For care of ECMO patients: complete a formal course of study based on ELSO guidelines and recommendations, designed by the ECLS Program Coordinator and approved by the ECLS Program Medical Director.
  • For care of ECMO patients: complete 72 hours of supervised ECLS case-management experience, including the first 36 hours at the pump with a qualified preceptor and the remaining 36 hours as the primary pump specialist with a veteran specialist serving as the patient's bedside RN.
  • For care of ECMO patients: satisfactorily participate in an introductory 8-hour ECLS competency simulation workshop verified by the ECLS Coordinator and ECLS Medical Director.
  • For care of ECMO patients: satisfy annual requirements to maintain ECLS specialist status.

Nice To Haves

  • Bachelor of Science in Nursing (BSN) preferred.
  • Critical care nursing experience preferred.

Responsibilities

  • Perform initial and ongoing patient assessments and develop individualized, outcome-based plans of care.
  • Coordinate and deliver patient care, delegate tasks appropriately, and collaborate with interdisciplinary teams.
  • Regularly reassess patients, update care plans, and document care thoroughly.
  • Communicate patient status and care needs across teams and during shift transitions.
  • Follow protocols, administer medications safely, and demonstrate proficiency in required systems and procedures.
  • Provide advanced care to ECMO patients when applicable, including circuit management, data documentation, and technical education.
  • Deliver age-appropriate care based on developmental stages and patient-specific needs.
  • Follow infection-control practices, safety procedures, and regulatory standards.
  • Adhere to legal, ethical, and organizational policies and participate in continuous professional development.
  • Supervise and coordinate care provided by LPNs, Patient Care Assistants, and other nursing team members.
  • Facilitate communication with physicians, patients, families, other departments, and team members.

Benefits

  • Relocation incentive eligibility.
  • Night shift differential.
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