FLOAT ICU RN – Float Intensive Care Registered Nurse

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

About The Position

The Float ICU RN provides and directs safe, effective, and culturally competent care for high-risk, critically acute patients with actual or potential life-threatening conditions. Using evidence-based practice and critical thinking, the nurse assesses, plans, implements, and evaluates outcome-based care, including care for critically ill cardiovascular and surgical patients. The nurse may assume responsibility and accountability for assigned ECMO patients and supervises and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members. The role facilitates communication with physicians, patients and families, other departments, and team members, and follows MercyOne's performance expectations and Mission, Vision, and Values. This is a full-time night-shift position in Des Moines, Iowa, scheduled for 36 hours per week 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 advanced nursing or critical care coursework, or comparable training.
  • Non-Violent Crisis Intervention Training (NVCI) within 6 months of hire.
  • 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 and direct others in a high-stress situation or environment.
  • If caring for ECLS patients as a Specialist: complete an ELSO-guideline-based formal course of study designed by the ECLS Program Coordinator and approved by the ECLS Program Medical Director.
  • If caring for ECLS patients as a Specialist: complete 72 hours of supervised ECLS case-management experience, including the first 36 hours with a qualified preceptor at the pump and the remaining 36 hours as the primary pump specialist with a veteran specialist serving as the patient's bedside RN.
  • If caring for ECLS patients as a Specialist: satisfactorily participate in an introductory 8-hour ECLS competency simulation workshop verified by the ECLS Coordinator and ECLS Medical Director.
  • If caring for ECLS patients as a Specialist: meet annual requirements to maintain ECLS specialist status.

Nice To Haves

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

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.
  • Reassess patients regularly, update care plans, and maintain thorough documentation.
  • Communicate patient status and care needs effectively 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 care appropriate to patients' developmental stages and individual age-related 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 and families, other departments, and team members.

Benefits

  • Relocation incentive eligibility.
  • Additional float differential.
  • Generous night differential.
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