ICU Cardiac Registered Nurse Full-time Nights

Community Health Systems•Fort Wayne, IN

About The Position

The Registered Nurse provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. The RN coordinates and delivers high-quality care according to organizational policies, clinical protocols, and physician/provider orders, collaborating with the healthcare team to support effective care and desired outcomes in a compassionate environment for patients and families. This position is in a 24-bed Coronary Intensive Care/Cardiac ICU (CIC), caring for patients requiring extensive coronary, cardiac, and general intensive care. The patient population includes cardiac or respiratory arrest and failure, acute MI, NSTEMI, acute coronary syndrome, pulmonary edema, unstable CHF, cardiomyopathy, pulmonary hypertension, acute renal failure, sepsis and septic shock, pulmonary embolism/DVT, and heart blocks or pacemakers. The RN assists with bedside procedures within documented competency and skill level, including cardioversions and placements of arterial lines, central venous catheters, temporary pacemakers, Swan-Ganz catheters, and dialysis catheters. The role also provides post-procedure care for carotid stents, TAVR, EVAR, TEVAR, ablations, coronary stents, valvuloplasty, and EKOS. Equipment used in the unit includes intra-aortic balloon pumps, TABLO for CRRT, Impella for LVAD, ventilators, continuous cardiac output monitoring with Swan-Ganz catheters, Zoll defibrillators, targeted temperature management equipment (Zoll and Arctic Sun), and EKOS. The schedule is full-time, .9 FTE, nights, 5 p.m.–5 a.m. The role requires 0–2 years of experience in a clinical nursing role or student clinical rotations in an acute-care setting. State RN licensure and BCLS are required; ACLS, PALS, and NRP are preferred.

Requirements

0–2 years of experience in a clinical nursing role or student clinical rotations in an acute-care setting.
RN – Registered Nurse – State Licensure and/or Compact State Licensure required.
BCLS – Basic Life Support required.
Strong knowledge of the nursing process and clinical nursing practices.
Ability to perform thorough patient assessments and communicate findings effectively.
Proficiency in administering medications and monitoring for side effects.
Effective communication and interpersonal skills to collaborate with interdisciplinary teams.
Strong organizational skills and attention to detail in documenting patient care.
Knowledge of safety standards, infection control, and quality improvement initiatives.

Nice To Haves

ACLS – Advanced Cardiac Life Support preferred.
PALS – Pediatric Advanced Life Support preferred.
NRP – Neonatal Resuscitation preferred.

Responsibilities

Coordinate and deliver high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process.
Conduct thorough patient assessments, accurately document findings, and report changes in condition to appropriate care team members.
Use knowledge of human growth and development to provide age-appropriate care and education.
Administer prescribed medications, monitor for side effects, and document administration according to standards of practice.
Assist physicians during procedures within the scope of documented competency and skill level.
Collaborate with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs.
Respond to medical emergencies and participate in life-saving interventions, including CPR and code team activities, as appropriate.
Advocate for patients’ rights and needs and support their involvement in care planning and delivery.
Educate patients and families about medical conditions, treatment plans, and post-discharge care, confirming understanding of instructions.
Implement and follow infection control protocols to help prevent healthcare-associated infections.
Monitor and operate medical equipment, including IV pumps, monitors, and ventilators, as needed for patient care and safety.
Promote patient safety by following National Patient Safety Goals and maintaining a clean, safe environment.
Participate in audits, chart reviews, and compliance checks to support adherence to practice standards and regulatory requirements.
Make responsible decisions when planning, delegating, and providing care based on patient needs and organizational policies.
Document patient care and education thoroughly and promptly in the medical record.
Engage in professional development to maintain clinical competency and knowledge of current nursing standards and regulations.
Participate in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery.
Administer prescribed medications and treatments, including intravenous medications and therapies.
Manage complex medical equipment, including ventilators, monitoring devices, and other life-support systems.
Perform critical-care procedures such as inserting central lines, managing tracheostomies, and providing advanced cardiac life support.
Assist with bedside procedures, including cardioversions and placements of arterial lines, central venous catheters, temporary pacemakers, Swan-Ganz catheters, and dialysis catheters.
Provide post-procedure care for carotid stent, TAVR, EVAR, TEVAR, ablation, coronary stent, valvuloplasty, and EKOS procedures.