RN - 19402556

St Michael Medical Center • Silverdale, WA

1d

About The Position

The ICU Registered Nurse provides comprehensive care to critically ill patients in a mixed medical and cardiovascular ICU on the fourth floor. The unit has 24 beds, with patient ratios of 1:1 for high-acuity patients and 1:3–4 for lower-acuity patients. Charge nurses and resource nurses are present on each shift to support staff. The role includes managing patients with complex medical conditions and providing immediate post-operative care for open-heart surgery patients and other surgical recovery cases.

The position has 12-hour shifts and 36 guaranteed hours per week. Sunday shifts are in high demand. Nurses may float between critical care floors or to the emergency room for patient holds. Orientation includes training modules, an eight-hour onboarding session, and a clinical shift with a preceptor. Nurses with recent Epic experience may test out of Epic training.

Requirements

• Current Washington State or Compact Registered Nurse license.
• ACLS certification.
• BLS certification.
• NIHSS certification.
• At least 2 years of experience in an ICU setting.
• Ability to interpret and manage telemetry monitoring and read cardiac strips.
• Team-oriented approach, flexibility, and willingness to collaborate in a fast-paced environment.

Nice To Haves

• Experience managing Swan-Ganz catheters.
• Experience with CRRT using Prismaflex.
• Experience with IABP.
• Experience providing immediate post-operative care for open-heart patients.
• Experience with Epic.

Responsibilities

• Monitor and manage patients with conditions including sepsis, COPD, COVID, pneumonia, withdrawal, and strokes.
• Provide immediate post-operative care for open-heart surgery patients and other surgical recovery cases.
• Administer and titrate intravenous medications, ICU-level drips, sedation, and vasoactive therapies.
• Collaborate with the multidisciplinary team, including in-house hospitalists and intensivists, to support optimal patient outcomes.
• Interpret and manage telemetry monitoring and read cardiac strips.
• Float between critical care floors or to the emergency room for patient holds when required.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed