Registered Nurse (RN) - Medical Respiratory ICU - Nights

VCU Health•Richmond, VA

25d•$36 - $55•Onsite

About The Position

The Medical Respiratory Intensive Care Unit (MRICU) is a 28-bed adult ICU located on the fourth floor of the Critical Care Hospital. The unit cares for patients with complex medical and pulmonary needs, including multisystem organ failure, respiratory disorders and failure, COPD, ARDS, status asthmaticus, pneumonia, post-code conditions, sepsis, GI bleeds, DKA, renal and liver dysfunction, oncological conditions, and acid-base and metabolic imbalances. Care includes bedside procedures and advanced pulmonary and invasive interventions. Nurse-to-patient ratios are 1:1 and 1:2, with 24/7 support from a charge nurse, unlicensed assistive personnel, and a unit secretary. The role is described at Clinical Nurse I, II, and III levels. Across these levels, the nurse provides and accurately documents direct, age-specific care according to medical orders and an integrated multidisciplinary plan of care; safely administers prescribed medications and identifies incompatibilities or interactions; and contributes to prevention of illness and injury, wellness, and patient comfort. The role includes educating and directing others, with leadership expectations that increase by level. Clinical Nurse II recognizes changes in patient situations and intervenes appropriately, while Clinical Nurse III anticipates changes and intervenes appropriately. Nurses collaborate with the interprofessional team to apply evidence-based practice, quality improvement, and research in bedside care. Nurses work all three shifts, weekends, and holidays. Individual rotations and schedules are established with the Nurse Manager or Practice Manager and may be adjusted to meet unit requirements. The compensation ranges are $34.00–$49.50 for Clinical Nurse I, $34.65–$51.97 for Clinical Nurse II, and $36.38–$54.58 for Clinical Nurse III. Actual offers depend on relevant work experience, credentials, and qualifications.

Requirements

Current RN licensure in Virginia or eligibility for licensure in Virginia, or licensure in a compact state.
For continued employment, current RN licensure in Virginia and AHA BLS HCP certification or equivalent.
Clinical Nurse I: no prior experience required.
Clinical Nurse II: 12 to 24 months of RN experience.
Clinical Nurse III: 3 years of clinical experience.
Diploma or associate degree from a professional nursing program recognized or approved by the corresponding state Board of Nursing.
Registered nurses without a bachelor’s degree in nursing or higher must enroll in an approved RN-to-BSN program within two years of their start date and complete it within five years, unless grandfathered under previous requirements.
Ability to meet the role’s physical and activity demands, including lifting 20–50 lbs., prolonged standing and sitting, frequent bending, walking, climbing, and reaching.
Ability to work all three shifts, weekends, and holidays; shift rotations and hours may be adjusted to meet unit requirements.

Nice To Haves

Clinical Nurse I: experience as an LPN, nursing assistant, or care partner in an acute care setting or as applicable to the area of practice.
Clinical Nurse II and III: academic health care experience and experience with a similar patient population in an acute care setting or as applicable to the area of practice.
Completion of a bachelor’s degree in nursing or higher from an accredited program.
Clinical Nurse III: certification in a specialty area.

Responsibilities

Provide and accurately document direct, age-specific patient care according to medical orders and an integrated multidisciplinary plan of care.
Safely administer prescribed medications and identify incompatibilities or interactions.
Assist the health care team with prevention of illness and injury, maintenance of wellness, and provision of comfort.
Recognize changes in patient situations and intervene appropriately at the Clinical Nurse II level; anticipate changes and intervene appropriately at the Clinical Nurse III level.
Provide direction and education, and take on unit-level leadership responsibilities according to clinical level.
Mobilize resources to meet individualized patient and family needs at the Clinical Nurse II level.
Serve as a clinical role model at the Clinical Nurse III level.
Organize work and delegate and supervise others, including RNs, LPNs, care partners, and unit secretaries.
Follow documented physician or licensed independent provider orders, nursing regulations in the Commonwealth of Virginia, the ANA Code of Ethics, national nursing practice standards, and VCUHS policies and procedures.
Collaborate with the interprofessional team to translate evidence-based practice, quality improvement, and research into bedside care.