Registered Nurse ICU Nights

Surgery Partners•McKinney, TX

About The Position

The Intensive Care Unit (ICU) Registered Nurse provides comprehensive, evidence-based nursing care to critically ill patients. The RN uses the nursing process to assess, plan, implement, coordinate, and evaluate patient care while collaborating with physicians, advanced practice providers, ancillary departments, and interdisciplinary teams. Care must be safe, evidence-based, and patient-centered, and comply with hospital policies, regulatory standards, and professional nursing practice. The role includes rapid assessment, stabilization, and continuous care for critically ill patients with cardiac emergencies, stroke symptoms, respiratory distress, sepsis, and other critical medical or surgical conditions. The RN participates in emergency responses and disaster preparedness, supports patient throughput and transitions of care, documents care in the electronic medical record, educates patients and families, and contributes to quality and safety initiatives. The position requires maintaining professional competencies and certifications and upholding the hospital’s mission, vision, and values.

Requirements

Associate Degree in Nursing (ADN).
Current Texas Registered Nurse license in good standing.
At least three years of experience as an ICU nurse in an acute care hospital setting. Candidates or employees with less than three years of acute care hospital experience must have an education plan during orientation.
Basic Life Support (BLS) certification.
Advanced Cardiac Life Support (ACLS) certification.
NIH Stroke Scale certification within the orientation period.
Strong critical thinking and clinical judgment skills.
Ability to prioritize and manage multiple patients simultaneously.
Knowledge of emergency nursing principles and standards.
Ability to recognize and respond to rapidly changing patient conditions.
Effective communication and teamwork skills.
Proficiency in electronic medical record documentation.
Ability to maintain composure and effectiveness in high-stress situations.
Ability to meet physical requirements, including frequent standing, walking, bending, lifting, pushing, and pulling; moving patients and equipment with appropriate assistance; and responding quickly to emergencies.
Visual and auditory acuity sufficient for patient assessment and monitoring.

Nice To Haves

Bachelor of Science in Nursing (BSN).

Responsibilities

Assess and collect data on critically ill patients’ physiologic, psychological, and cognitive status on an ongoing, systematic basis.
Develop prioritized, goal-directed plans of care based on nursing diagnoses and desired patient outcomes.
Implement skilled, consistent nursing care to achieve patient outcomes.
Apply critical care knowledge, including pain assessment, pharmaceutical and anesthetic agents, laboratory values, safety and legal issues, and emergency equipment.
Monitor patient responses to treatment and promptly communicate changes in condition to providers.
Provide care across applicable pediatric, adolescent, adult, and geriatric populations.
Assist with trauma resuscitation, stroke alerts, STEMI activations, code blue responses, rapid responses, and disaster management.
Initiate and maintain IV access and assist with advanced airway management as needed.
Perform and interpret cardiac telemetry, pulse oximetry, capnography, and hemodynamic monitoring.
Review and carry out physician orders professionally and consistently uphold patient rights.
Collaborate with physicians and multidisciplinary teams to facilitate evaluation, treatment, admission, transfer, and discharge.
Coordinate care to support patient flow and reduce length of stay; ensure effective documentation and communication during handoffs.
Participate in transfer and stabilization processes for patients who need a higher level of care.
Accurately and promptly document assessments, interventions, patient responses, and outcomes in the electronic medical record; complete quality and safety documentation and comply with regulatory, legal, and accreditation requirements.
Educate patients and families about diagnoses, medications, procedures, discharge instructions, and follow-up care; assess readiness to learn and promote engagement and shared decision-making.
Follow infection prevention and control practices; identify and report safety concerns, adverse events, and near misses.
Participate in performance improvement, patient safety, quality initiatives, departmental meetings, education, and competency validation.
Maintain required certifications, licensure, and critical care competencies.
Provide rapid assessment, stabilization, and continuous care for critically ill patients, including those with cardiac emergencies, stroke symptoms, respiratory distress, sepsis, and critical medical or surgical conditions.
Participate in disaster preparedness and emergency management; assist with procedural sedation and emergency procedures within scope of practice; respond to assigned hospital emergency codes.
Assist with other duties as requested or directed by leadership.
Maintain professional communication and collaboration, serve as a patient advocate, and uphold the hospital’s mission, vision, and values.
Meet expectations for patient safety, quality outcomes, customer service, regulatory compliance, patient satisfaction, throughput, quality metrics, and clinical outcomes.