Registered Nurse - IMCU

WellSpan Health • Chambersburg, PA

1d

About The Position

The Registered Nurse works in a 30-bed Intermediate Care Unit (IMCU) serving high-acuity patients, including patients undergoing cardiac and electrophysiology procedures and those with respiratory failure requiring CPAP or BiPAP, cardiac arrhythmias, sepsis, or DKA. The RN implements, directs, and coordinates patient care using the nursing process, including assessment, planning, implementation, and evaluation, and recognizes and addresses physical and psychosocial changes relevant to the patient population served.

The role includes an individualized, comprehensive 16-week orientation program that includes Essentials of Critical Care Orientation (ECCO), ACLS certification, and NIHSS certification for new nurses. Additional support and development opportunities include mentorship after orientation, a residency program for new graduates, committee participation, a Clinical Ladder, leadership presence on every shift, and a pathway toward advanced practice or ICU/CCU work. The posting notes eligibility for Progressive Care Nursing (PCCN) certification after two years of experience.

The position is part-time at 48 hours biweekly, with 12-hour day or night shifts (7–7) and every third weekend. Shift and weekend differentials are available. The RN also may function as a virtual nurse, supporting admissions, discharges, education, and documentation through a virtual platform in collaboration with bedside nursing staff.

Requirements

• Graduate of an accredited School of Nursing.
• Eligible for or currently licensed as a Registered Professional Nurse in Pennsylvania.
• CPR certification required.
• ACLS required for IMCU, or must be achieved within one year of the start date.
• Proficiency in cardiac monitor interpretation required for IMCU.
• Evidence of participation in educational programs to update and maintain current knowledge and clinical skills.
• Experience applying customer-service behaviors and communication skills required.

Nice To Haves

• Bachelor of Science in Nursing preferred.
• Previous nursing experience in the specialty area preferred.
• Certification in the specialty preferred.
• PCCN certification is identified as an opportunity after two years of experience.

Responsibilities

• Implement, direct, and coordinate patient care through assessment, planning, implementation, and evaluation.
• Recognize and address physical and psychosocial changes relevant to the age and population group served.
• Demonstrate safe medication practices and accurately transcribe physician orders.
• Complete chart checks to identify missed orders.
• Maintain a professional image and demonstrate therapeutic communication and customer-service behaviors.
• Assess patient education needs and use patient education resources.
• Participate in unit activities by attending 50% of staff or committee meetings and in-services for the area.
• Provide leadership through the nursing process and supervision while remaining accountable for treatment and patient outcomes.
• Serve as a resource for patient care, the specialty area, orientation, and staff teaching.
• Respond calmly to delays, apologize for inconveniences, and offer alternatives.
• Analyze assessment data, identify priority problems, and document the plan of care for patients, families, and significant others.
• Use problem-solving skills to plan patient care and respond appropriately to critical changes in patient condition.
• Complete and document discharge assessments against plan-of-care goals.
• Initiate and maintain intravenous therapy according to IV standards.
• Respond appropriately to emergency situations and provide basic and advanced life support.
• Use proper body mechanics and safely position, transfer, and transport patients.
• As assigned, function as a virtual nurse, including admissions, discharges, education, and documentation through a virtual platform in collaboration with bedside staff.
• Provide basic dysrhythmia interpretation and treatment and complete 12-lead EKGs.
• Calculate drug dosages; administer continuous medication infusions; and monitor medication effects, including those of vasoactive agents, platelet inhibitors, antiarrhythmics, and insulin.
• Monitor patients during preoperative, intraoperative, and postoperative procedures, including cardiac catheterization with percutaneous coronary intervention and chest tube insertion.
• Care for patients with a tracheotomy and patients requiring noninvasive oxygen delivery systems, including oral airways, BiPAP, and CPAP.
• Set up and troubleshoot hemodynamic monitoring equipment, monitor patients, and recognize signs and symptoms of instability.
• Recognize cardiopulmonary emergencies and initiate standardized interventions while arranging transfer to critical care as needed.
• Interpret arterial blood gas results and communicate findings; draw blood from an arterial line.
• Recognize indications for and complications of enteral and parenteral nutrition.
• Assess, monitor, and manage patients requiring renal therapeutic interventions, including hemodialysis, peritoneal dialysis, stents, continuous bladder irrigation, and urostomies.
• Complete cardiac rehabilitation exercises and demonstrate proper application of an external pacemaker.
• Recognize and report physical, emotional, or sexual abuse and neglect.
• Maintain general cleanliness of the department.
• Recognize and evaluate family needs for enhanced involvement in care to facilitate transition from hospital to home.

Benefits

• Eligible for shift differential.
• Eligible for weekend differential.
• Individualized 16-week orientation program, including ECCO, ACLS certification, and NIHSS certification for new nurses.
• Mentorship program after orientation.
• Residency program for new graduates.
• Opportunity for committee participation and input into nursing practice.
• Professional growth through a Clinical Ladder.
• Leadership presence on every shift.
• Opportunity to develop a foundation for an advanced practice degree and a pathway toward ICU/CCU work.

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: No Education Listed