RN ICU

CommonSpirit Health•Bismarck, ND

About The Position

The Registered Nurse in the Intensive Care Unit provides life-saving care to critically ill patients with complex, multi-system illnesses and injuries. The role involves meticulous assessment, sophisticated interventions, and continuous monitoring of unstable patients who require a high level of nursing care. The nurse supervises care in accordance with applicable policies, procedures, and the State Nurse Practice Act, and uses critical thinking and rapid decision-making while providing compassionate support to patients and families. The position offers a $17,500 sign-on bonus and relocation assistance to eligible new hires. It is covered by a union work agreement and uses rotating 12-hour shifts. There is no on-call expectation. Weekend and holiday rotation is every other weekend and holiday, with an anticipated move to every third weekend and holiday within six months to a year.

Requirements

  • Nursing degree from an approved school of nursing.
  • At least 1–2 years of critical care (ICU) nursing experience is highly preferred; equivalent acute care experience is considered.
  • Active Registered Nurse license in good standing with the North Dakota Board of Nursing or an active Registered Nurse license in a compact state.
  • Working knowledge of critical care nursing principles, advanced physiological assessment, and management of life-sustaining technologies.
  • Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certifications within the orientation period, with recertification as required.
  • Communication skills for frequent oral and written communication with patients, families, visitors, medical staff, and employees.
  • Accountability for one's conduct and support of positive working relationships.
  • Ability to maintain confidentiality.

Nice To Haves

  • Critical care (ICU) nursing experience; equivalent acute care experience is also considered.

Responsibilities

  • Provide comprehensive nursing care for critically ill patients with life-threatening conditions, including continuous physiological monitoring, life-support interventions, and complex medication regimens.
  • Implement and manage individualized care plans for critical illnesses and injuries, including sepsis, respiratory failure, cardiac arrest, multi-organ dysfunction, and post-surgical complications.
  • Perform advanced assessments and interpret diagnostic data, including hemodynamic waveforms, laboratory results, and ventilator settings.
  • Adjust interventions based on patient response and promptly recognize and respond to changes in patient condition.
  • Collaborate with intensivists, hospitalists, specialized therapists, case managers, and other healthcare professionals to coordinate holistic care.
  • Manage advanced life-support equipment and technologies, including mechanical ventilators, continuous renal replacement therapy (CRRT), vasoactive drips, and intra-aortic balloon pumps.
  • Communicate clearly and empathetically with patients and families, provide education and emotional support, and facilitate end-of-life discussions or decision-making.
  • Supervise care according to policies, procedures, and the State Nurse Practice Act.
  • Maintain confidentiality and support positive working relationships among staff, other disciplines and departments, families, visitors, and patients.

Benefits

  • $17,500 sign-on bonus for eligible new hires.
  • Relocation assistance for eligible new hires.
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