Registered Nurse ICU Nights

Surgery Partners, Inc•McKinney, TX

20h

About The Position

The ICU Registered Nurse provides rapid assessment, stabilization, and continuous nursing care to critically ill patients, including patients with cardiac emergencies, stroke symptoms, respiratory distress, sepsis, and critical medical or surgical conditions. The nurse assesses physiologic, psychological, and cognitive status; develops and implements goal-directed plans of care; monitors patient responses; and communicates changes promptly to providers. Care may span pediatric, adolescent, adult, and geriatric populations as applicable. The role includes participating in trauma resuscitations, stroke alerts, STEMI activations, code responses, rapid responses, disaster management, procedural sedation, and emergency procedures within scope of practice. The nurse collaborates with physicians and multidisciplinary teams to coordinate evaluation, treatment, transfers, admissions, and discharges, and supports efficient patient flow. Responsibilities also include accurate electronic medical record documentation, patient and family education, patient advocacy, infection prevention, safety reporting, quality improvement, and compliance with applicable hospital and regulatory standards. The ICU RN maintains professional communication and collaboration, participates in departmental education and competency validation, and upholds the hospital’s mission, vision, and values while providing compassionate, safe, high-quality care.

Requirements

Associate Degree in Nursing (ADN) required.
Current Texas Registered Nurse license in good standing.
At least three years of experience as an ICU nurse in an acute care hospital setting; for candidates or employees with less than three years of acute care hospital experience, an education plan is required during orientation.
Basic Life Support (BLS) certification required.
Advanced Cardiac Life Support (ACLS) certification required.
NIH Stroke Scale certification required 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 during high-stress situations.
Visual and auditory acuity sufficient for patient assessment and monitoring.
Ability to perform frequent standing, walking, bending, lifting, pushing, and pulling; ability to lift and move patients and equipment with appropriate assistance; and ability to respond quickly to emergencies.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred.

Responsibilities

Assess and collect data on critically ill patients’ physiologic, psychological, and cognitive status on an ongoing and systematic basis.
Formulate prioritized, goal-directed plans of care based on nursing diagnoses and desired patient outcomes.
Implement nursing care consistently and skillfully, and monitor and communicate patient responses or changes in condition to the provider.
Apply critical care knowledge, including pain assessment, pharmaceuticals and anesthetic agents, laboratory values, safety and legal issues, and emergency equipment.
Provide care to pediatric, adolescent, adult, and geriatric patients as applicable.
Assist with trauma resuscitation, stroke alerts, STEMI activations, code blue and 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 uphold patient rights.
Collaborate with physicians and multidisciplinary teams to facilitate timely evaluation, treatment, admission, transfer, and discharge.
Coordinate care activities to support patient flow and reduce length of stay.
Ensure appropriate communication and documentation during patient handoffs and participate in transfers and stabilization for patients needing a higher level of care.
Document assessments, interventions, patient responses, and outcomes accurately and promptly in the electronic medical record.
Maintain compliance with regulatory, legal, accreditation, hospital, CMS, and Texas Department of State Health Services requirements; complete required quality and safety documentation.
Educate patients and families about diagnoses, medications, procedures, discharge instructions, and follow-up care; assess understanding and readiness to learn and promote 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 competency in critical care nursing skills and hospital-required competencies.
Serve as a patient advocate and demonstrate professional communication and collaboration with patients, families, physicians, and staff.
Participate in disaster preparedness and emergency management activities and respond to hospital emergency codes as assigned.
Assist with procedural sedation and emergency procedures within scope of practice.
Perform other duties as directed by leadership or when asked.