Registered Nurse - RN - ICU Full Time Nights

Orlando Health•Sebastian, FL
•Onsite

About The Position

The Registered Nurse in the ICU provides care to patients with advanced illnesses or injuries who require timely, intensive, complex care and continuous nursing vigilance. The role involves assessing rapidly changing conditions, delivering evidence-based interventions, coordinating individualized plans of care, and supporting patients and families. The nurse also collaborates with medical staff and interdisciplinary teams, may serve as a preceptor, charge nurse, unit educator, or nurse clinician, and contributes to professional development and quality improvement. For nurses with specialized training who serve as ECMO specialists, responsibilities include staffing extracorporeal life support services; operating and monitoring ECMO equipment and circuits; administering ordered blood products and medications through the circuit; managing ECLS during transport; and responding to equipment issues and emergencies. ECMO specialists work with unit leadership, intensivists, perfusion services, bedside staff, and other healthcare professionals, and attend mandatory quarterly simulations. The position requires a nursing degree from an approved school, a current Florida RN license or valid eNLC multistate RN license, current BLS/Healthcare Provider certification, and at least one year of experience unless an AVP-level or higher approves an exception. Additional certifications are required for certain areas.

Requirements

  • Graduate of an approved school of nursing.
  • At least 1 year of experience, unless an exception is approved by an AVP level or above.
  • Current State of Florida RN license or valid eNLC multistate RN license.
  • Current BLS/Healthcare Provider certification.
  • Meet Orlando Health and unit/department mandatory, developmental, and performance competency requirements.
  • ACLS, NRP, PALS, or TNCC certification is required for certain areas; NRP is required for the NICU.

Responsibilities

  • Provide complex nursing care requiring advanced assessment, therapies, high-intensity interventions, and continuous vigilance.
  • Use patient information and assessment data to anticipate and respond to changing conditions.
  • Prioritize information and take timely, decisive, evidence-based, patient-focused action.
  • Monitor and adjust specialized patient-care equipment and interpret and record electronic displays, including pressures and cardiac rhythms.
  • Respond to life-saving situations according to nursing standards and protocols.
  • Assess and monitor patients, recognize serious situations, and contact a physician or take preplanned emergency measures when needed.
  • Develop and revise individualized care plans and evaluate progress toward expected outcomes.
  • Advocate for patients and families and build respectful relationships with team members and customers.
  • Provide age-appropriate care and apply knowledge of growth and development across the lifespan.
  • Serve as a preceptor, charge nurse, unit educator, and/or nurse clinician.
  • Communicate and collaborate with medical staff and interdisciplinary teams to plan and manage unit care.
  • Coordinate care and delegate appropriately according to patient needs and team members’ qualifications and capabilities.
  • Document assessments, education, medication administration, treatments, and patient safety in accordance with regulatory standards.
  • Prioritize care according to evidence-based standards and identify and resolve problems effectively.
  • Communicate patient-condition and unit information to healthcare team members.
  • Maintain awareness of legal issues and patients’ rights and provide a compassionate therapeutic environment.
  • Support the transition of new team members and students in collaboration with education and nursing leadership.
  • Maintain punctual attendance and comply with Orlando Health policies and procedures.
  • Contribute to professional practice and organizational outcomes through quality improvement, committee participation, peer review, mentoring, and coaching.
  • Attend staff development, department meetings, and/or nursing committee meetings; identify development needs with nursing leadership and pursue continuing education.
  • Use supplies efficiently and maintain a clean, safe, organized work area.
  • For trained ECMO specialists: provide ECLS staffing; operate ECMO equipment under physician/perfusion direction; monitor and optimize the circuit and related equipment; administer ordered blood products and medications through the circuit; manage equipment connected in-line with the circuit; provide ECLS during transport and ensure continuous coverage; attend mandatory quarterly simulations; maintain ECMO/perfusion equipment and supplies; and provide critical nursing resource support to CVICU or other areas when directed.
  • Perform other duties as assigned.

Benefits

  • Competitive pay.
  • Evening, night, and weekend shift differentials for qualifying positions.
  • Benefits available starting on day one, including student loan repayment, tuition reimbursement, free college education programs, retirement savings, paid paternity leave, fertility benefits, backup elder and childcare, pet insurance, PTO, and holidays.
  • Orlando Health states that the listed benefits are available to full-time and part-time employees.
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