RN Acute Care Unit-Nights

Cary Medical Center•Caribou, ME

About The Position

Cary Medical Center is hiring a Registered Nurse for its Acute Care Unit. The RN delivers quality nursing care in accordance with ANA Standards of Clinical Practice and the Maine Nurse Practice Act, while supporting the organization’s vision and mission. The role incorporates patients’ age, culture, and learning needs into care, maintains organizational and unit requirements, and promotes a collaborative, cooperative environment with an emphasis on customer service. This is a full-time, 36-hour-per-week position on the night shift, scheduled 7 p.m. to 7 a.m. The role is non-exempt, with an anticipated pay range of $34.50–$50.54 per hour. Starting pay may depend on experience, education, certifications, internal equity, and market conditions. Depending on staffing needs, the RN may be asked to work nights, weekends, and holidays. Cary Medical Center describes its workplace as supportive and notes that employees voted it one of the Best Places to Work in Maine for six consecutive years, including 2026. The center offers a comprehensive benefits package.

Requirements

Hold an active, valid Maine RN license.
Meet the unit’s annual competency training requirements.
Obtain BLS certification within six months and maintain certification thereafter.
Complete the Basic Cardiac Course within one year of hire to the department.
After successfully completing the Basic Cardiac Course, obtain ACLS certification within six months and maintain certification thereafter.
Demonstrate competence in nursing assessment, diagnosis, planning, implementation, and evaluation.
Exhibit leadership and teamwork skills.
Promote patient advocacy and support the learning needs of staff and students.
Collaborate with other disciplines to deliver effective and efficient patient care and achieve desired patient outcomes.

Responsibilities

Complete admission assessments, identify actual and potential health problems, and document required functional and cognitive status within eight hours of admission.
Complete prompt and adequate nursing assessments of assigned patients, within one hour, to support patient safety and continuity of care.
Verify medication lists and review allergies upon admission.
Continuously assess patient responses to illness and interventions, using critical thinking to solve problems.
Document care completely and accurately.
Effectively use telemetry and camera systems.
Interpret clinical and diagnostic data, recognize significant deviations from normal, and expedite appropriate interventions.
Take appropriate action when assessment, laboratory, or diagnostic data are abnormal or significant.
Prioritize patient needs and document care provided.
Initiate an individualized problem list within 24 hours of admission and update it as patient needs and goals change.
Update the patient care plan, Braden assessment, and fall-risk flowsheet within one hour of the start of the shift.
Support multidisciplinary care planning; communicate and document interactions with the case manager and other disciplines regarding patient needs, problems, and responses to interventions.
Provide care according to nursing standards and hospital policy, applying critical thinking, nursing knowledge, and sound judgment.
Complete ordered interventions, follow appropriate orders, and seek timely clarification for questionable orders in collaboration with a charge RN or supervisor.
Routinely review and update Medact.
Participate in Interdisciplinary Team meetings.
Administer medications and IV therapy safely and accountably according to nursing standards and hospital policy, including the five rights and other safe medication practices.
Observe, report, and document patient responses to medication and IV therapy; observe sites and provide site care according to policy.
Recognize adverse or critical changes in patient condition and initiate appropriate intervention, providing supportive care until help arrives or orders are received.
Demonstrate correct use of the paging and fire alarm systems and, unless medically exempt, function effectively as a member of the code team.
Respect patients’ rights and privacy and treat patients with respect and compassion.
Ensure informed consent is obtained before procedures and assess patient understanding and concerns, considering age, culture, and life stage.
Use Docushare to access policies, procedures, physician privileges, and related materials.
Perform other work-related duties as assigned and comply with local, state, and federal laws and regulations.