ICU PRN Night

Community Health Systems; Kirksville (MO); On-site; USD 65,000 - 90,000; Full time

Job summary

NRMC ICU in Kirksville, MO is seeking an experienced Registered Nurse to provide patient-centered care within a Level III Trauma ICU, supported by physicians and a collaborative team. You’ll work with a diverse case mix and utilize advanced monitoring and life-support equipment.

Join our 6–12 week orientation, benefit from 24/7 respiratory therapy, and participate in ongoing professional development. The role emphasizes coordination, medication administration, and patient-family education.

Qualifications

• 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required

Responsibilities

• Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process.
• Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members.
• Utilizes knowledge of human growth and development to provide age-appropriate care and education.
• Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice.
• Assists physicians during procedures within the scope of documented competency and skill level.
• Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs.
• Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate.
• Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery.
• Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions.
• Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections.
• Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety.
• Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff.
• Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements.
• Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies.
• Documents patient care and education thoroughly and promptly in the medical record.
• Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations.
• Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery.
• Critical Care RN: Administers medications and other treatments as prescribed, including intravenous medications and therapies.
• Critical Care RN: Manages complex medical equipment, including ventilators, monitoring devices, and other life-support systems.
• Critical Care RN: Performs procedures such as inserting central lines, managing tracheostomies, and providing advanced cardiac life support.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Skills

RN ICU

Nursing assessment

Medication administration

Patient education

Team collaboration

Infection control

Job description

NRMC ICU

Join our Level III Trauma ICU delivering multidiversity care with strong physician support and a collaborative, team-focused culture. We're growing our critical-care services and investing in advanced technology to support you and your patients.

What You'll Experience

• Acuity-based assignments (typically 1:2-3)


• Diverse case mix: DKA, COPD, GI bleeds, cardiac, ventilated medical/surgical patients

Technology You'll Use

• Hemosphere monitoring, Swan-Ganz


• EEG capability


• Balloon pump & Impella


• Arterial line & CVP monitoring

Support You Can Count On

• Charge nurse every shift & House supervisors nights/weekends


• 24/7 Respiratory Therapy & Rapid Response Team

Training & Development

• 6-12 week customized orientation based on experience

Job Summary

The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families.

Essential Functions

• Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process.


• Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members.


• Utilizes knowledge of human growth and development to provide age-appropriate care and education.


• Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice.


• Assists physicians during procedures within the scope of documented competency and skill level.


• Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs.


• Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate.


• Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery.


• Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions.


• Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections.


• Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety.


• Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff.


• Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements.


• Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies.


• Documents patient care and education thoroughly and promptly in the medical record.


• Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations.


• Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery.


• 
  Critical Care RN:
  
  
  
  • Administers medications and other treatments as prescribed, including intravenous medications and therapies.
  
  
  • Manages complex medical equipment, including ventilators, monitoring devices, and other life-support systems.
  
  
  • Performs procedures such as inserting central lines, managing tracheostomies, and providing advanced cardiac life support.
  
  
  
  


• Performs other duties as assigned.


• Maintains regular and reliable attendance.


• Complies with all policies and standards.

Qualifications

• 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required

Knowledge, Skills and Abilities

• Strong knowledge of the nursing process and clinical nursing practices.


• Ability to perform thorough patient assessments and communicate findings effectively.


• Proficient in administering medications and monitoring for side effects.


• Effective communication and interpersonal skills to collaborate with interdisciplinary teams.


• Strong organizational skills and attention to detail in documenting patient care.


• Knowledge of safety standards, infection control, and quality improvement initiatives.

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required


• BCLS - Basic Life Support required


• ACLS - Advanced Cardiac Life Support preferred


• PALS - Pediatric Advanced Life Support preferred


• NRP - Neonatal Resuscitation preferred


• Refer to facility or unit-specific guidelines for additional requirements.