New Graduate RN - Medical Intermediate and ICU - Rotating

VCU Health; Richmond (VA); On-site; USD 97,424,000 - 156,396,000; Full time

Job summary

VCU Health’s Medical Intermediate and Intensive Care Unit (MIICU) in Richmond offers a 28-bed hybrid unit with progressive and intensive care beds for adult medical patients. The unit is AACN Beacon Gold-recognized and provides formal training for Clin I–III through a structured nursing career ladder.

Clin I–III roles require Virginia RN licensure, with a commitment to rotating shifts, weekends and holidays.

Qualifications

• Diploma or ADN from an approved nursing program; RN licensure in Virginia or eligible.
• All registered nurses without a Bachelor's degree in Nursing will be required to enroll in an RN to BSN program within two years and complete within five years.
• Current RN licensure in Virginia and BLS/ACLS/HCP as applicable.
• Clin I, Clin II, Clin III experience levels with specified years: Clin II 12–24 months, Clin III 3 years.
• Completion of a BSN is preferred; ongoing professional development supported.

Responsibilities

• Delivers age-specific care as per medical orders within an interdisciplinary plan.
• Administers prescribed medications safely, identifying interactions.
• Mentors and supervises junior staff and care partners on the unit.
• Ensures compliance with unit policies and Virginia nursing regulations.

Skills

Critical care nursing

Team leadership

Patient assessment

Education

Diploma or ADN in Nursing

BSN preferred

Job description

The MIICU is a progressively opening unit with flexible patient acuity ranging from Acute to Intensive Care. This unit proudly provides quality care to Internal Medicine patients of a variety of medical diagnosis including renal, gastrointestinal, pulmonary, hepatology, infectious disease, endocrine, and gerontology. The team building this unit has been recognized by AACN as a Beacon Gold Unit for Excellence. This achievement was obtained through a focus in collaborative practice, a commitment to maintaining a highly satisfied work force, and a healthy work environment which supports both novice and expert clinicians. This unit is open to new graduates who are seeking to gain experience in progressive and critical care.

Medical Intermediate and Intensive Care Unit (MIICU)

Critical Care Hospital, 3rd Floor

• 28 bed hybrid unit with progressive and intensive care beds focused on caring for a wide variety of adult medical patients across the full spectrum of their hospital admission
• Some of the primary admission diagnoses include respiratory failure, sepsis, multisystem organ failure, GI bleeds, DKA, and significant compromise of kidney and liver failure
• Provides new employees the unique opportunity to receive formal training and competencies in both progressive and critical care

The Clinical Nurse I job integrates technical skills and theoretical knowledge to meet the needs of the patient and family. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job provides direction, education, and begins to acquire leadership skills at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job also safely administers prescribed medications, identifying incompatibilities and/or interactions.

The Clinical Nurse II job demonstrates a mastery of clinical skills and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job recognizes changes in patient situations and intervenes appropriately. This job mobilizes resources to meet the individualized needs of patient/families. This job provides direction, education, and assumes leadership responsibilities at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions.

The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job anticipates changes in patient situations and intervenes appropriately. This job provides direction, education, and serves as a role model in a clinical setting. This job delivers and accurately documents direct, age-specified care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions.

Licensure, Certification, Or Registration Requirements For Hire

Clin I, Clin II, Clin III: Current RN licensure in Virginia or eligible or compact state

Licensure, Certification, Or Registration Requirements For Continued Employment

Clin I, Clin II, Clin III: Current RN licensure in Virginia, AHA BLS HCP Certification or equivalent

Experience REQUIRED

Clin I: N/A

Clin II: 12 to 24 months RN experience

Clin III: 3 years of clinical experience

Experience PREFERRED

Clin I: Experience as an LPN, nursing assistant or care partner in either an acute care setting or as applicable to area of practice

Clin II, Clin III: Academic Health Care Experience; Experience with similar patient population in either an acute care setting or as applicable to area of practice

Education/training REQUIRED

Clin I, Clin II, Clin III: Diploma or Associates Degree from a professional nursing program recognized and/or approved by the corresponding state’s Board of Nursing.

All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an approved RN to BSN program within two years of their start date and to complete the program within five years of their start date unless grandfathered under previous requirements.

Education/training PREFERRED

Clin I, Clin II, Clin III: Completion of a Bachelor’s Degree in Nursing (or higher) from an accredited program

Clin III: Certification in specialty area

Independent Action(s) Required

Follows documented physician/licensed independent provider orders.

Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia.

Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards.

All practice is guided by and follows the VCUHS policies and procedures and established practice.

Supervisory Responsibilities (if Applicable)

Clin I, Clin II, Clin III: Organizes work and delegates and supervises others (RN's, LPN's, Care Partners, Unit Secretaries, etc.) in carrying out assignments.

Additional Position Requirements

Clin I, Clin II, Clin III: Clinicians work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager.

Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet unit requirements and/or as needed.

Age Specific Groups Served

As appropriate based on unit assignment.

Physical Requirements (includes Use Of Assistance Devices As Appropriate)

Physical: Lifting 20-50 lbs. Other: Exposure to potentially hazardous and infectious substances

Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive)

Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking

Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment

Compensation Ranges

Clinical Nurse I: $34.00 - $49.50

Clinical Nurse II: $34.65 - $51.97

Clinical Nurse III: $36.38 - $54.58

Actual Salary offers will be based on several key factors to include relevant work experience, credentials, and qualifications.

Rotating

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