PICU RN

Aptive Resources; Joint Base Lewis-McChord (WA); On-site; USD 70,000 - 90,000; Full time

Job summary

Aptive Resources is hiring a PICU Registered Nurse at Joint Base Lewis-McChord in Washington. This full-time role involves providing comprehensive nursing care to military service members and their families, including critical care duties, medication administration, and patient education.

The ideal candidate must possess a valid nursing license, relevant certifications, and at least one year of experience. Join a dedicated team focused on improving health outcomes in a military setting.

Qualifications

• Must hold a valid, unrestricted nursing license.
• Minimum one year of experience as a Registered Nurse.
• Certification in Advanced Life Support and Pediatric Advanced Life Support required.

Responsibilities

• Conduct critical care nursing duties for patients of all ages.
• Administer medications and treatments accurately.
• Provide support and education to patients and families.

Skills

Critical care nursing

Patient advocacy

Medication administration

Emergency response

Education

Diploma or higher in Nursing

Tools

Defibrillator

Cardiac monitor

Job description

Aptive Resources is hiring a PICU Registered Nurse to join our team of talented professionals who provide health care services to our Military Service Members and their families at Bremerton - Madigan Army Medical Center. HCWs shall receive notification 48 hours prior to the reassignment to another location within a 40-mile commuting radius of their assigned MTF.

• Employment Status: Full Time
• Schedule: 0700 – 1900 and 1900 - 0700, + Holiday and weekend coverage.

Clinical Care

• Perform critical care duties including assessing, planning, implementing, and evaluating age-specific nursing care across all age groups
• Demonstrate thorough knowledge of body systems' interrelationships in maintaining and restoring patient health
• Observe, assess, and record symptoms, reactions, and progress; assist physicians during treatments and examinations
• Administer medications and prescribed treatments; complete admissions and discharges
• Manage patients requiring hemodynamic monitoring, vasopressor titration, and high-risk procedures (pulmonary artery catheters, arterial/central venous lines, ventricular drainage devices, chest tubes, feeding tubes, endotracheal tubes, and mechanical life support)
• Monitor and interpret data collected by LPNs and unlicensed assistive personnel, escalating to medical staff as appropriate
• Verify transcription of physician orders and document all care in the patient's medical record

Documentation & Communication

• Maintain accurate clinical documentation per standard operating procedures, including patient/family history and advanced directive information
• Communicate pertinent patient information to charge nurses and/or physicians
• Provide handoff reports to receiving units, including surgical history, nursing diagnoses, and care needs

Patient & Family Support

• Function as a patient advocate
• Assess patient/family knowledge levels and develop/implement education plans
• Instruct patients and families on proper care; support health maintenance and improvement

Medication Administration

• Administer medications using the "five rights" via IV, subcutaneous, oral, transdermal, rectal, and IM routes
• Research medications for compatibility prior to administration
• Chemotherapy administration requires documented specialized training (excluded otherwise)

Emergency Response

• Recognize and respond to life‑threatening crises; initiate lifesaving measures in the absence of a physician
• Maintain knowledge of emergency drug pharmacology, dosages, and crash cart contents
• Operate emergency equipment (defibrillator, EKG, cardiac monitor, etc.)
• May serve on Rapid Response or emergency code teams

Specialized Procedures

• Assist with or perform invasive procedures per scope of practice (pulmonary artery catheter insertion, balloon pump management, temporary pacemaker insertion, arterial punctures, endotracheal intubation)
• Manage tissue/skin bank and organ donor bank procedures
• Provide conscious sedation only after completing MAMC‑provided training

Direct Patient Care

• Perform ADLs including range‑of‑motion exercises, transfers, hygiene care, linen changes, and feeding
• Collaborate with the interdisciplinary team to plan and implement care

Leadership & Coordination

• Apply knowledge of workload and staff capabilities to allocate/redistribute resources as patient needs shift
• Participate in patient care conferences, discharge planning, and multidisciplinary care conferences for complex cases
• Maintain composure and positive rapport with patients, families, and staff, including in high‑stress situations

General Duties (All Personnel)

• Maintain productivity comparable to peers in similar roles
• Participate in peer review and performance improvement activities
• Follow aseptic technique and infection control protocols (handling/disposal of infectious waste, universal precautions)
• Apply safety procedures and emergency protocols; remain calm, notify appropriate staff, and document events
• Escalate unmanageable issues to supervisor/director
• Apply legal awareness to reduce risk in patient care
• Support Family Advocacy Program activities (exams, documentation, reporting) as directed
• Respect patient/family rights per MTF policy
• Maintain accountability for own professional practice and pursue continuing education
• Complete required annual training (disaster response, infection control, sexual harassment prevention, bloodborne pathogens, fire/safety, CBRNE, etc.)
• Participate in Performance Improvement Program meetings and recommend corrective actions
• Provide in‑service training and mentorship to staff (e.g., corpsmen, students)
• Attend required meetings and complete timely, accurate clinical documentation

Minimum Qualifications

• Degree/Education: A diploma, Associates, Bachelors, Masters or Doctorate in Nursing from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.
• Certifications: Certifications in addition to Basic Life Support (5.2.3): Advanced Life Support (ALS) health care provider course or an equivalent course based on published national guidelines and Pediatric Advanced Life Support (PALS).
• Experience: One year of qualifying experience as an RN and one year of qualifying experience in this specialty.
• Licensure/Registration: Contract workers requiring licensure shall have and maintain a current, valid, unrestricted license specific to the position (with no limitations, stipulations or pending adverse actions) in one of the 50 US States and/or territories. Additional licenses held by a provider must be in good standing whether they

About Aptive

Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Based in Alexandria, Virginia, we support more than a dozen agencies including Veterans Affairs, Transportation, Defense, Homeland Security and the National Science Foundation. We specialize in applying technology, creativity and human-centered services to optimize mission delivery and improve experiences for millions of people who count on government services every day. Founded: 2012. Employees: 300+ nationwide.

EEO Statement

Aptive is an equal opportunity employer. We consider all qualified applicants for employment without regard to race, color, national origin, religion, creed, sex, sexual orientation, gender identity, marital status, parental status, veteran status, age, disability, or any other protected class. Veterans, members of the Reserve and National Guard, and transitioning active‑duty service members are highly encouraged to apply.