Registered Nurse ICU Nights

Sp-Management-Services-Inc; McKinney (TX); On-site; USD 85,000 - 110,000; Full time

Job summary

Methodist McKinney Hospital in McKinney, TX, is seeking an experienced ICU Registered Nurse to provide advanced critical care. The role requires an active Texas RN license and ADN as a base, with BSN preferred and at least 3 years in ICU within an acute care setting.

Required certifications include BLS and ACLS, plus NIH Stroke Scale certification within orientation. The position emphasizes patient safety, documentation, and multidisciplinary collaboration.

Qualifications

• ADN required; BSN preferred.
• Current Texas RN license in good standing.
• Minimum 3 years ICU experience in acute care hospital.
• BLS and ACLS required; NIH Stroke Scale certification due within orientation period.
• Familiarity with hospital policies and CMS/State standards.

Responsibilities

• Perform ongoing physiologic and cognitive assessments of critically ill patients.
• Develop and implement goal-directed nursing care plans.
• Monitor patient responses and communicate changes to physicians.
• Coordinate care with multidisciplinary teams to ensure timely discharge.
• Document assessments and interventions in the EMR accurately.
• Contribute to infection control and safety initiatives.

Skills

Critical thinking

Clinical judgment

Communication

Teamwork

Education

Associate Degree in Nursing (ADN)

Bachelor of Science in Nursing (BSN)

Tools

EMR (Electronic Medical Record)

Job description

Methodist McKinney Hospital
McKinney, TX 75070, USA

Description

QUALIFICATIONS:

Education

• Associate Degree in Nursing (ADN) required.
• Bachelor of Science in Nursing (BSN) preferred.

Licensure

Current Texas Registered Nurse license in good standing

Experience

Minimum of three years work experience as an ICU nurse in an acute care hospital setting. – If the candidate/employee has less than three years of acute care hospital experience there will be an education plan in place required for the orientation period.

Certifications

• Basic Life Support (BLS) – required.
• Advanced Cardiac Life Support (ACLS) – required.
• NIH Stroke Scale Certification required within orientation period.

Essential Duties and Responsibilities

Clinical Care

• Performs assessment/data collection in an ongoing and systematic manner, focusing on physiologic, psychological and cognitive status of the critically ill patient.
• Formulates a goal directed plan of care, which is prioritized and based on determined nursing diagnosis and patient outcomes.
• Implements care in a knowledgeable, skilled consistent manner in reaching the desired patient outcomes through nursing processes.
• Demonstrates applied knowledge base in areas of critical care patient care, pain assessment and actions of pharmaceuticals and anesthetic agents, laboratory values, safety and legal issues and all emergency equipment.
• Monitors patient response to treatment and promptly communicates changes in condition to the provider.
• Provides care to patients across the lifespan, including pediatric, adolescent, adult, and geriatric populations as applicable.
• Assists with emergency procedures including trauma resuscitation, stroke alerts, STEMI activations, code blue responses, rapid responses, and disaster management.
• Initiates and maintains IV access and assists with advanced airway management as needed.
• Performs and interprets patient monitoring including cardiac telemetry, pulse oximetry, capnography, and hemodynamic monitoring.
• Remains flexible, adaptive and able to accept and implement new ideas and approaches.
• Treats all patients equally adopting the hospital’s Patient Rights policy.
• Reviews and carries out physician orders in an appropriate professional manner.
• Willingness to assist with other duties when asked.

Patient Throughput and Coordination

• Collaborates with physicians and multidisciplinary teams to facilitate timely patient evaluation, treatment, admission, transfer, or discharge.
• Coordinates patient care activities to support efficient patient flow and reduce length of stay.
• Ensures appropriate documentation and communication during patient handoffs.
• Participates in transfer processes and stabilization of patients requiring a higher level of care.

Documentation

• Documents assessments, interventions, patient responses, and outcomes accurately and timely within the electronic medical record.
• Maintains compliance with regulatory, legal, and accreditation requirements.
• Completes required quality and safety documentation.

Patient and Family Education

• Provides education regarding diagnoses, medications, procedures, discharge instructions, and follow-up care.
• Assesses patient understanding and readiness to learn.
• Promotes patient engagement and shared decision-making.

Quality and Safety

• Adheres to infection prevention and control practices.
• Identifies and reports safety concerns, adverse events, and near misses.
• Participates in performance improvement, patient safety, and quality initiatives.
• Maintains compliance with hospital policies, CMS, Texas Department of State Health Services, and accreditation standards.

Professional Practice

• Demonstrates professional communication and collaboration with patients, families, physicians, and staff.
• Serves as a patient advocate.
• Participates in departmental meetings, education, and competency validation.
• Maintains required certifications and licensure.

ICU Specific Responsibilities

• Rapid assessment, stabilization, and continuous care of critically ill patients.
• Care of patients presenting with:
  • Stroke symptoms
  • Respiratory distress
  • Sepsis
  • Medical and surgical conditions of a critical nature requiring critical care.
• Participation in disaster preparedness and emergency management activities.
• Assists with procedural sedation and emergency procedures within scope of practice.
• Responds to hospital emergency codes as assigned.
• Other responsibilities as directed by leadership.

Knowledge, Skills, and Abilities

• Strong critical thinking and clinical judgment skills.
• Ability to prioritize and manage multiple patients simultaneously.
• Knowledge of emergency nursing principles and standards.
• Ability to recognize and respond to rapidly changing patient conditions.
• Effective communication and teamwork skills.
• Proficiency in electronic medical record documentation.
• Ability to maintain composure and effectiveness during high-stress situations.

Physical Requirements

• Frequent standing, walking, bending, lifting, pushing, and pulling.
• Ability to lift and move patients and equipment with appropriate assistance.
• Ability to respond quickly to emergency situations.

Performance Expectations

• Demonstrates commitment to patient safety, quality outcomes, customer service, and regulatory compliance.
• Maintains competency in critical care nursing skills and hospital-required competencies.
• Supports departmental goals related to patient satisfaction, throughput, quality metrics, and clinical outcomes.
• Visual and auditory acuity sufficient for patient assessment and monitoring.

Core Values

• The ICU RN is expected to uphold the hospital's mission, vision, and values while providing compassionate, safe, high-quality care to every patient, every time.

#100

Qualifications

Education

Preferred

• Associates or better in Nursing.
• Bachelors or better in Nursing.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.