Registered Nurse (RN) ICU PRN Nights

ScionHealth; Lewiston (ID); On-site; USD 85,000 - 110,000; Full time

Job summary

St. Joseph Regional Medical Center in Lewiston, Idaho, is seeking an ICU RN to provide comprehensive care for critically ill patients. The role emphasizes hemodynamic monitoring, med administration, assessments, and care coordination with the interdisciplinary team.

You will educate patients and families, participate in emergency response, and assist with invasive procedures while maintaining infection control and safety protocols. New grads are welcome after training and mentoring.

Qualifications

• ADN required to practice as RN in facility.
• BSN preferred for progression.
• Current RN license in applicable state or compact license.
• BLS certification required prior to policy deadline.
• ACLS certification within facility policy timeframe.
• PALS certification preferred.
• De-escalation Training required.

Responsibilities

• Provide direct/indirect care in ICU, including hemodynamic monitoring.
• Administer medications and monitor for adverse effects.
• Perform head-to-toe and pain assessments; reassess as needed.
• Develop and implement individualized care plans.
• Collaborate with physicians and therapists to optimize care.
• Educate patients/families on treatment plans and discharge instructions.
• Respond to emergencies (code blue, rapid response).
• Assist in invasive procedures (e.g., central/arterial lines).
• Uphold infection control and patient safety standards.
• Document care activities accurately in EMR.

Skills

Critical Care Nursing

Emergency Response

Team Communication

Patient Assessment

Physical stamina

Education

Associate Degree in Nursing (ADN)

BSN preferred

Tools

EMR (Electronic Medical Records)

Job description

Description

Join St. Joseph Regional Medical Center in Lewiston, Idaho—where nationally recognized quality meets small-town heart. We’re proud to be recognized for excellence and patient safety, including an “A” Hospital Safety Grade from The Leapfrog Group, inclusion in Becker’s list of “Great Community Hospitals,” and U.S. News & World Report accolades for maternity care. Here, you’ll find a teamwork-first culture, leaders who support you, and coworkers who genuinely have your back. New grads are welcome—we’re committed to training, mentoring, and helping you build confidence as you grow. And because we know great care starts with taking care of our people, we offer competitive benefits and a workplace you can feel good about. If you’re looking for a place to do meaningful work, build a career, and feel proud serving your community—you belong at St. Joe’s.

Job Summary

The Registered Nurse (RN) - ICU provides comprehensive nursing care to critically ill patients in the Intensive Care Unit. The RN monitors hemodynamic status, administers medications, performs assessments, and collaborates with the interdisciplinary care team. The RN ensures optimal patient outcomes through adherence to clinical protocols, safety guidelines, and effective communication with patients and families.

Essential Functions

• Provides direct and indirect patient care in a critical care setting, including hemodynamic monitoring and management of critically ill patients
• Administers medications, monitors for side effects, and responds to adverse events
• Performs comprehensive assessments, including head-to-toe assessments, pain assessments, and reassessments
• Develops and implements individualized care plans based on patient condition and response to treatment
• Collaborates with physicians, respiratory therapists, and other healthcare providers to optimize patient care
• Educates patients and families on treatment plans, medication regimens, and discharge instructions
• Participates in emergency response and crisis management, including code blue and rapid response situations
• Assists in invasive procedures, including central line insertions and arterial line placements
• Adheres to infection control protocols and maintains a safe environment for patients and staff
• Documents patient care activities, assessments, and interventions accurately and timely in the electronic medical record (EMR)

Knowledge/Skills/Abilities/Expectations

• Advanced clinical knowledge in critical care nursing and emergency response
• Strong communication and interpersonal skills
• Ability to prioritize tasks and manage multiple responsibilities effectively
• Proficiency in electronic medical records (EMR) and medical equipment operation
• Demonstrates professionalism, integrity, and a commitment to patient-centered care
• Ability to lift up to 50 lbs and perform extended periods of standing, walking, and physical activity

Qualifications

Education

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

License/Certification

• Current RN license in the state of practice or compact state required
• Basic Life Support (BLS) Certification within timeframe specified by facility policy
• Advanced Cardiovascular Life Support (ACLS) Certification within timeframe specified by facility policy
• Pediatric Advanced Life Support (PALS) Certification preferred
• De-escalation Training required

Experience

• Minimum of six (6) months of experience in an acute care setting preferred