Registered Nurse - ICU - Per Diem* bei Carson Valley Health

*IMPORTANT NOTE:  In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis.

The ICU Registered Nurse (RN) is responsible for providing comprehensive critical level nursing care to patients with life-threatening conditions in the Intensive Care Unit. The RN is expected to deliver high-quality, evidence-based care, utilizing advanced clinical skills and critical thinking to manage complex patient conditions. In addition to performing patient assessments, administering medications, managing care plans, and critical thinking, this role involves continuous monitoring, detailed documentation, and effective communication with the healthcare team to ensure optimal patient outcomes.

POSITION REQUIREMENTS:

Minimum Education:

• Graduate of an accredited school of nursing.
• Minimum of an Associate’s Degree in Nursing.

License Required:

• Current Nevada RN license required.

Certificate Required: 

• BLS for Healthcare Providers required.
• ACLS certificate required.

Minimum Work Experience:

• Professional customer service skills.
• Ability to read and communicate in English, bilingual abilities preferred.
• Minimum of 6 months ICU experience, 2 years’ ICU experience preferred.

POSITION ESSENTIAL FUNCTIONS:

Patient Assessment

• Perform comprehensive assessments of critically ill patients, including monitoring vital signs, interpreting laboratory results, and evaluating overall condition.
• Develop and implement individualized care plans based on patient assessments, clinical data, and physician orders.
• Continuously monitor and reassess patient status, making rapid adjustments to care plans as needed. 
• Accurately assesses and documents patient and family needs to provide quality care to assigned patients and ensure integration of information among the multi-disciplinary health care team.

Medication Management 

• Administer medications, including IV drips, titrations, and emergency medications, with precision and attention to detail. Monitor for and manage potential side effects and interactions, and adjust dosages according to patient response.
• Educate patients and families on medication purposes, potential side effects, and post-discharge medication management.

Communication

• Communicate effectively with the interdisciplinary healthcare team to ensure seamless care coordination and continuity. Participate in daily rounds, bedside shift handoffs, and emergency briefings to discuss patient status, care plans, and any changes in condition.
• Provide clear, compassionate communication to patients and families, explaining complex medical information and addressing concerns.

Documentation

• Accurately document all aspects of patient care, including assessments, interventions, medications, and patient responses in the electronic health record (EHR).
• Ensure documentation is complete, accurate, and compliant with hospital policies and regulatory standards. Maintain thorough records of patient progress, changes in condition, and any adverse events or complications.

Judgment

• Utilize advanced clinical judgment to assess and respond to rapidly changing patient conditions, including initiating emergency interventions.
• Prioritize patient care activities based on the acuity of patient needs and overall unit demands.
• Collaborate with the healthcare team to make informed decisions that optimize patient outcomes and safety.  
• Demonstrates the skills and judgment necessary to implement nursing plan of care, nursing interventions, and procedures as necessary for the care of the patient.
• Demonstrates knowledge of hospital policies and procedures.
• Demonstrates knowledge of commonly used medications: action, dose, and side effects.
• Observes the rights of medication administration. 
• Demonstrates proper procedures in all methods of medication administration.
• Administers blood and blood products following hospital policy and procedures.
• Initiates and maintains IV access according to hospital policy and procedures.
• Assesses and documents IV site per unit standard.
• Uses critical thinking and efficient time management.

Scope of Service

• Cares for ICU, Medical, Telemetry, and Swing Bed patients. 
• Performs consistent, purposeful hourly rounding.
• Provide nursing care to critically ill patients with a wide range of conditions.
• Assesses, evaluates, and carries out nursing interventions and teaching as applicable for med-surg and swing bed patients.
• Work within the scope of nursing practice as defined by state laws, hospital policies, and professional standards.
• Participate in the development and implementation of best practices and quality improvement initiatives within the ICU.
• Contribute to the continuous improvement of patient care services through participation in quality improvement initiatives.
• Demonstrates skill and knowledge in nursing management of emergency situations.
• Demonstrates knowledge and skill in using equipment.
• Demonstrates knowledge of setting up and maintaining sterile field for minor sterile procedures such as insertion of central lines, chest tubes, etc.
• Demonstrates knowledge of current policies and procedures pertaining to vaccination of patients and the documentation of teaching done.
• Demonstrates knowledge and skill in specific areas of clinical experience, as applicable.
• Understands and can differentiate between various admission types: observation, Inpatient, and swing status.

Clinical Resource

• Serve as a resource and mentor for less experienced nurses and other healthcare professionals within the ICU.
• Participate in the education and orientation of new staff and students, sharing knowledge and expertise in critical care nursing.
• Stay current with continuing education, professional development, and advances in critical care practices.

CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE

"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024 & 2025!

WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!