Registered Nurse - ICU (Nights) - Full Time en Carson Valley Health

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.

BENEFITS: If you are scheduled to work part-time at least 20 hours per week and full-time at least 32 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment. 

• RETENTON BONUS & CLINICAL LADDER ELIGIBLE!
• NO STATE INCOME TAX
• Hometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account.
• Vanguard 401(k) with match.
• Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA).
• Employer Paid Basic Life and AD&D insurance.
• Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability).
• Earned Time Off, Sick Leave and Paid Holidays.
• Nevada 529 College Fund.
• Unum Employee Assistance Program.
• Employer paid Credit monitoring and Identity Theft Program through CyberScout.
• Tuition Reimbursement, Clinical Ladder* & HRSA Loan Repayment Program* (*for qualifying positions).
• Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months+.
• Paid Volunteer Hours for staff to help in the community.
• and More...

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!!