Registered Nurse (RN) - ICU - Nights

Community Memorial Hospital (CMH) is a 70-bed facility located in the heart of South Central Virginia, serving residents of over 7 counties, including North Carolina due to its proximity to the I-85 interstate and the NC border. CMH is a Primary Stroke Center, capable of managing acute ischemic strokes within the facility. The Intensive Care Unit is a 10-bed unit specializing in adult critical care patients with medical or surgical diagnoses. The average ICU nurse-to-patient ratio is 1 to 2, with support from patient care technicians and patient safety associates. The patient care team also includes 24-hour Hospitalist and ancillary support. The community setting fosters a family and patient-centered atmosphere with outstanding teamwork across the organization.

About the Role

The Clinical Nurse roles (I, II, III) integrate technical skills and theoretical knowledge to meet the needs of patients and families. These roles assist the healthcare team with illness and injury prevention, wellness maintenance, and comfort provision. Nurses provide direction, education, and leadership at the unit level, delivering and documenting direct, age-specific care based on medical orders and a multidisciplinary plan. They safely administer prescribed medications, identifying incompatibilities and interactions.

• Clinical Nurse I: Begins to acquire leadership skills at the unit level.
• Clinical Nurse II: Demonstrates mastery of clinical skills, recognizes changes in patient situations, and mobilizes resources to meet individualized patient/family needs. Assumes leadership responsibilities at the unit level.
• Clinical Nurse III: Demonstrates advanced clinical knowledge, anticipates changes in patient situations, and serves as a role model in a clinical setting.

Requirements

Licensure, Certification, or Registration

• For Hire (Clin I, II, III): Current RN licensure in Virginia, eligible, or compact state licensure.
• For Continued Employment (Clin I, II, III): Current RN licensure in Virginia, AHA BLS HCP Certification or equivalent.

Experience

• Required:
  • Clin I: N/A
  • Clin II: 12 to 24 months RN experience
  • Clin III: 3 years of clinical experience
• Preferred:
  • Clin I: Experience as an LPN, nursing assistant, or care partner in an acute care setting or applicable area.
  • Clin II, III: Academic healthcare experience; experience with a similar patient population in an acute care setting.

Education/Training

• Required (Clin I, II, III): Diploma or Associate’s Degree from a professional nursing program recognized by the state’s Board of Nursing. RNs without a Bachelor’s degree in Nursing (or higher) must enroll in an approved RN to BSN program within two years of their start date and complete it within five years unless grandfathered under previous requirements.
• Preferred (Clin I, II, III): Completion of a Bachelor’s Degree in Nursing (or higher) from an accredited program.
• Preferred (Clin III): Certification in specialty area.

Responsibilities

• Follows documented physician/licensed independent provider orders.
• Practices within the boundaries of Virginia nursing regulations and is guided by the ANA Code of Ethics and national nursing practice standards.
• All practice follows VCUHS policies and procedures.
• Organizes work and delegates/supervises others (RNs, LPNs, Care Partners, Unit Secretaries, etc.) in carrying out assignments.
• Works all three shifts, weekends, and holidays. Shift rotations and schedules are established with the Nurse Manager/Practice Manager and may be adjusted as needed.

Age-Specific Groups Served

As appropriate based on unit assignment.

Physical Requirements

• Physical: Lifting 20-50 lbs; exposure to potentially hazardous and infectious substances.
• Activities: Prolonged standing, prolonged sitting, frequent bending, walking (distance), climbing (steps, ladder, other), reaching (overhead, extensive, repetitive).
• Mental/Sensory: Strong recall, reasoning, problem-solving, hearing, speaking clearly, writing legibly, reading, logical thinking.
• Emotional: Fast-paced environment, steady pace, ability to handle multiple priorities, frequent and intense customer interactions, noisy environment.