Job Title: Registered Nurse - Intensive Care Unit
Location: Show Low, Arizona
Schedule: Full-Time | Night Shift | 12-Hour Shifts, 6:00 PM–6:30 AM
Pay Range: $31.00–$47.00 per hour
Openings: 2
Start Date: ASAP
Job Overview
A healthcare organization in Show Low, Arizona, is seeking experienced Intensive Care Unit Registered Nurses for permanent night-shift opportunities.
The ICU RN will provide comprehensive critical-care nursing to medically complex and high-acuity patients in a 12-bed ICU with typical staffing ratios of approximately 1:2. The unit cares for patients requiring mechanical ventilation, vasoactive medications, invasive monitoring, post-cardiac intervention care, and management of complex medical emergencies.
Candidates must have at least two years of ICU experience
and be comfortable managing ventilators, critical-care drips, arterial lines, and rapidly changing patient conditions.
Responsibilities
- Provide direct nursing care to critically ill and high-acuity patients
- Perform comprehensive assessments and frequent reassessments
- Maintain typical patient assignments of approximately 1:2 based on acuity
- Manage mechanically ventilated patients
- Monitor and care for patients with arterial lines and other invasive monitoring
- Administer and titrate critical-care medications and continuous IV infusions
- Recognize changes in patient condition and initiate rapid interventions
- Provide care to patients following cardiac catheterization and coronary interventions
- Manage patients with diagnoses and conditions such as:
- STEMI and other acute cardiac conditions
- Pneumonia and respiratory failure
- ARDS
- Sepsis
- DKA
- Atrial fibrillation with rapid ventricular response
- Renal failure
- Stroke following thrombolytic therapy
- Postoperative complications
- EVAR recovery
- Alcohol withdrawal and overdose
- Participate in therapeutic hypothermia/temperature-management protocols
- Provide care to patients requiring sedation and neuromuscular blockade
- Assist with management of intra-aortic balloon pump patients when appropriately trained
- Collaborate with physicians, respiratory therapists, pharmacy, PCTs, HUCs, and other interdisciplinary team members
- Educate patients and families regarding diagnoses, treatments, medications, and ongoing care
- Maintain accurate and timely clinical documentation
- Follow infection-control, critical-care, medication-safety, and patient-safety standards
- Float to the Emergency Department or Medical-Surgical units when appropriately experienced and operationally necessary
Common Critical-Care Medications
The ICU manages a broad range of continuous infusions, including:
- Amiodarone
- Cardizem
- Levophed / Norepinephrine
- Precedex
- Propofol
- Fentanyl
- Vecuronium
- Dopamine
- Dobutamine
- Lasix
- Insulin
- Weight-based Heparin
Qualifications
Required
- Current Registered Nurse license or eligibility for Arizona licensure
- Minimum of two years of ICU nursing experience
- Current Basic Life Support certification
- Current Advanced Cardiovascular Life Support certification
- Current NIH Stroke Scale certification
- Experience with mechanical ventilation
- Experience administering and titrating critical-care drips
- Experience with basic ICU monitoring and equipment
- Strong cardiac, respiratory, neurological, and hemodynamic assessment skills
- Ability to recognize and respond rapidly to clinical deterioration
- Strong critical-thinking, prioritization, and emergency-response skills
- Ability to work 12-hour night shifts
- Availability for required weekend scheduling
Preferred
- Experience caring for post-cardiac catheterization or post-PCI patients
- Experience with arterial lines
- Experience with therapeutic hypothermia or targeted temperature management
- Experience caring for patients with ARDS, sepsis, DKA, and acute stroke
- IABP experience; not required
- Emergency Department experience for candidates who may float to the ED
Department Information
- 12-bed Intensive Care Unit
- Typical RN-to-patient ratio of approximately 1:2
- Usually approximately 1–2 ventilated patients on the unit at any given time, although volume varies
- Respiratory Therapy available 24/7
- Patient Care Technician and Health Unit Secretary support
- Administrative Shift Coordinator / House Supervisor available in-house 24/7
- Nurse Manager available to assist with patient care when needed
- No open-heart surgery program
- No neurosurgery program
- No fresh transplant patients, although patients with a history of transplant may be admitted
Schedule
- Full-time night shift
- 12-hour shifts: 6:00 PM–6:30 AM
- Modified self-scheduling
- Block scheduling accommodated when possible
- Minimum of 3 weekend shifts per 4-week schedule
- No routine on-call requirement
- May float to the Emergency Department or Medical-Surgical units when the nurse has appropriate experience
Orientation
- New-hire orientation begins every Monday
- Unit-specific clinical orientation provided based on experience and competency
Benefits
- Competitive compensation based on experience and qualifications
- Comprehensive health and wellness benefits
- Retirement savings programs
- Paid time off
- Continuing-education and professional-development opportunities
- Critical-care nursing advancement opportunities
- Employee wellness and assistance programs
If you are an experienced ICU RN who is confident managing ventilators, vasoactive drips, invasive monitoring, and complex high-acuity patients, we would love to hear from you.