Job Title
Registered Nurse - Intensive Care Unit (ICU)
Job Summary
Join a dedicated team as an Intensive Care Unit (ICU) Registered Nurse in a 9-bed critical care unit located in Kealakekua, Hawaii. This role involves providing high-acuity care to a primarily adult patient population, with the occasional responsibility for stable pediatric patients who require critical monitoring. Unstable pediatric cases are promptly transferred to higher levels of care.
The successful candidate will manage a dynamic patient load, typically maintaining a 2:1 nurse-to-patient ratio, which may adjust to 1:1 for critically unstable patients. There is also a potential for supporting Med/Surg overflow, where the ratio may increase to 3-4 patients per nurse. Each shift is staffed with a minimum of three nurses, fostering a collaborative and supportive environment. Opportunities may arise to float to other departments to provide assistance without taking on a full patient assignment.
Key Responsibilities
- Provide comprehensive direct patient care to critically ill adult patients within the 9-bed ICU.
- Manage patient assignments with typical ratios of 2:1, adjusting to 1:1 for high-acuity cases as indicated.
- Care for stable pediatric patients requiring critical care, ensuring appropriate transfer for unstable cases.
- Conduct thorough patient assessments, administer medications, and implement treatments as prescribed.
- Collaborate effectively with a multidisciplinary team to develop and execute individualized patient care plans.
- Maintain accurate, timely, and comprehensive patient documentation.
- Potentially support Med/Surg overflow, managing up to 3-4 patients as needed.
- Float to other departments to provide assistance, without taking a full patient assignment, when required.
Required Qualifications
- Current Registered Nurse (RN) license.
- Minimum of 1-2 years of recent experience in an Intensive Care Unit (ICU) or Critical Care Unit (CCU) setting.
- Demonstrated experience caring for pediatric patients.
- PALS (Pediatric Advanced Life Support) certification.
Preferred Qualifications
Skills & Competencies
- Clinical Skills: Advanced critical care assessment, ventilator management, hemodynamic monitoring, medication administration, emergency response, IV insertion, wound care.
- Equipment: Proficiency with critical care monitoring systems, IV pumps, ventilators, and other standard ICU equipment.
- Soft Skills: Strong communication, teamwork, adaptability, problem-solving, critical thinking, attention to detail, ability to perform effectively in a fast-paced and high-stress environment.
Shift Details
- Shift Type: Nights (NOC)
- Shift Duration: 8 hours
- Days per Week: 5 days
- Contract Length: 13 weeks
- Start Date: August 13, 2026
- Call Requirements: Not specified.
- Weekend Rotations: Not specified.
Licensing Requirements
- Active Registered Nurse (RN) license in the state of Hawaii.
- PALS (Pediatric Advanced Life Support) certification.