Critical Care Nurse RN - Surgical ICU

Critical Care Nurse RN – Surgical ICU

Job Location

101 Truman Medical Center

Department

SICU UHTMC

Hours Per Week

36

Job Description

University Health is seeking Critical Care RNs for our Surgical ICU department.

• Based on specialized nursing knowledge, the highly trained Critical Care Nurse RN, Surgical ICU works in the Surgical Intensive Care Unit, manages the conditions of patients who have serious, complex, or life‑threatening conditions.
• Manages multiple traumatic injuries involving more than two major systems (e.g., head, chest, abdomen).
• Makes decisions regarding care escalation and the use of aggressive interventions.
• Assesses rapid hemodynamic and respiratory conditions and intervenes promptly to mitigate complications of pneumothorax in critically injured trauma patients.
• Manages protocol for sedating patients in accordance with the Behavioral Pain Scale (BPS) and Critical Care Pain Observation Tool (CPOT), administering Daily Sedation Interruption (SATs) and Spontaneous Breathing Trials (SBTs).
• Manages shock protocol when organ dysfunction occurs and administers inotropes if in cardiogenic shock.
• Manages protocol involving central lines and arterial lines in Trendelenburg for internal jugular or subclavian treatment, monitoring for pneumothorax, bleeding, or air embolism.
• Delivers Continuous Renal Replacement Therapy (CRRT) by assessing Acute Kidney Injury (AKI), priming CRRT circuits, and managing electrolytes.
• Treats cardiogenic shock, acute coronary syndrome, severe heart failure with Intra‑Aortic Balloon Pump (IABP) protocol, executing hemodynamic monitoring protocol.
• Manages intracranial pressure (ICP) in patients with traumatic brain injury and subarachnoid hemorrhage by external ventricular drain (EVD) protocol.
• Activates Massive Blood Transfusion Protocol (MBTP), managing complications such as transfusion reactions, volume overload, coagulopathy, electrolyte imbalances, and organ dysfunction (especially kidney and lungs).
• Manages ICU Code Blue protocol.
• Treats respiratory failure and administers Rapid Sequence Intubation (RSI) protocol.
• Manages ICU Sepsis protocol.
• Manages administration of vasopressors and inotropes to raise blood pressure and enhance cardiac contractility.
• Provides and manages other critical care as assigned.

Minimum Educational Requirement

Bachelor’s degree or equivalent in nursing or directly related field.

Licensure Requirement

Eligibility for Missouri RN license, or eligibility for Multi‑State (Compact) License.