Washington, DC30+ days ago
Perform comprehensive, ongoing assessments and develop individualized, evidence-based plans of care for critically ill medical patients across the full spectrum of acuity Monitor and interpret hemodynamic parameters using arterial lines, central venous pressure (CVP), and pulmonary artery catheters; recognize and respond to hemodynamic instability Care for patients requiring mechanical ventilation, including ventilation modes, weaning protocols, and airway management; collaborate closely with respiratory therapy Initiate, titrate, and manage vasopressors, inotropes, sedation, and analgesia per protocol; recognize and respond to adverse effects Recognize, escalate, and manage sepsis and septic shock, respiratory failure, and multi-organ dysfunction per evidence-based bundles and protocols Support patients receiving continuous renal replacement therapy (CRRT) and other advanced organ-support interventions Interpret cardiac rhythms and dysrhythmias; respond to emergent clinical changes and participate in rapid response and code events Administer high-risk medications and continuous infusions safely per protocol and controlled substance regulations; recognize and respond to adverse effects Recognize and escalate clinical deterioration via SBAR and chain of command; participate in emergency drills and debriefs Apply evidence-based infection prevention practices, including prevention of ventilator-associated events and central line-associated bloodstream infections Establish rapport with patients and families under high-stress conditions, providing emotional, psychological, and culturally responsive support Document patient care, assessments, and outcomes accurately in the electronic health record; communicate irregularities and continuing care needs across nursing teams Delegate tasks appropriately to non-licensed personnel and assistants; adhere to infection control protocols and medication administration and storage procedures Participate in unit performance improvement programs, and engage in education, engagement, and practice committees Maintain and grow clinical knowledge through educational workshops, professional publications, and professional societies Perform other duties as assigned consistent with the scope of this role. Associate Degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) preferred Graduate of an accredited school of nursing Minimum three (3) years of bedside RN experience in a critical care or ICU setting Current, active RN license in the District of Columbia Current BLS and ACLS certification through the American Heart Association (AHA) required Nationally recognized critical care nursing certification (e.g., CCRN) highly desirable.