table>| Position Type | Per Diem – Level I Commitment |
| Department | Medical Intensive Care Unit (MICU) |
| Shift | Nights | 7:30 PM – 8:00 AM |
| Schedule | One (1) 12-hour shift per week, set in four (4) week cycles |
| Weekend Requirement | Two weekends per month (24 hours/month) |
| Holiday Requirement | Every other major holiday required (New Year’s, Thanksgiving, Christmas — beginning the night before). Today, HUH continues its proud tradition of delivering exemplary, patient-centered, and culturally responsive care to the community, while providing exceptional learning and professional development opportunities for the next generation of healthcare professionals.p>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. 214,500.00 - $386,100.00*National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska.. The pay for this role will vary based on a range of factors including, but not limited to, a candidate’s geographic location, market conditions, and specific skills and experience. The Certified Medical Assistant at Kinwellassists with prepping charts for daily appointments, managing the patient’s appointment schedule, maintaining the cleanliness and supplies in the patient exam and waiting area, communicating patient status and needs to the clinician and assisting with check-out and follow-up duties for patients. Basic Life Support (BLS) for Health Care strongly preferred at time of hire from American Heart Association (AHA), Red Cross, or Military Training Network (MTN) or willingness to obtain within sixmonths of hire. p style="text-align:inherit"/>Under the general supervision of the Manager, provides direct patient care in accordance with Winchester Hospital's policies and procedures and the scope of practice for Registered Nurses in Massachusetts. Completes assessments, performs treatments, administers appropriate drug therapies, observes patient’s progress, records responses/reactions to interventions, and evaluates therapies for clinical outcomes and effectiveness. Schedule Details/Additional Information:. p>Provides day- to-day patient care in the home setting which includes, but is not limited to: case management and total care of multiple patients with different levels of acuity, admissions to home care services, post-hospitalization assessments, recertifications, discharges, patient teaching, dressing changes, IV therapy administration, access site care and general skilled nursing according to policy and procedure, assists with other needs that may be apparent in the home to assure safety and appropriate care i.e. lifeline, meals on wheels, and instruction on public programs availability. Join Mercy Home Health, a 5-star rated agency in customer satisfaction, where you’ll deliver high-quality, patient-centered care—right in the homes of those who need it most. |