Registered Nurse - ICU

EP Contract Details This is a short-term EP contract running from November 30, 2026, through December 26, 2026. Clinicians are generally expected to work three shifts per week. Clinicians may select shifts through the standard scheduling process or provide availability for five of the seven days each week, allowing Med Center Health to schedule the three required shifts based on coverage needs.

Med Center Health may also provide a predetermined schedule for critical coverage needs. Holiday coverage may be required, and time-off requests will be reviewed based on facility needs. Facility The Medical Center at Bowling Green (MCBG) Bowling Green, Kentucky Unit Unit: NCHC MCBG SICU 4D Specialty: Surgical Intensive Care Unit Unit type: CICU/CVICU, ICU-SICU, and Stepdown/PCU

• Beds: 18
• Average daily census: 17

Shift Details - 12-hour night

7:00 PM-7:30 AM

• Float required
• ICU ratio: Approximately 1:2-3
• Stepdown ratio: Approximately 1:4-5
• Orientation: 24 hours
• Scrubs: Ceil Blue or Caribbean Blue

- The per diem Registered Nurse will provide critical-care nursing in the SICU 4D post-surgical environment. The unit cares for adult patients requiring intensive monitoring and stepdown care following complex cardiac and surgical procedures. Patient Population and Clinical Scope The role includes care for patients with:

• Complex post-surgical needs
• Cardiac and cardiovascular conditions
• Chest and mediastinal tubes
• Epicardial pacing wires
• Pulmonary artery catheters/Swan-Ganz monitoring
• Intra-aortic balloon pumps
• Arterial lines
• Multisystem organ dysfunction or failure
• Acute kidney injury and acute or chronic renal failure
• Respiratory failure and ventilator needs

Responsibilities

• Provide direct ICU and stepdown nursing care based on patient acuity.
• Monitor hemodynamic status, cardiac rhythms, arterial lines, central lines, and other invasive devices.
• Manage chest tubes, mediastinal tubes, pacing wires, Swan-Ganz/PAC monitoring, and IABP patients.
• Care for patients following cardiac surgery and other major surgical procedures.
• Manage ventilated patients and provide respiratory support, including BiPAP/CPAP, high-flow nasal cannula, ABG interpretation, and suctioning.
• Monitor intake and output and provide care for patients with acute kidney injury or renal failure.
• Administer and titrate cardiac and vasoactive drips within competency and facility policy.
• Manage continuous IV sedation, emergency medications, procedural sedation, blood products, TPN/lipids, and IV therapy as assigned.
• Provide infection prevention, isolation precautions, massive transfusion support, and high-output drain management.
• Communicate patient status using SBAR and collaborate with intensivists, hospitalists, CRNAs, anesthesiology, respiratory therapy, pharmacy, and rapid response resources.
• Float to the stepdown level or other assigned areas consistent with competency.

Required Qualifications

• Current Registered Nurse license eligible for practice in Kentucky.
• Minimum two years of RN experience.
• Current ACLS certification.
• Current BLS certification.
• Current NIHSS certification or competency.
• Cardiac experience required.
• Surgical experience required.
• Ability to work at an ICU ratio of approximately 1:2-3 and a stepdown ratio of approximately 1:4-5.
• License must be active and in hand; pending licenses are not accepted.
• Candidates must reside within the facility's 65-mile local radius restriction.

• Meditech experience.
• Teaching hospital experience.
• Trauma Level I or II experience.
• Experience with cardiac surgery, CVICU, surgical ICU, IABP, Swan-Ganz monitoring, pacing wires, arterial lines, ventilator management, CRRT, titratable cardiac or vasoactive drips, and complex post-operative care.

Candidate Profile The strongest candidates will have at least two years of adult critical-care experience with cardiac and surgical patients, strong invasive-monitoring skills, and the ability to manage Orientation • Approximately 24 hours of facility orientation are listed for this unit. The facility conducts a telephone interview with each candidate and makes the final offer decision. One admin day with Employee health, Education, and HR, and two bedside orientation days - all at The Medical Center Bowling Green.

They will try to be flexible with scheduling bedside orientation if the candidate is already working another job.