Medical Intermediate Care Unit (MICU) Nurse - RN III

Medical Intermediate Care Unit (MICU) Nurse - RN III

The Lemuel Shattuck Hospital (LSH), operated by the Massachusetts Department of Public Health (DPH), is seeking compassionate and skilled registered nurses (RNs) to join our medical intermediate care unit (MICU) at our Jamaica Plain campus. This is a unique opportunity to provide high-acuity care in a dynamic, mission-driven environment. As a vital member of our interdisciplinary healthcare team, the RN will deliver comprehensive nursing care to critically ill patients, including perioperative and post-anesthesia care. The role involves clinical decision-making, delegation, and coordination of care in alignment with performance improvement principles, hospital standards, and regulatory requirements. Under the guidance of the nurse manager, the RN will help ensure the highest standards of patient-centered care for individuals from diverse communities and referral sources. Please note: all shifts require working every other weekend, days off are assigned.

Day shift - 7 a.m. - 3:30 p.m.

Evening shift - 3:00 p.m. - 11:30 p.m.

Night shift - 11:15 p.m. - 7:15 a.m.

Duties and Responsibilities

Serves as team leader in the absence of the nurse manager, assigning, supervising, and evaluating perioperative nursing care provided by RNs, LPNs, NAs, and support staff.

Ensures nursing care is delivered according to established standards, with ongoing documentation for patients from the community and referral agencies under the direction of the nurse manager or charge nurse.

Initiates physical, psychosocial, and spiritual assessments of patients' nursing care needs in accordance with admission procedures and unit policy.

Develops a plan of care in collaboration with the patient, their significant others, the multidisciplinary healthcare team, and other resources, based on data analysis.

Implements and documents nursing interventions in alignment with the plan of care, nursing theory, hospital and unit policies, and regulatory requirements.

Accurately transcribes physician orders for medications, tests, and interventions; administers prescribed medications and monitors/documents responses, including adverse or toxic effects.

Continuously assesses and evaluates patient status to determine the effectiveness of interventions and treatment outcomes, and responds to significant changes in condition.

Documents the nursing care process, outcomes, and situational occurrences in accordance with hospital and unit policies and procedures.

Identifies and provides education and training to patients and their significant others to support improved health outcomes, recovery, and understanding of ongoing care needs.

Performs charge nurse duties as delegated by the nurse manager, ensuring organized and consistent delivery of care.

Participates in departmental and hospital-wide performance improvement and risk management activities, including data collection, analysis, and implementation of improvement strategies.

Demonstrates competence in providing age-appropriate care and remains sensitive to the cultural and spiritual needs of all patients.

Required Qualifications

Knowledge of scientific theories and principles of nursing in medical/surgical and critical care environments.

Ability to identify symptoms of mental illness and emotional disorders.

Strong oral and written communication skills for effective collaboration with providers, nursing staff, and interdisciplinary teams.

Ability to remain composed, make sound decisions, and respond swiftly in high-pressure or emergency situations.

Demonstrated ability to build rapport and interact respectfully with individuals from diverse ethnic, cultural, and socioeconomic backgrounds.

Capacity to coordinate team efforts and achieve shared objectives.

Preferred Qualifications

Demonstrated knowledge of nursing practices in critical care settings.

Experience using the clinical institute withdrawal assessment (CIWA) scale to assess patients and administer appropriate medication.

Ability to prioritize and adapt quickly in emergency and high-acuity situations.

About the Lemuel Shattuck Hospital

Lemuel Shattuck Hospital is a fully joint commission accredited teaching facility that provides acute, subacute, and ambulatory care to patients referred by public agencies and private sector providers. Shattuck hospital's services help economically and socially disadvantaged patients to get high quality, cost-effective care from a staff that respects their dignity. Located in the heart of Boston's Jamaica Plain neighborhood, the Shattuck hospital includes 248 inpatient beds including 95 psychiatric beds and 29 correctional health beds. In addition, the Shattuck has a full outpatient clinic with many specialties that offers treatment to patients of the Department of Mental Health as well as Department of Correction and House of Correction inmates and community patients. The Shattuck hospital is on the forefront of substance use disorder treatment including a Suboxone clinic serving 200 patients. In addition to direct medical services LSH hosts and supports an array of services located on the campus, serving patients struggling with addictions and homelessness.