ICU - RN

ICU - RN

• Cleveland, Ohio

• salary

• Unavailable

• Hours per week

• 36

• Shifts

• 3/12's

• Start Date

• Unavailable

• Duration

• 52 weeks

• Job Number

• 1098

GhostRx Inc. is seeking experienced Intensive Care Unit (ICU) Registered Nurses to deliver high-acuity critical care to our veteran population at the Louis Stokes Cleveland VA Medical Center (LSCVAMC) in Cleveland, Ohio. LSCVAMC is one of the largest VA medical centers in the country, the tertiary referral hospital for the VA Northeast Ohio Healthcare System, and a major academic affiliate of Case Western Reserve University School of Medicine. As a Critical Care RN on the GhostRx team, you’ll work alongside board-certified intensivists, fellows, residents, advanced practice providers, respiratory therapists, and pharmacists in a fast-paced, interdisciplinary teaching-hospital environment. In this role you will use the nursing process to assess, plan, and deliver evidence-based care to a mixed veteran population of varying acuity and complexity — including patients managing septic shock, acute respiratory failure, post-cardiothoracic surgery recovery, multi-organ dysfunction, traumatic brain injury, severe burns, complicated infections, and end-of-life critical care. The position demands advanced clinical judgment, technical competency with mechanical ventilation and hemodynamic monitoring, the ability to safely titrate vasoactive and sedation drips, and strong interpersonal skills for high-stakes, fast-moving clinical situations. ICU RNs respond to medical emergencies, participate in rapid response and code events, perform ACLS interventions, and provide compassionate education and emotional support to veterans and their families during what is often a profoundly difficult time. Critical care nurses at LSCVAMC continuously monitor heart rate, blood pressure, respirations, and oxygenation using cardiac and oxygen telemetry; manage mechanical ventilators and advanced airway equipment; and deliver enteral and parenteral nutrition as ordered. GhostRx is a Service-Disabled Veteran-Owned Small Business (SDVOSB) deeply committed to staffing federal healthcare facilities with clinicians who view caring for veterans as a calling. We offer competitive contract pay, comprehensive medical/dental/vision benefits, paid time off, and the opportunity to serve those who served our country. Schedules typically follow a 3 x 12-hour shift pattern (36 hours/week) on a 52-week contract, with rotating weekends and holidays as required by the unit. Cleveland offers an exceptional quality of life on the shores of Lake Erie. The region is home to a world-renowned medical community, championship professional sports (Browns, Cavaliers, Guardians, Monsters), the Rock and Roll Hall of Fame, Playhouse Square — the largest performing arts center outside of New York City — and a celebrated dining, brewery, and craft food scene. Cost of living is well below the national average for a major U.S. metro, with family-friendly neighborhoods in suburbs like Lakewood, Rocky River, Beachwood, Solon, and Strongsville. Outdoor amenities include Cuyahoga Valley National Park, Lake Erie beaches, the Cleveland Metroparks Emerald Necklace, and easy weekend access to Pittsburgh, Columbus, and Detroit.

Qualification and Requirements

• Graduate of a school of professional nursing accredited by ACEN or CCNE at the time the program was completed

• Current, full, active, and unrestricted Registered Nurse (RN) license in Ohio or a compact-state license

• Associate Degree in Nursing (ADN) or diploma required; Bachelor of Science in Nursing (BSN) preferred

• Minimum 2 years of recent critical care/ICU experience in an acute-care hospital setting

• Current Basic Life Support (BLS) certification from the American Heart Association

• Current Advanced Cardiac Life Support (ACLS) certification from the American Heart Association

• Critical Care Registered Nurse (CCRN) certification through AACN preferred

• NIH Stroke Scale (NIHSS) certification preferred

• Proficiency in ECG rhythm interpretation, hemodynamic monitoring, and titration of vasoactive medications

• Experience with mechanical ventilators, arterial lines, central lines, CRRT, and post-cardiothoracic surgical patients preferred

• Strong clinical assessment, critical thinking, prioritization, and time-management skills

• Excellent communication and interpersonal skills suited to a high-acuity, fast-paced environment

• Proficient written and spoken English (38 U.S.C. 7403(f) requirement for direct patient care positions)

• U.S. citizenship required (per VA contract terms); selective service registration required for males born after 12/31/1959

• Must successfully pass a federal background investigation, pre-employment drug screen, and pre-employment physical examination

• Required to receive annual seasonal influenza vaccination per VA HCP policy (or approved medical/religious exemption)

• Physical and mental ability to perform all RN duties under normal and emergent conditions, including standing/walking for extended periods, lifting and repositioning patients, and responding rapidly to codes

Responsibilities

• Perform continuous, comprehensive assessments of critically ill veterans and promptly identify changes in condition

• Monitor heart rate, blood pressure, respirations, and oxygenation using cardiac and oxygen telemetry

• Manage and operate advanced life-support equipment, including mechanical ventilators, arterial and central venous lines, and hemodynamic monitoring devices

• Administer critical medications and titrate continuous drips, including vasopressors, sedation, paralytics, and anticoagulation therapy

• Provide nutrition support via enteral feeding tubes and total parenteral nutrition as ordered

• Collaborate with intensivists, fellows, residents, respiratory therapists, pharmacists, and the interdisciplinary team to develop and execute the plan of care

• Respond to medical emergencies, participate in rapid response and code events, and perform ACLS interventions

• Provide post-operative critical care to cardiothoracic surgery patients, including TAVR, LVAD, and ECMO recovery when applicable

• Manage complex equipment and therapies, including continuous renal replacement therapy (CRRT), targeted temperature management, and intra-aortic balloon pumps where applicable

• Interpret arterial blood gases (ABGs), laboratory results, and diagnostic studies to inform timely clinical interventions

• Educate and support veterans and their families throughout the critical care experience, providing updates and coordinating care transitions

• Document all patient assessments, interventions, medications, and outcomes accurately and in a timely manner in the electronic health record

• Maintain patient confidentiality and a safe, sterile care environment at all times

• Adhere to infection-control standards, VA nursing policies, and critical care standards of practice

• Serve as a patient advocate, escalating concerns and participating in interdisciplinary rounds, family meetings, and end-of-life discussions as appropriate

• Mentor and support newer nurses, students, and ancillary staff in the delivery of safe, evidence-based critical care

GhostRX, Inc. is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, and gender identity), national origin, age, disability, genetic information, protected veteran status, or any other characteristic protected by applicable law.

If you are unable to apply due to a disability, you may request a reasonable accommodation by contacting View email address on click.appcast.io or dialing 711 (TTY).

This contractor and subcontractor abides by the requirements of 41 CFR 60‑1.4(a), 41 CFR 60‑300.5(a), and 41 CFR 60‑741.5(a). These regulations prohibit discrimination against qualified individuals on the basis of protected veteran status or disability and require affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans and individuals with disabilities.

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EOE: race/color/religion/sex/sexual orientation/gender identity/national origin/age/genetic information/pregnancy/disability/protected veterans