Virginia Commonwealth University Health Systems
Registered Nurse (RN) - Medical Respiratory ICU - Nights
Virginia Commonwealth University Health Systems, Richmond, Virginia, United States, 23214
$20,000 Sign On Bonus for offers accepted by February 28, 2026. Terms and Conditions apply.
The Medical Respiratory Intensive Care Unit (MRICU) is a 28‑bed unit specializing in the care of patients with multisystem organ failure and complex pulmonary needs. Our patients include various respiratory disorders and failures such as COPD, ARDS, status asthmaticus, and pneumonia. The latest advances in care delivery are provided to patients with sepsis, GI bleeds, DKA, oncological issues, acute kidney and liver dysfunction, and acid‑base and metabolic imbalances. Through true collaboration with the interprofessional team, MRICU nurses translate evidence‑based practice, quality improvement, and research into bedside care, advancing safe, high‑quality care for all patients.
Medical Respiratory Intensive Care Unit Located in Critical Care Hospital – 4th floor
28‑bed adult ICU caring for complex medical and pulmonary patients, including post‑codes, sepsis, GI bleeds, DKA, renal and liver failure, and those requiring bedside procedures and advanced pulmonary and invasive interventions.
Nurse‑to‑patient ratios are 1:1 and 1:2, with charge nurse, unlicensed assistive personnel and unit secretary support 24/7.
Clinical Nurse Responsibilities The Clinical Nurse I job integrates technical skills and theoretical knowledge to meet the needs of the patient and family. The role assists the health‑care team with prevention of illness and injury, maintenance of wellness, and provision of comfort. It provides direction, education, and begins to acquire leadership skills at the unit level. The Clinical Nurse I job delivers and accurately documents direct, age‑specific care to a patient or group based on medical orders and an integrated multidisciplinary plan of care and safely administers prescribed medications, identifying incompatibilities and/or interactions.
The Clinical Nurse II job demonstrates mastery of clinical skills and begins to apply this knowledge to a specific patient population. The role assists the health‑care team with prevention of illness and injury, maintenance of wellness, and provision of comfort. It recognizes changes in patient situations and intervenes appropriately, mobilizes resources to meet individualized needs, provides direction, education, and assumes leadership responsibilities at the unit level. The Clinical Nurse II job delivers and accurately documents direct, age‑specific care to a patient or group based on medical orders and an integrated multidisciplinary plan of care and safely administers prescribed medications, identifying incompatibilities and/or interactions.
The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. The role assists the health‑care team with prevention of illness and injury, maintenance of wellness, and provision of comfort. It anticipates changes in patient situations and intervenes appropriately, provides direction, education, and serves as a role model in a clinical setting. The Clinical Nurse III job delivers and accurately documents direct, age‑specific care to a patient or group based on medical orders and an integrated multidisciplinary plan of care and safely administers prescribed medications, identifying incompatibilities and/or interactions.
Licensure, Certification, or Registration Requirements for Hire
Current RN licensure in Virginia or eligible or compact state (Clin I, Clin II, Clin III).
Licensure, Certification, or Registration Requirements for Continued Employment
Current RN licensure in Virginia, AHA BLS HCP Certification or equivalent (Clin I, Clin II, Clin III).
Experience Required
Clin I: N/A
Clin II: 12 to 24 months RN experience
Clin III: 3 years of clinical experience
Experience Preferred
Clin I: Experience as an LPN, nursing assistant or care partner in an acute care setting.
Clin II, Clin III: Academic health‑care experience; experience with similar patient population in an acute care setting.
Education/Training Required
Diploma or Associate’s Degree from a professional nursing program recognized and/or approved by the state Board of Nursing (Clin I, Clin II, Clin III).
All registered nurses without a Bachelor’s degree in Nursing (or higher) must enroll in an approved RN to BSN program within two years of start date and complete the program within five years.
Education/Training Preferred
Completion of a Bachelor’s Degree in Nursing (or higher) from an accredited program (Clin I, Clin II, Clin III).
Certification in specialty area (Clin III).
Independent Action(s) Required
Follows documented physician/licensed independent provider orders.
Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia.
Practice guided by ANA Code of Ethics for Nursing and established national nursing practice standards.
All practice guided by and follows VCUHS policies, procedures and established practice.
Supervisory Responsibilities (if applicable)
Organizes work and delegates and supervises others (RN's, LPN's, Care Partners, Unit Secretaries, etc.) in carrying out assignments (Clin I, Clin II, Clin III).
Additional Position Requirements
Clinicians work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with Nurse Manager/Practice Manager.
Schedules, including shift rotations and hours of work may be adjusted as needed to meet unit requirements.
Age‑Specific Groups Served As appropriate based on unit assignment.
Physical Requirements
Lifting 20‑50 lbs.
Exposure to potentially hazardous and infectious substances.
Prolonged standing, prolonged sitting, frequent bending, walking (distance), climbing (steps, ladder, other), reaching (overhead, extensive, repetitive).
Strong recall, reasoning, problem solving, hearing, speaking clearly, writing legibly, reading, logical thinking.
Fast pace environment, steady pace, handling multiple priorities, frequent and intense customer interactions, noisy environment.
EEO Statement:
Employer/Disabled/Protected – Veteran/41 CFR 60‑1.4.
#J-18808-Ljbffr
Medical Respiratory Intensive Care Unit Located in Critical Care Hospital – 4th floor
28‑bed adult ICU caring for complex medical and pulmonary patients, including post‑codes, sepsis, GI bleeds, DKA, renal and liver failure, and those requiring bedside procedures and advanced pulmonary and invasive interventions.
Nurse‑to‑patient ratios are 1:1 and 1:2, with charge nurse, unlicensed assistive personnel and unit secretary support 24/7.
Clinical Nurse Responsibilities The Clinical Nurse I job integrates technical skills and theoretical knowledge to meet the needs of the patient and family. The role assists the health‑care team with prevention of illness and injury, maintenance of wellness, and provision of comfort. It provides direction, education, and begins to acquire leadership skills at the unit level. The Clinical Nurse I job delivers and accurately documents direct, age‑specific care to a patient or group based on medical orders and an integrated multidisciplinary plan of care and safely administers prescribed medications, identifying incompatibilities and/or interactions.
The Clinical Nurse II job demonstrates mastery of clinical skills and begins to apply this knowledge to a specific patient population. The role assists the health‑care team with prevention of illness and injury, maintenance of wellness, and provision of comfort. It recognizes changes in patient situations and intervenes appropriately, mobilizes resources to meet individualized needs, provides direction, education, and assumes leadership responsibilities at the unit level. The Clinical Nurse II job delivers and accurately documents direct, age‑specific care to a patient or group based on medical orders and an integrated multidisciplinary plan of care and safely administers prescribed medications, identifying incompatibilities and/or interactions.
The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. The role assists the health‑care team with prevention of illness and injury, maintenance of wellness, and provision of comfort. It anticipates changes in patient situations and intervenes appropriately, provides direction, education, and serves as a role model in a clinical setting. The Clinical Nurse III job delivers and accurately documents direct, age‑specific care to a patient or group based on medical orders and an integrated multidisciplinary plan of care and safely administers prescribed medications, identifying incompatibilities and/or interactions.
Licensure, Certification, or Registration Requirements for Hire
Current RN licensure in Virginia or eligible or compact state (Clin I, Clin II, Clin III).
Licensure, Certification, or Registration Requirements for Continued Employment
Current RN licensure in Virginia, AHA BLS HCP Certification or equivalent (Clin I, Clin II, Clin III).
Experience Required
Clin I: N/A
Clin II: 12 to 24 months RN experience
Clin III: 3 years of clinical experience
Experience Preferred
Clin I: Experience as an LPN, nursing assistant or care partner in an acute care setting.
Clin II, Clin III: Academic health‑care experience; experience with similar patient population in an acute care setting.
Education/Training Required
Diploma or Associate’s Degree from a professional nursing program recognized and/or approved by the state Board of Nursing (Clin I, Clin II, Clin III).
All registered nurses without a Bachelor’s degree in Nursing (or higher) must enroll in an approved RN to BSN program within two years of start date and complete the program within five years.
Education/Training Preferred
Completion of a Bachelor’s Degree in Nursing (or higher) from an accredited program (Clin I, Clin II, Clin III).
Certification in specialty area (Clin III).
Independent Action(s) Required
Follows documented physician/licensed independent provider orders.
Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia.
Practice guided by ANA Code of Ethics for Nursing and established national nursing practice standards.
All practice guided by and follows VCUHS policies, procedures and established practice.
Supervisory Responsibilities (if applicable)
Organizes work and delegates and supervises others (RN's, LPN's, Care Partners, Unit Secretaries, etc.) in carrying out assignments (Clin I, Clin II, Clin III).
Additional Position Requirements
Clinicians work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with Nurse Manager/Practice Manager.
Schedules, including shift rotations and hours of work may be adjusted as needed to meet unit requirements.
Age‑Specific Groups Served As appropriate based on unit assignment.
Physical Requirements
Lifting 20‑50 lbs.
Exposure to potentially hazardous and infectious substances.
Prolonged standing, prolonged sitting, frequent bending, walking (distance), climbing (steps, ladder, other), reaching (overhead, extensive, repetitive).
Strong recall, reasoning, problem solving, hearing, speaking clearly, writing legibly, reading, logical thinking.
Fast pace environment, steady pace, handling multiple priorities, frequent and intense customer interactions, noisy environment.
EEO Statement:
Employer/Disabled/Protected – Veteran/41 CFR 60‑1.4.
#J-18808-Ljbffr