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Registered Nurse, Pulmonary ICU (Medical Progressive Care/Stepdown), Night Shift - VUH

Vanderbilt University Medical Center
United Statesfull_timeVerifiedPosted 15 Jun 2026

About the role

Discover Vanderbilt University Medical Center:  Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Organization:

VUH Medical ICU/Medical PCU

Job Summary:

Applies the nursing process to plan and implement the care of patients, including patient and family education and continuum of care planning. Effectively communicates pertinent patient/family information to the health care team. Collaborates in establishing patient goals and evaluates progress to ensure effective outcomes. Furthers professional growth by engaging in learning activities according to the Board of Nursing standards.

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SHIFT: Night shift position with a minimum weekend requirement of 4 shifts per 6-week schedule.

Join Our New Pulmonary ICU on 8th Floor of the Jim Ayers Tower Expansion at Vanderbilt University Hospital!

Be a part of a brand-new, multidisciplinary unit in Vanderbilt’s newest tower. This fast-paced ICU/Stepdown hybrid unit offers a unique opportunity to deliver high-acuity care in a team-based environment. Nurses and providers will round collaboratively, and the team will foster an upbeat, supportive culture.

Patient Population Includes:

• Acute Respiratory Failure & ARDS

• Multi-System Organ Failure & Sepsis

• Drug Overdose & GI Bleeds

• Diabetic Ketoacidosis & Hypertensive Crisis

• Acute/Chronic Renal Failure

• Liver Failure/Cirrhosis

Why Join the Medical Pulmonary ICU?

• Brand-New Unit: Be part of the exciting hospital expansion

• Diverse Acuity Levels: ICU and stepdown patients in one unit

• Collaborative Culture: Multidisciplinary rounding and strong team dynamics

• Leadership Support: Engaged leaders and on-unit resources

• Tailored Orientation: 6-8 weeks based on experience and individual needs

• Career Growth: Ideal for nurses passionate about critical care

Nurse-to-Patient Ratios:

ICU: 1:1–2 | Stepdown: 1:3–4

Preferred candidates will have 2 years of acute care experience or 1 year of ICU experience.

KEY RESPONSIBILITIES
• Collaborates in establishing the plan of care, coordinates and implements care delivery while anticipating patient care needs across the continuum.
• Analyzes comprehensive information pertinent to the patient's care and management to determine nursing diagnosis.
• Continually utilizes the nursing process to evaluate patient's progress towards goals and applies appropriate interventions to ensure effective outcomes.
• Employs strategies to promote health and a safe and healthy environment.
• The responsibilities listed are a general overview of the position and additional duties may be assigned.

TECHNICAL CAPABILITIES
• Care Planning (Novice): Demonstrates ability to anticipate resource needs, identify distinct tasks, set priorities, schedule activities, meet deadlines, and organize work within areas of direct responsibility. Competently handles multiple assignments often simultaneously by prioritizing work into manageable and measurable units. Ability to adapt to changes to patient care and area needs with minimal disruption and loss of productivity. Follows up to assure problems and issues are resolved.
• Nursing Patient Education (Novice): Possesses sufficient fundamental proficiency in providing patient education in practical applications of moderate difficulty.
• Nursing Patient Assessment & Evaluation (Novice): Possesses sufficient fundamental proficiency to successfully demonstrate the ability to assess and evaluate patients in practical applications of moderate difficulty. Conducts primary care patient interviews and physical examinations. Demonstrates sufficient acumen to recognize

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Company

Vanderbilt University Medical Center

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