Jobs and Careers

Registered Nurse (RN)-Acute Care, IICU, PRN

United Statespart_timeVerifiedPosted 11 Aug 2026

About the role

Inspire health. Serve with compassion. Be the difference.

Job Summary

Provides clinical direction for all aspects of patient care in an acute inpatient setting, fostering patient/family centered care. Demonstrates clinical competency utilizing evidence-based practices/research in all areas of the nursing process: assessment, planning, implementation, evaluation and outcomes. Incorporates knowledge of safety protocols, cost containment and quality improvement throughout the nursing process. Identifies patient, unit and organizational priorities and incorporates into the nursing process. Adheres to all compliance and policy/procedures of the organization including, but not limited to licensure renewal, assigned training, employee health screenings, time and attendance policy, dress code policy, patient confidentiality, infection control, medication administration. Demonstrates knowledge of regulatory agency requirements (TJC, SC DPH, CMS). Provides care within the scope of the South Carolina Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work.

Prisma Health Richland Hospital IICU Unit

A regional academic medical center and hospital with more than 125 years of service to Columbia, Prisma Health Richland Hospital provides a wide range of primary and specialty healthcare services. Our Trauma Center is the only Level I Adult and Level II Pediatric Trauma Center in the Midlands.

Richland Hospital is a Magnet-designated hospital. This credential is the highest status for nursing excellence that recognizes organizations for nursing excellence, transformational leadership, high-quality care and nursing satisfaction and empowers professional practice. Fewer than 10% of hospitals in the U.S. are Magnet-designated.

The Stepdown Unit is a 21-bed unit with a 3:1 patient to nurse ratio that manages the patient populations of trauma, pulmonary, neurology, and internal medicine services. These patients include but not limited to motor vehicle crashes, falls, penetrating injuries, acute respiratory failure, sepsis, strokes, and more.

Essential Functions

All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Collects data and completes nursing assessment utilizing appropriate area and/or age specific standards/policies and tools. Completes appropriate forms. Assesses and recognizes subtle or actual changes in patients' status and patient response to intervention. Identifies nursing priorities for patient plan of care based on nursing assessment and other data as appropriate. Validates these priorities with healthcare team members and documents appropriately.
Develops an individual plan of care based on the age and assessed needs of the patient. Develops the plan in collaboration with the patient and/or family, the provider, and other members of the interdisciplinary health care team.
Updates the plan based on changes in the patient's condition and communicates changes in the plan to other members of the team.
Identifies realistic and measurable goals and outcomes to be attained prior to discharge. Validates these with the patient and/or family.
Demonstrates respect for the patient's/family cultural, spiritual, and belief system in planning for care.
Includes planning for discharge to assure continuity of care and a smooth transition post discharge from one level of care to another including appropriate referrals.
Provides direct care to assigned patients consistent with the established nursing plan.
Performs specific tasks based on organizational, departmental and/or unit policies and procedures within the RN scope of practice.
Delegates nursing tasks as appropriate to members of the healthcare team, developing written assignments (if appropriate) and ensures completion of assigned tasks.
Monitors quality of care delivered on a continual basis; ensures appropriate surveillance of assigned patients.
Provides care based on patient and unit priorities, coordinating and organizing tasks as appropriate, utilizing resources internal and external to the unit. Incorporates cost containment principles into nursing care. Utilizes appropriate technology in daily practice.
Assumes responsibility for patient safety by maintaining a safe environment to include awareness of safety procedures, protocols and adherence to patient care standards.
Utilizes performance indicators to collect data, monitor quality and effectiveness while providing nursing care.
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