Intermediate Intensive Care RN
Columbia, South Carolina
Palmetto Health Richland

Job Opportunity: Registered Nurse - Intermediate Intensive Care (IMC/IICU)

Location: Columbia, South Carolina
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Summary

Seeking a Registered Nurse with experience in Intermediate Intensive Care (IMC/IICU) to care for adult patients including trauma, medical, surgical, and neurology cases. The unit handles direct admissions, ICU transfers, and rapid response escalations with a patient acuity ratio of 1:3.

Required Experience

• Minimum 3 years of RN experience within the specialty for first-time travelers (critical care experience required).
• At least 2 years of RN experience and 1 completed travel assignment preferred.
• Previous IICU/ICU experience with acuity of at least 1:3 required.
• Ventilator experience required.
• Proficiency in cardiac monitoring, emergency response, and telemetry monitoring.
• Medication management skills including titration of cardiac and vasoactive drips.
• 1 year of EPIC charting experience required.

Prior travel experience:

• At least 1 completed travel assignment required.

Work Schedule

• Weekend shifts: 6 weekend shifts per 6-week schedule period.
• Floating: Agency staff may be required to float to other units or campuses as needed, limited to qualified areas with documented competencies.

Required Licenses & Certifications

• Active South Carolina or multistate RN license required (no pending licenses accepted).
• Certifications required:

  • ACLS (Advanced Cardiac Life Support)
  • BLS (Basic Life Support)
  • NIH Stroke Certification (as applicable)

Patient Population & Unit Details

• Adult patients with trauma, medical, surgical, and neurology conditions.
• Monitoring or interventions every 1–2 hours.
• Use of special equipment such as patient repositioners, ceiling lifts, and Airtaps.

Summary of Required Skills

• Proficient in cardiac monitoring and emergency response, including dysrhythmia interpretation and management.
• Experience in ICU or IICU settings required; progressive care settings (PCU, DOU, IMC, Stepdown) considered.
• Medication management including titration of cardiac and vasoactive drips.
• Ventilator management experience required.

Additional Requirements

• Must comply with facility policies including call-off and scheduling requests.
• Must complete required background checks, drug screening, and health documentation prior to start.
• Must complete online orientation modules and pre-assignment testing within specified timeframes.
• Badge photo required prior to start.
• Physical exam within 1 year attesting ability to meet physical demands required.
• Immunizations and health screenings required (e.g., TB test, flu vaccine or exemption, Hepatitis B documentation).

Important Notes

• Facility is a Level I Adult Trauma Center with Magnet recognition for nursing excellence.
• Floating policy requires signed acknowledgment.
• Medication and arrhythmia competency testing required for RNs in critical care and telemetry units.
• Annual competency exams and core training required.

Requirements/Qualifications

• Valid RN license in South Carolina
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Minimum 2 years of Progressive Care Unit (PCU) experience, with PCU experience within the last year
• Intensive Care Unit (ICU) experience
• One completed travel assignment
• ACLS certification issued by American Heart Association or American Red Cross
• BLS certification issued by American Heart Association or American Red Cross
• NIH Stroke Scale (NIHSS) certification
• Proficient in cardiac monitoring, including interpretation and management of dysrhythmias
• Skilled in medication management, including titration of cardiac and vasoactive drips
• Experience with Epic electronic health record system