Nurse Practitioner – Intensivist (Night Shift) - South Carolina

Nurse Practitioner – Intensivist (Night Shift)

Position Summary

The Nurse Practitioner Intensivist provides advanced clinical care to critically ill patients in the intensive care unit during overnight hours. Working collaboratively with the on-call intensivist physician and multidisciplinary ICU team, the NP manages acute changes in patient condition, performs critical care procedures, and ensures continuity of care throughout the night.

Key Responsibilities

• Provide overnight management of critically ill ICU patients under physician supervision

• Perform comprehensive patient assessments, including new admissions, transfers, and cross-cover evaluations

• Respond to acute clinical deterioration, emergencies, rapid response calls, and code events

• Develop, implement, and adjust treatment plans for unstable and complex patients

• Order, interpret, and document diagnostic tests, imaging, and laboratory studies

• Manage ventilators, sedation, hemodynamics, and vasoactive medications

• Perform bedside procedures within scope of practice (e.g., central and arterial line placement, intubation assistance, chest tube management)

• Communicate significant clinical changes to the supervising physician

• Collaborate with nursing, respiratory therapy, pharmacy, and consulting services

• Provide comprehensive handoff communication to the daytime ICU team

• Ensure accurate, timely documentation in the electronic medical record

• Support ICU protocols, patient safety initiatives, and quality improvement efforts

Patient Population

• Medical, surgical, and/or specialty ICU patients

• Conditions may include respiratory failure, sepsis, shock, multi-organ failure, trauma, and post-operative critical illness

Schedule

• Night shift only

• Includes weekends and holidays based on unit coverage requirements

Qualifications

• Graduate of an accredited Nurse Practitioner program (Acute Care NP preferred)

• Current national certification as a Nurse Practitioner

• Active or eligible state licensure

• BLS and ACLS certification required

• Prior ICU, critical care, emergency medicine, or hospital medicine experience strongly preferred

Knowledge, Skills, and Abilities

• Strong critical thinking and autonomous clinical decision-making skills

• Ability to manage high-acuity patients with limited overnight resources

• Proficiency in critical care procedures and emergency response

• Excellent communication, teamwork, and handoff skills

• Ability to perform effectively in high-stress, fast-paced environments

Work Environment

• Intensive care unit setting

• Overnight coverage with exposure to emergent and high-acuity clinical situations

• Requires prolonged standing, lifting, and manual dexterity