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 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
