Intermediate Care (IMC)

• An Intermediate Care (IMC) Registered Nurse at Johns Hopkins Medicine provides high-acuity nursing care to patients who require a level of monitoring and intervention between a general medical-surgical floor and an Intensive Care Unit. This role focuses on the management of clinically complex patients with potentially life-threatening conditions who are stable enough not to require intubation but still need frequent assessment. Job Summary The IMC RN is responsible for the assessment, treatment, and continuous monitoring of patients with acute illnesses or those recovering from major surgeries. Operating in a high-tech environment, the nurse manages specialized equipment and titrated medications while identifying early signs of clinical deterioration. This position requires strong critical thinking and the ability to act quickly to stabilize patients or facilitate a transfer to a higher level of care. Key Responsibilities
• Performing frequent physical assessments and continuous cardiac and hemodynamic monitoring.
• Managing patients with specialized needs, such as those requiring non-invasive ventilation (BiPAP/CPAP), high-flow nasal cannula, or stable arterial lines.
• Administering and titrating intermediate-level intravenous drips, including certain vasoactive medications, anti-arrhythmics, and insulin infusions.
• Recognizing and responding to cardiac dysrhythmias and acute changes in neurological or respiratory status.
• Collaborating with a multidisciplinary team of hospitalists, specialists, and respiratory therapists to execute complex care plans.
• Providing post-operative care for patients following vascular, thoracic, or neurosurgical procedures who require close observation.
• Educating patients and their families on complex disease processes, treatment goals, and recovery expectations.
• Maintaining meticulous electronic health records, including intake and output, medication administration, and hourly monitoring data.
• Leading or participating in rapid response calls and stabilizing patients during acute clinical shifts.

Qualifications

• and Requirements
• A valid and unencumbered Registered Nurse license in the state of Maryland or a recognized compact state.
• Bachelor of Science in Nursing (BSN) from an accredited program is required.
• Current Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certifications.