Methodist Healthcare in San Antonio seeks a Medical Surgical ICU Registered Nurse to deliver high-acuity, evidence-based care to complex adult patients. The RN will perform comprehensive assessments, manage ventilators and critical IV drips, interpret telemetry, and implement individualized care plans. Responsibilities include collaborating with intensivists and interdisciplinary teams, educating patients and families, adhering to strict safety and infection-control standards, and responding to emergencies. This role offers growth, ongoing training, and the chance to serve a diverse community in a mission-driven environment. Responsibilities Provide comprehensive, high-acuity nursing care to adult medical-surgical ICU patients. Perform ongoing assessments, monitor vital signs, and recognize and act on changes in patient condition. Manage ventilators, critical IV drips, and complex medication regimens per protocols and provider orders. Interpret telemetry and ECG data and document accurately in the EMR. Collaborate with physicians, respiratory therapists, pharmacists, and other team members on care plans. Educate patients and families on conditions, treatments, and discharge plans. Maintain strict adherence to patient safety, infection control, and regulatory standards. Participate in codes and rapid response situations and support stabilization of critically ill patients. Contribute to quality improvement initiatives and evidence-based practice projects. Support onboarding and mentoring of new staff and participation in ongoing education and training. Required Skills Critical care nursing Patient assessment Ventilator management Medication administration (IV, drips) Telemetry and ECG interpretation Electronic Medical Records (EMR) documentation Wound and line care Infection control practices Care planning and coordination Emergency response (codes, rapid response)