This position offers exceptional shift flexibility, outstanding framework pay rates, and the chance to work in state-of-the-art adult intensive care units, high dependency units (HDU), and specialized critical care wards across Bristol. As an ICU Nurse representing Evolve Staffing Ltd, you will deliver high-acuity, one-to-one advanced nursing care to critically ill patients experiencing single or multi-organ failure, severe sepsis, acute respiratory distress syndrome (ARDS), complex surgical complications, or life-threatening trauma. If you possess expert clinical knowledge in invasive physiological monitoring, advanced mechanical ventilation, inotropic support, and renal replacement therapy, this template provides a fast-track pathway to rewarding agency shifts in Bristol.
Key Responsibilities & Clinical Critical Care Duties
As a Band 5 Intensive Care Unit Nurse, you will be responsible for managing complex, unstable critical care patients requiring continuous Level 3 intensive care or Level 2 high dependency care.
Your day-to-day duties across ICU and ITU wards will include:
Advanced Respiratory & Airway Management
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Operating, troubleshooting, and managing invasive mechanical ventilators (e.g., Hamilton, Servo-i, Draeger) across various modes including Volume Control, Pressure Control, and SIMV/PSV.
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Care and management of endotracheal tubes (ETT) and tracheostomies, including inner tube changes, subglottic suctioning, cuff pressure monitoring, and emergency airway management.
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Arterial Blood Gas (ABG) sampling, analysis, and clinical interpretation to guide ventilator settings and acid-base adjustments.
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Administering non-invasive ventilation (NIV), including Continuous Positive Airway Pressure (CPAP) and Bi-level Positive Airway Pressure (BiPAP), as well as High-Flow Nasal Cannula (HFNC) therapy.
Hemodynamic Monitoring & Cardiovascular Support
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Continuous monitoring and setup of invasive arterial lines, central venous catheter (CVC) lines, and Pulmonary Artery Catheters (PAC/PICCO) for cardiac output monitoring.
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Safe preparation, titration, and administration of continuous intravenous vasoactive infusions, vasopressors, and inotropes (e.g., Noradrenaline, Adrenaline, Dobutamine, Dopamine, Vasopressin) via target-controlled infusion pumps.
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Management of invasive hemodynamic monitoring devices and interpretation of Central Venous Pressure (CVP), Mean Arterial Pressure (MAP), and Systemic Vascular Resistance (SVR).
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Recognizing and responding swiftly to cardiac collapse, arrhythmias, shock (septic, cardiogenic, hypovolemic), and cardiac arrest, participating actively in resuscitation protocols (ALS).
Renal Replacement Therapy & Sedation Management
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Continuous Renal Replacement Therapy (CRRT) management, including continuous veno-venous hemofiltration (CVVH / CVVHD) circuit setup, fluid balance calculations, filter replacement, and anticoagulation management (Citrate or Heparin).
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Titration of continuous intravenous sedation, analgesia, and neuromuscular blocking agents (e.g., Propofol, Midazolam, Fentanyl, Alfentanil, Atracurium) using validated tools such as the Richmond Agitation-Sedation Scale (RASS).
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Daily sedation holds and spontaneous breathing trials (SBT) in collaboration with ICU medical consultants.
Holistic Critical Care & Governance
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Delivery of meticulous pressure area care, hygiene care, eye care, mouth care, and patient positioning (including prone positioning for severe ARDS).
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Enteral and parenteral nutrition management, including fine-bore nasogastric tube (NGT) insertion, residual volume checks, and TPN administration.
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Multi-organ failure management, continuous NEWS2 scoring, and meticulous end-of-life / palliative care provision with compassion and dignity.
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Carrying out structured clinical handovers using SBAR methodology and maintaining flawless ICU electronic patient records (ICIP / CIS).
Candidate Requirements & Qualifications
To qualify for this Band 5 ICU / Critical Care Nurse role via Evolve Staffing Ltd, candidates must demonstrate:
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Professional Registration: Active registration with the Nursing and Midwifery Council (NMC) as a Registered Adult Nurse (RNA / Level 1 Nurse).
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Post-Registration Qualification: Possession of a recognized Post-Registration Critical Care / ICU Nursing Qualification (e.g., ENB 100, Step 1/2/3 National Competencies for Critical Care Nurses, or equivalent university module) is highly desirable.
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Clinical Experience: Minimum of 6–12 months recent post-qualification experience working in a UK NHS Intensive Care Unit (ICU / ITU / HDU).
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Life Support Certifications: Valid Advanced Life Support (ALS) or Immediate Life Support (ILS) certification.
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Compliance Standards:
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Valid Right to Work in the United Kingdom.
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Enhanced Disclosure and Barring Service (DBS) check registered on the Update Service.
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Comprehensive occupational health clearance, including full immunity against Hepatitis B, Measles, Mumps, Rubella, Varicella, and Tuberculosis.
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Two satisfactory professional clinical references from ICU Band 6 / Band 7 charge nurses or nurse managers covering the last 3 years.
Why Choose Evolve Staffing Ltd?
At Evolve Staffing Ltd, we recognize the dedication required to work in critical care environments. Joining our agency network offers:
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Top-Tier Pay Rates: Highly competitive hourly pay rates with enhanced rates for night shifts, weekends, and Bank Holidays.
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Flexible Working: Total control over your work schedule—select long days, night shifts, or weekend shifts that suit your lifestyle.
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Bristol NHS Trust Access: Gain exposure and consistent shift availability across acute NHS trusts in Bristol and the wider South West region.
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Dedicated Onboarding: Fast-track compliance and registration supported by a specialist critical care recruitment consultant.
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Weekly Payroll: Fast, reliable weekly payments processed via PAYE or compliant Umbrella providers.
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Revalidation & CPD: Support with NMC Revalidation, free mandatory training updates, and professional development support.
If you are an experienced Band 5 ICU Nurse seeking flexible, high-paying agency shifts in NHS hospitals across Bristol, submit your updated CV today highlighting your critical care, mechanical ventilation, and hemodynamic monitoring experience. A specialized clinical consultant from Evolve Staffing Ltd will reach out promptly to discuss your registration.
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Salary description
£20.00 - £30.00 per hour