Medical Intensive Care Unit (MICU)

Welcome to the Medical Intensive Care Unit (MICU)!

We are a general medicine unit so we have a very diverse patient population. We also tend to get patients with multiple acuities — from pulmonary diseases and drug overdose to gastrointestinal bleeds, acute respiratory failure and sepsis. For example, we may have a patient in acute respiratory failure with an underlying cardiac disease and who might also be diabetic or going though alcohol withdrawal. Our nurses are managing multiple symptoms, so they need strong assessment skills and critical-thinking skills. Our nurses should also be able to rapidly respond to changing circumstances. You may think one thing is going on, and, all of a sudden, there’s something else that’s taking precedent, so you must be able to switch gears quickly and effectively. The care demands of our patients are great, so the culture on this unit is one where nurses pull together as a team. Our nurses don’t have tunnel vision; they don’t focus solely on their own tasks, but instead are cognizant of what’s going on around them. They make sure they are available and accessible to help others. Having good neighbors and being there to help others are what get us through our days. In fact, our unit won the Nurse Residency Program Best Team Award every year from 2009 until 2013, when the award was retired. We operate under the philosophy that there is no task that is below anyone’s job title. That includes me and our medical directors. We try to expose our new nurses to this culture from their first day. There is not a nurse on our team who will walk by a room where a new nurse is working without offering to help. A patient’s condition can turn bad really quickly and require more of a nurse’s time, so this team approach ensures all patients’ needs are met.  If you want to be a part of a team that will always have your back, apply now and join us!

Julie Foss, MSN, RN, NE-BC
Manager, MICU


Location Location
8th floor of the Critical Care Tower at Vanderbilt University Hospital
Take a virtual tour of our unit.
Nurse to Patient Ration Nurse to Patient Ratio
Number of Beds
Focus of Care Patient Profile
Adult critical care patients with a variety of diseases and conditions.
Unit Team Staff Mix
•    Registered Nurses
•    Care Partners
•    Nurse Practitioners
•    Providers
Certifications Required Certifications
•    RN Licensure
•    BLS Certification
•    ACLS Certification
•    CCRN Certification encouraged
•    FCCS (Fundamentals of Critical Care Systems) Certification offere
Shift Rotations Rotation/Shifts
•    12 hour shifts, 36 hour week
•    Modified self-scheduling 
awards Award
•    Nurse Residency Program Best Team Award —  Adult Critical Care Track: 2009-2013
•    PRC Top Performer Award, 2011
•    MICU Condolence Team — Nurses’ Week Team Award, 2012
Nurse Residency Program Our unit is part of VUMC's Nurse Residency Program
Nursing Careers at Vanderbilt


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