Critical Care Registered Nurse - RN LTAC Hospital

Below are some conditions we treat (keep in mind, our patients may have more than one of these conditions): Strokes, TBI, Spinal Cord injuries, Trauma, Resp Failure, Cardiac Failure, Surgical Complications, non-healing wounds, cardiogenic shock, bowel obstructions, etc…. Drips like Amiodarone, Heparin, NonTitrated Cardizem, and such are not considered critical drips.

RNJob description:Registered Nurses (RN) needed in Richmond, VA for a Critical Rehab Hospital (LTACH)!

• RN Need
• 13 week assignments, with extensions
• ASAP Start Dates
• NIGHT and DAY shifts available, 3x12s, every other weekend required
• 12 hour shifts only
• Pay: $56/HR
• OT after 40hrs
• We pay weekly!
• EMR: EPIC

Our patients are high acuity have to have had at least 3 night stay in the ICU to qualify for our hospital

• We are not a Rehab facility.  We prepare patients for Rehab, Skilled Nursing, Home, or assist in Palliative Care.
• Our Patients are complex.  Below are some conditions we treat (keep in mind, our patients may have more than one of these conditions):
  • Strokes, TBI, Spinal Cord injuries, Trauma, Resp Failure, Cardiac Failure, Surgical Complications, non-healing wounds, cardiogenic shock, bowel obstructions, etc…
  • The patients have had extended hospital stays prior to coming to us
  • The average stay in our hospital is 4 –6 weeks
• Acuity:
  • Highest acuity would be those patients on vents with vasoactive drips that we are titrating up. 
  • Lowest acuity would be a patient getting 6-8 weeks of IV antibiotics. 
  • Critical Drips include Vasopressin, Levophed, Dopamine and some sedations as we titrate the drip UP. 
  • Once we start titrating the drip down or we are not titrating at the time, the drip is no longer critical. 
  • Drips like Amiodarone, Heparin, NonTitrated Cardizem, and such are not considered critical drips
• Nurse Patient Ratios
  • Typical load is 4-5: 1 (you will have patients w/trachs and some on stable vents)
  • High acuity patients will result in a 2-3: 1
• EHR
  • We are on EPIC
  • Our nurses are expected to draw their own labs
  • We use Omnicell for Med dispense. 
• Orientation
  • You will only get one 12 hours shift of orientation
  • After that one shift of orientation, you are expected to take your own team of patients.