RN - ICU - Contract

Title: RN-ICU
Location: Rome Georgia
Duration: 8 Weeks
Shift: 12hr Night Shift - 36
Shift Information: 1900-0700

•  361 licensed beds
•  Level 2 Trauma Designation
•  Teaching Hospital: Yes, Residency Program
•  Chest Pain Center
•  Stroke Center

• 2 years in requested specialty
• Will you accept a first-time traveler: Will consider, not preferred

• ED:
• General ED population for Level 2 Trauma – Chest Pain/Cardiac events, Stroke, Trauma – GSW, Stabbings, MVC, Falls, etc.; Respiratory illnesses, Seizures, Abdominal illnesses and infections, ETOH/CIWA, IVDA, Mental Health
• Medical-Surgical Floors:
• 3 MedSurg (Overflow & Difficult to place patients – 27 beds): Syncope, Fever and Chills, Intractable N/V, Failure to thrive, Cellulitis, Vascular dementia, Cerebrovascular disease, History of CVA.
• 3 North (Oncology – 20 beds): Immunocompromise patients, Cancer pts , end of life care, respite, palliative care patients, do chemo infusions (This floor will be moving to 2 MedSurg on Northeast building soon).
• 4 East (Ortho – 16 beds): Medical and surgical ortho patients including fractures of different bones and joints (open & closed), MVC, trauma, Buck s traction.
• 4 South (General Surgery & Trauma – 36 beds): Ureteral stone, Goiter, Hernia, Uterine Fibroids, Renal Mass, Diverticulitis with perforation, MVC, trauma, Bowel Obstruction, Breast Cancer for Mastectomy, Hematuria (irrigation), Fetal demise, DNC.
• 4 Central (Pulmonology – 22 beds): Acute respiratory failure, Hyperglycemia, Sepsis, Metabolic Encephalopathy, Dementia, COPD, Acute Kidney Injury, Failure to thrive, Pneumonia (This floor takes glucommander).
• 6 Central (Vascular & Bariatric Surgery – 19 beds): End stage renal disease, Foot ulcer, Peripheral Vascular Disease, Morbid Obesity (take vascular and gastric bypass surgeries, also take glucommander).
• Critical Care Areas:
• 4 West (Neurology Stepdown – 23 beds): Stroke, Seizures, Back pain, Lumbar surgery, s/p craniotomy, lumbar drains, AMS, Aphasia (This floor takes glucommander, Cardiac titratable drips).
• 5 West (Cardiac Stepdown – 34 beds): Chest pain, S/p Cardiac angiography with or without PTCA, CHF, Cardiomyopathy, Pneumonia, Palpitations, Syncope, Arrythmias, Angioedema, Hyponatremia, AMS, Sepsis, Acute Coronary Syndrome, A-Fib, Heart Block (takes glucommander, cardiac titratable drips, also do aqua pheresis).
• Observation unit (Decision Unit & Overflow for 5 West – 11 beds): Facial numbness, CAD, A-Fib with RVR, Stroke-like symptoms, Chest pain, right or left sided weakness, Acute respiratory failure (takes cardiac titratable drips, bedside cardiac monitors in all rooms).
• ICU (Medical, Surgical, Neuro, Cardiac – all combined – 26 beds): Drug overdose, Psychosis, MI, Subarachnoid hemorrhage, MVC, Sepsis, ARF, AAA, Acute hypoxic respiratory failure, Hypoglycemia, Pneumonia, Suicide attempt (has pts on Life link, CRRT, Intra-aortic balloon pump). Travelers not assigned CRRT and IABPs.
• Required License, National Certification, Certifications (BLS, ACLS, NIHSS, etc.), or other position specific requirements such as Driver's License and/or Insurance:
• ED RN: ACLS, BLS, NIHSS, TNCC and CPI (we will offer this if they do not have CPI) for all nurses
• ICU RN: ACLS, BLS, NIHSS, and CPI (we will offer this if they do not have CPI) for all nurses; TNCC (preferred)
• PCU and Med/Tele RN: ACLS, BLS, NIHSS, and CPI (we will offer this if they do not have CPI) for all nurses

•  ED RN: ER skills - arrhythmia monitory, sedation, paralytics, titratable drips   knowledge, CVP monitoring, caring for s/p craniotomy pt, TPA   administration, TNCC is a must, CEN preferred
•  ICU RN: ICU skills – arrhythmia monitory, sedation, paralytics, titratable   drips knowledge, CVP monitoring, caring for s/p craniotomy pt, TPA   administration, CCRN & TNCC preferred
•  PCU RN: PCU skills – arrhythmia monitoring, knowledge of cardiac   titratable drips
•  Med/Tele RN: Basic arrythmia interpretation, Foley catheter irrigation,   PCA, Epidural, CPM, Buck s traction, Drains & chest tube management
•  Nursing skills, with knowledge of cardiac drips, neuro, cardiac, pulmonary,   ortho, trauma, and surgical patients.
•  At our facility, we require 2 nurses to place foley catheter

•  MedSurg: Days 1:5 but can increase to 1:6 in staffing crisis. Nights 1:6.
•  ICU: Days and Nights 1:2. Can go up to 1:3 depending on acuity
•  HAU (High Acuity Unit, PCU level): 1:3

•  CNA/ Nurse techs
•  Respiratory Therapists
•  Phlebotomists
•  Educator
•  Staffing specialist
•  Timekeeper/ Payroll specialist
•  Safety sitters
•  Virtual Patient Observers (VPO)
•  Virtual RN (currently on 4 West)
•  Security

•  EMR: EPIC
•  Department specific Equipment- depends on the units, Glucommander,   cardiac monitors, Precision BBG monitor, specialty beds, alarms, bed and   chair alarms, BiPap, ventilators, Alaris pumps, Virtual RN, Virtual Patient   Observer.

• All med surg and Critical Care Areas (including ED boarders). If ICU or ER, we do use those as well.

•  1st week: NEO (Monday – Friday 8:00am-4:30 pm)
•  2nd week: 2-3 days departmental (on the floor)

•  Weekend rotation: Every other
•  On call: If so, what is that schedule: If census is low, you may be asked to   be on call, but this is rare.
•  Holiday Expectations: 70% of holidays
•  RTO Requests: If participating in Clinical Interviewing – can we approve   up to 7 days of RTO on your behalf, if traveler extends contract to     accommodate: Yes
•  Shift times: 7a-7p and 7p-7a for med surg and critical care, ER may vary
•  Schedule cycle (how many weeks): 13

•  Scrub Color: Navy
•  Parking: Free: Yes
•  Department Culture: Teamwork, work as 1 group, speak up if you need   help, assist when you see someone that needs help, answer call lights and   rover phones timely. Telemetry is a priority and should be answered quickly   and respond to the patient quickly.