Summit - Crit Care: ICU 2nd Floor
● About Facility:
o Oconomowoc, WI
o Level II Trauma Center
o Primary Stroke Center
o Beds: 91
● Unit Information:
o Beds: 14
▪ Census? Average patients/day?
o Minimum Years of Experience required? 2 years' ICU experience
o Will you accept a first-time traveler? Yes
● Patient Types/Common Diagnoses:
o General/Medical: sepsis, pneumonia, COVID, COPD, respiratory failure, kidney failure, liver failure, GI bleeds, DKA
o Cardiac: CHF, STEMI/NSTEMI, post-cath (radial and femoral approach)
o Trauma: GSW, stabbings, falls
o Surgical: GYN, GI (SBO), GU
o Neuro: SDH, TBI, CVA, TIA, syncope
o No cardiovascular surgeries
● Patient Ratios:
o 1:1-3. If greater than 2 patients:
▪ Team Nursing with experienced MedSurg RN
▪ MS patient, but MD wants patients in ICU
▪ Long term vented patients – ICU RN manages vent, MS RN will manage patient
● Required License, National Certification, Certs:
o BLS, ACLS, NIHSS
o TNCC preferred
● Skills required:
o Vent/Trach management, tube/drain management, chest tubes, invasive line management (art line, CVP), cardiac rhythm interpretation (read and measure strips), surgical recovery, medication titration (sedation, pressors, cardiac, pain, paralytics, etc.)
o EPIC experience required
o Preferred: Abdominal pressure monitoring, EVDs, CVVH, IABP.
● Support within the Department:
o Charge RN typically takes patient assignment
o 1-2 CNA per shift
o Bedside/Centralized tele monitoring
o HUC on day shift
o "Break Buddy”
o RT 24/7
o Hospitalists 24/7
o Intensivist 24/7
o OT/PT/ST during the day
● Technology/Equipment:
o EMR: EPIC - required
o IV Pump: Alaris
o Med dispensing: Pyxis
o Monitors:
o Unit specific equipment:
● Floating: If yes, where?
o Could float anywhere in the hospital within scope of practice and below. If floating to MedSurg/Tele units or ED Boarding with MS patients, will take 1:4 ratio.
o Travelers float first
● Orientation (facility and unit) :
o 2 Day Orientation:
▪ Day 1: Meet with ClinED (access, login, badge). Remainder of the day training on the unit
▪ Day 2: 12h on the unit training with preceptor
● Scheduling:
o Weekend rotation: Every other
o On call? None
o Holiday Expectations: 1 holiday per contract
o Approval of RTO: ok to approve up to 7 days
o Shift times: 0700-1900, 1900-0700
o Schedule cycle: Schedule made in 6-week increments
● Other notes:
o Scrub Color: Any solid color, professional. No graphics, logos, or designs.
o Parking: Free in designated areas for employees
Summit - Crit Care: ICU 2nd Floor
● About Facility:
o Oconomowoc, WI
o Level II Trauma Center
o Primary Stroke Center
o Beds: 91
● Unit Information:
o Beds: 14
▪ Census? Average patients/day?
o Minimum Years of Experience required? 2 years' ICU experience
o Will you accept a first-time traveler? Yes
● Patient Types/Common Diagnoses:
o General/Medical: sepsis, pneumonia, COVID, COPD, respiratory failure, kidney failure, liver failure, GI bleeds, DKA
o Cardiac: CHF, STEMI/NSTEMI, post-cath (radial and femoral approach)
o Trauma: GSW, stabbings, falls
o Surgical: GYN, GI (SBO), GU
o Neuro: SDH, TBI, CVA, TIA, syncope
o No cardiovascular surgeries
● Patient Ratios:
o 1:1-3. If greater than 2 patients:
▪ Team Nursing with experienced MedSurg RN
▪ MS patient, but MD wants patients in ICU
▪ Long term vented patients – ICU RN manages vent, MS RN will manage patient
● Required License, National Certification, Certs:
o BLS, ACLS, NIHSS
o TNCC preferred
● Skills required:
o Vent/Trach management, tube/drain management, chest tubes, invasive line management (art line, CVP), cardiac rhythm interpretation (read and measure strips), surgical recovery, medication titration (sedation, pressors, cardiac, pain, paralytics, etc.)
o EPIC experience required
o Preferred: Abdominal pressure monitoring, EVDs, CVVH, IABP.
● Support within the Department:
o Charge RN typically takes patient assignment
o 1-2 CNA per shift
o Bedside/Centralized tele monitoring
o HUC on day shift
o "Break Buddy”
o RT 24/7
o Hospitalists 24/7
o Intensivist 24/7
o OT/PT/ST during the day
● Technology/Equipment:
o EMR: EPIC - required
o IV Pump: Alaris
o Med dispensing: Pyxis
o Monitors:
o Unit specific equipment:
● Floating: If yes, where?
o Could float anywhere in the hospital within scope of practice and below. If floating to MedSurg/Tele units or ED Boarding with MS patients, will take 1:4 ratio.
o Travelers float first
● Orientation (facility and unit) :
o 2 Day Orientation:
▪ Day 1: Meet with ClinED (access, login, badge). Remainder of the day training on the unit
▪ Day 2: 12h on the unit training with preceptor
● Scheduling:
o Weekend rotation: Every other
o On call? None
o Holiday Expectations: 1 holiday per contract
o Approval of RTO: ok to approve up to 7 days
o Shift times: 0700-1900, 1900-0700
o Schedule cycle: Schedule made in 6-week increments
● Other notes:
o Scrub Color: Any solid color, professional. No graphics, logos, or designs.
o Parking: Free in designated areas for employees
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