TravelNurseSource is working with Cynet Health to find a qualified ICU/Critical Care RN in Billings, Montana, 59101!
Job Title: Registered Nurse - ICU
Profession: Registered Nurse
Specialty: Comprehensive Adult ICU
Duration: 13 weeks
Shift: Night
Hours per Shift: 12
Experience: Minimum of 2 years ICU experience
License: Required
Certifications: BLS, ACLS, NIHSS, CCRN preferred
Description:
TotalMed Interviews - Manager Final Approval
Unit Information:
28 Medical ICU Beds + 10 Surgical ICU Beds
Average patient census per day: 26
Patient Types/Common Diagnoses Include:
- General Medical ICU: DKA, sepsis, respiratory failure, kidney failure, liver failure, pancreatitis, GI bleeds, pulmonary embolism, CIWA, congestive heart failure, chronic obstructive pulmonary disease, rhabdomyolysis, cellulitis, end of life care
- Neuro: Cerebrovascular accident, hemorrhage, seizures, meningitis, spinal cord injury, encephalopathy, craniectomies, spinal surgeries, external ventricular drains, intracranial pressure monitoring
- Cardiovascular: Myocardial infarction, acute coronary syndrome, cardiogenic shock, myocarditis, arrhythmias, cardiac arrest, aortic dissection, post-catheterization care, temporary pacemaker, endovascular surgeries, intra-aortic balloon pump, Impella, deep vein thrombosis
- Post-operative complications, and Level I Trauma
Patient Ratios:
1:2-3 (2 ICU patients and 1 boarder patient); 3 patients may occur occasionally depending on overflow, boarders, and acuity.
Co-managed care is 1 ICU RN/1 Non-ICU RN to 3-5 patients (atypical but possible).
Required Skills:
- Neuro checks, seizures, cardiac rhythm interpretation and treatment of abnormal rhythms
- Arterial lines, post-cardiac arrest care, care for vented patients, non-invasive ventilation, chest tubes
- Arterial blood gas interpretation, tracheostomy care, codes, critical drip initiation and titration
- Foley catheter insertion and care, nasogastric tube insertion and care, intravenous insertion
Soft Skills:
Good teamwork, positive attitude, punctuality, professionalism
Experience with Continuous Renal Replacement Therapy, Extracorporeal Membrane Oxygenation, and ultrasound-guided IV placement is not required but competency must be achieved on-site.
Support in the Department:
Certified Nursing Assistants and Client Unit Coordinators available part-time
Charge nurse also functions as CPR captain
Respiratory Therapy, Clientist, and Intensivist available 24/7
Medical Doctor and Doctor of Nursing Practice/Physician Assistants present
In-unit Tele clerk and pharmacist available during the day
Physical Therapy, Occupational Therapy, and Speech-Language Pathology present during the day
Manager, along with 2 Clinical Coordinators available
Technology/Equipment:
- Electronic Medical Records: Cerner highly preferred
- IV Pump: Alaris
- Medication dispensing: Omnicell
- Monitors: Phillips
- Unit-specific equipment: Stryker beds, Neuroptics pupillometry, in-room and Hoyer lifts, bladder scanner, Philips Sonosite for IV ultrasound, PrismaFlex Continuous Renal Replacement Therapy, Impella, Arrow Intra-Aortic Balloon Pump
Floating:
Floating may occur within the ICU and critical care divisions.
Floating to other divisions may also occur.
Schedule Details:
Weekends: Up to 4 weekends in an 8-week schedule
Holidays: May be placed in holiday rotation
Requests for time off must go through the manager.
Shift trades are allowed following hospital guidelines.
Shifts include a 30-minute meal/personal break to be taken during the shift.
Every effort will be made to group night shifts together.
RNs working both day and night shifts will not have their daytime shift scheduled within 48 hours of a night shift.
Schedules are made in 8-week increments and released 2 weeks before the beginning of the schedule.
Travelers present during a staff scheduling period will have their requests considered.
Otherwise, vacant shifts will be filled.
Other Notes:
Scrub Color: Any solid color, no graphics, logos, or designs.