Job Title: Registered Nurse - ICU
Profession: Registered Nurse
Specialty: Comprehensive Adult ICU
Duration: 13 weeks
Shift: 7P-7:30A
Hours per Shift: 12
Experience: Minimum 2 years of ICU experience
License: Required
Certifications: BLS, ACLS, NIHSS, CCRN preferred
Description:
TotalMed Interviews - Manager Final Approval
Unit Information:
Beds: 28 MICU + 10 SICU
Average patients/day: 26
Will accept first-time travelers.
Patient Types/Common Diagnoses:
General Medical ICU (DKA, sepsis, respiratory/kidney/liver failure, pancreatitis, GI bleeds, PE, CIWA, CHF, COPD, rhabdo, cellulitis, end of life).
Neuro (CVA, hemorrhage, seizures/epilepsy, meningitis, spinal cord injury, encephalopathy, cranies, spinal surgeries, EVDs, ICP monitoring).
Cardiovascular (MI, ACS, cardiogenic shock, myocarditis, arrythmias/dysrhythmias, cardiac arrest, aortic dissection, post-cath, temp pacer, endovascular surgeries, IABP, Impella, DVT).
Post-op complications and any Level I Trauma.
Patient Ratios:
1:2-3 (i.e. 2 ICU and 1 boarder patient).
3 can be occasional and is dependent 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.
Art lines, post-cardiac arrest care, vented patients (troubleshooting vents, RT available 24/7).
Non-invasive ventilation, chest tubes, ABG interpretation, trachs, codes, critical drip initiation, and titration.
Foley insertion/care, NG tube insertion/care, IV insertion.
Soft Skills:
Good teamwork.
Good attitude.
Punctual and professional.
Experience with CRRT, ECMO, and ultrasound-guided IV placement is not required (on-site competency required).
Support within the Department:
CNA and HUC available part time.
Charge nurse also functions as CPR captain.
RT available 24/7.
Clientist and Intensivist available 24/7.
MD and DNP/PA Residents.
On-unit Tele clerk.
On-unit pharmacist during the day.
PT/OT/SLP during the day.
Manager and 2 Clinical Coordinators available.
Technology/Equipment:
EMR: Cerner highly preferred.
IV Pump: Alaris.
Med dispensing: Omnicell.
Monitors: Philips.
Unit-specific equipment: Stryker beds, Neuroptics pupillometry, in-room and Hoyer lifts, bladder scanner, Philips Sonosite for IV ultrasound, PrismaFlex CRRT, Impella, Arrow IABP.
Will need to be checked off on higher acuity equipment before managing.
Floating:
Yes, will routinely float between MICU and SICU sides of ICU.
Could also float to CVU, Intermediate Care (critical care division), and MedSurg division.
Ratio would be 1:3-4.
Weekend rotation:
Up to 4 weekends in an 8-week schedule.
No on-call requirements.
Holiday Expectations:
Could be placed in holiday rotation.
Approval of requests for time off to go through the manager.
Must be able to work contracted hours per week.
Shift trades are allowed as long as hospital guidelines are followed and shifts are confirmed covered.
Schedule cycle:
Schedule made in 8-week increments and released 2 weeks prior to schedule beginning.
If travelers are present during staff scheduling sign-up periods, manager will consider their scheduling requests.
Otherwise, will schedule vacant shifts.
Scrub Color:
Any solid color, no graphics, logos, designs, denim, or camo.