About Facility: • 637 licensed beds • Level 1 Trauma Designation • Teaching Hospital • Chest Pain Center • Stroke Center
Unit Information: • Beds: 14 • Census: 14 • Minimum Years of Experie...
RN - ICU
About Facility: • 637 licensed beds • Level 1 Trauma Designation • Teaching Hospital • Chest Pain Center • Stroke Center
Unit Information: • Beds: 14 • Census: 14 • Minimum Years of Experience required: 2 years ICU RN experience • Will you accept a first-time traveler: Yes
Patient Types/Common Diagnoses: • Medical ICU patients • Common diagnoses: respiratory failure, renal failure, sepsis, GI Bleed, DKA, hypotension, hypertension, stroke, pneumonia, cancer, ARDS, overdoses • Chronic ventilators and chronic trachs • Hemodynamically unstable patients requiring invasive monitoring and/or close observation
Patient Ratios: • RN: 1: (rarely but possible 3) • CNA: per shift
Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance: • NIHSS, BLS, and ACLS certification required • CCRN (critical care nursing certification) preferred but not required
Skills required: • trach chare, chest tube management, PIV starts, glucommander, insulin drips, heparin drips, drips to titrate to HR and BP • Management of vasoactive medications • Monitoring and management of invasive lines i.e. arterial lines, central venous lines, pulse oximetry, intracranial pressure monitoring • Assist/management of a variety of bedside procedures i.e. chest tube placement/management, tracheostomy, peg tube placement • TABLO • Management of patients on ventilator support
Support within the Department: • CNA Duties: Yes - assist with VS, Glucose Checks, baths, feeding, ambulating patients, assisting turning patients, hourly rounding, transporting patients as needed (Hospital has designated Transport Team); obtain blood from blood bank • Receptionist/HUC: Unit secretary on unit 7a-11p; then house wide call secretary 11p-7a • Charge nurse may have patients • Phlebotomy: Most units are lab collect phlebotomy; nurses drawn from CVLs • IV/VAT Team: Not an IV team - do have a PICC team • Resource Nurse: Yes, we have discharge nurses, resource team floats to all units • RT 24/7: yes • Hospitalist 24/7: yes • Intensivist 24/7: yes • Telemetry monitoring/tech: Central Telemetry Unit
Technology/Equipment: • EMR: EPIC • IV Pump: Alaris • Med dispensing: Pyxis • Monitors: Phillips • Unit specific equipment: • VS3 vital sign monitors, Nova Glucose Stat Strips • Belmont Rapid Infuser • TABLO • PCA pain management • SCD s (sequential compression devices) • Cooling and heating blankets-devices
Floating: If yes, where? • All adult ICU units in house including PCU
Orientation (facility and unit): • 1 day orientation with work on educational modules • 2 days departmental
Scheduling: • Weekend rotation: weekend shifts out of 12 (on a 6-week schedule) • On call: If so, what is that schedule: No call • Holiday Expectations: work one shift of each major holiday (Thanksgiving Day or day after + 12/24 or 12/25 + 12/31 or 1/1 • RTO Requests: Manager approval • Shift times: 12-hour shifts 7A-7P or 7P-7A • Schedule cycle: every 6 weeks