Critical Care Registered Nurse - RN LTAC Hospital

Registered Nurse Position

Registered Nurses (RN) needed in Richmond, VA for a Critical Rehab Hospital (LTACH)! RNs needed for 13 week assignments, with extensions. ASAP start dates available for both night and day shifts, 3x12s, every other weekend required. 12 hour shifts only. Pay: $56/HR OT after 40hrs. We pay weekly! EMR: EPIC. Our patients are high acuity and have to have had at least 3 night stay in the ICU to qualify for our hospital. We are not a rehab facility. We prepare patients for rehab, skilled nursing, home, or assist in palliative care. Our patients are complex. Below are some conditions we treat (keep in mind, our patients may have more than one of these conditions): strokes, TBI, spinal cord injuries, trauma, respiratory failure, cardiac failure, surgical complications, non-healing wounds, cardiogenic shock, bowel obstructions, etc. The patients have had extended hospital stays prior to coming to us. The average stay in our hospital is 4-6 weeks. Acuity: highest acuity would be those patients on vents with vasoactive drips that we are titrating up. Lowest acuity would be a patient getting 6-8 weeks of IV antibiotics. Critical drips include vasopressin, levophed, dopamine and some sedations as we titrate the drip up. Once we start titrating the drip down or we are not titrating at the time, the drip is no longer critical. Drips like amiodarone, heparin, non-titrated Cardizem, and such are not considered critical drips. Nurse patient ratios: typical load is 4-5:1 (you will have patients with trachs and some on stable vents). High acuity patients will result in a 2-3:1 ratio. EHR: We are on EPIC. Our nurses are expected to draw their own labs. We use Omnicell for med dispense. Orientation: You will only get one 12 hours shift of orientation. After that one shift of orientation, you are expected to take your own team of patients.