RN (Registered Nurse)

Unit Notes
OSF ITEMS OF NOTE:
- Local Rate: Applies to clinicians with permanent addresses within 50 miles (-*** to regular and OT bill rates)
- OSF Call Off Policy: Equivalent of 12 hours every 13 weeks with no penalty or need to pay for the shift
- Non-billable Orientation Hours: 12 hours, guaranteed hours will not apply during orientation


REQUIREMENTS FOR SUBMISSION:
- Last four (4) digits of clinician's SSN
- Clinician's middle initial
- Requested time off
- Active IL license or confirmation that application process has been initiated
- Your candidate understands OSF is a Drug-Free Campus and they must produce a negative drug screen for all panels

Department: Acute Cardiac Intermediate Unit | RN

# Beds: 20 beds, all private, all monitored.
- Nurse: Patient Ratios: Ratio - 1:3, depending on patient acuity and population can go to 1:4.
- Required Certifications: BLS, ACLS preferred, CCRN or PCCN a plus.
- Common diagnoses/Types of patients: Patient Population - Stepdown patients from AHU ICU, TAVRs, Ablations, Watchmen
Procedure, Micras, Mitral Clips, heart failure, trached and ventilated patients, overflow from other Stepdowns including COVID
patients. Specialty Intervention Equipment - Swan Ganz, External Pacemakers. Lines - PICC, Midlines, CVC, Swans, Arterial Lines
(radial and femoral).
- Experience or 'Must have' skills: MUST have CVICU or Cardiac ICU background. I would expect the traveler coming in has at least 2
solid years of CVICU experience (prefer more) with continuing to travel having ICU assignments and can take care of these
patients without issue right off the bat. We cannot train for our equipment and patient population. They must be able to pick up
right away. Must be able to work at a fast paced. Must be able to interpret strips. These skills are needed in Stepdown as the
expectation is for the traveler to be able to float to our ICU if needed. Strong assessment skills, critical thinking, communication,
organization, teamwork, compassion, ability to follow protocols and orders as written, motivation, ability to work in a fast paced,
high stress environment, compassion, time management, positive attitude and behavior.
- Are RNs required to titrate drips?: Yes
- Common titratable &/or set rate drips: We titrate multiple different drips-dopamine, dobutamine, levophed, epi, neo, vasopressin,
cleviprex, propofol, fentanyl, versed, insulin, heparin, esmolol to name a few. Some drips are set rate*** go by protocol or titrate by
order written.
- Is there a Charge Nurse &/or House Supervisor on each shift? Does the charge nurse take an assignment?: There are charge
nurses 24/7, they do take teams at times. House supervisor 24/7.
- Are there nurse aids/patient care techs on this unit? Ratios?: We have PCTs, ratios can run anywhere from 1:12-1:15, sometimes
more depending on staffing available.
- RT Equipment (Vents, Cpap, Bipap, High Flow, etc.) Are RNs required to do anything with these besides trouble shoot?: Yes we
have ventilators, utilize CPAP, BPAP, heated high flow. Vented patients are trached.
- Are there Tele/Monitor Techs on this unit? Are RNs required to read their own strips? What brand are the tele monitors?: All
patients are connected to Philips monitoring. RNs are expected to read and interpret strips. We do have monitor techs.
- Shifts & Scheduling: Shifts are 12hrs (7a-7p or 7p-7a). It is not self scheduling for non AHU Mission Partners, no blocking. We do
try to work with schedules, however priority goes to AHU Mission Partners.
- Weekend Requirements: Every other weekend to every third weekend. Dayshift weekends are Saturday, Sunday. Nightshift
weekends are Friday, Saturday.
- Holiday Requirements: Yes, every other.
- Is there call or a standby requirement?: No
- Floating Requirements: Float to every level of care. Travelers are expected to take a full team. Travelers on Stepdown are expected
to be able to float up to the ICU.
- Scrub Color/Dress code: No particular color scrubs, however must be appropriate in appearance-not too tight, not falling off,
clean. We do not provide scrubs.
- Unit/Department specific orientation: 1 day unit specific and 2 days with a preceptor.
- Additional Notes: Our unit needs someone who is proficient in all cardiovascular ICU components with the exception of
immediate post op (would be a bonus if they did), VAD and transplant. We utilize swans, CVC, and art lines daily on majority of our
patients. We utilize temporary pacemakers on a lot of our patients. We get multiple EP patients. We have IABPs. We titrate multiple
drips frequently. We have a lot of ventilated patients. All of these items could be on one patient and sometimes two of these in
one assignment.

Date Entered: 7/31/2025

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