Registered Nurse - Intensive Care - ICU
AMN Healthcare
Neurocritical Care Unit Travel Nurse PositionUnit Information: Beds: 29. Minimum years of experience required: 2 years in adult ICU. Will you accept a first-time traveler? Must have completed at least one 13-week assignment. Patient types/common diagnoses: Neuro ICU to include but not limited to ischemic and hemorrhagic strokes, subarachnoid hemorrhage, traumatic brain injuries, seizures/status epilepticus, spinal cord injuries, EVD drains/ICP monitoring, post op Crani's (straight from OR), IR (straight from procedure), TNK patients – 50% of administrations will be done on the unit vs. ED. Some off-service trauma or medical ICU patients. Patient ratios: RN: 1:2; sometimes will be tripled, if patients have downgrade orders. CNA – not consistently staffed on this unit. Required certifications: BLS, ACLS, NIHSS. Skills required: Epic experience is required. Management of external ventricular drains (EVD), intracranial pressure monitoring, ventilator management, management to vasoactive drips, tracheostomy care, central line maintenance, post monitor TNK and IR. CRRT is sometimes seen, and traveler could take this if competent. Support within the department: supervisor, stroke response nurse, clinical educator, charge nurse: free floating, phlebotomy: nurse draw, RT 24/7: yes, intensivist, 24/7: yes, NP or PA is in-house for any emergency as part of the neurocritical care team, pharmacist – shared pharmacy team after 2300, PT/OT/ST – 7 days a week, case management/social work. Technology/equipment: EMR: Epic – required, IV pump: Alaris, med dispensing: Omnicell, monitors: Philips, unit specific equipment: Artic Sun (targeted temperature management) – occasionally, vigilance monitor, CRRT, ICP monitoring/EVD drains. Floating: If yes, where? Adult critical care units, as needed (MICU, STICU, Dixon Heart, CTICU) PCU 1:3 max ratio. Orientation (facility and unit): NEO, 2 days departmental – dependent on skillset and comfort level. Scheduling: weekend rotation: every other (Fri/Sat/Sun), on call? No call, holiday expectations: travelers will work 75% of holidays, RTO: manager approval, shift times: 12N, schedule cycle: every 6 weeks.
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