RN - ICU

Registered Nurse - ICU Facility Overview 361 licensed beds Level 2 Trauma Designation Teaching Hospital with Residency Program Chest Pain Center Stroke Center Department Details Minimum of 2 years of experience in the specialty required First-time travelers may be considered but are not preferred Patient Types and Common Diagnoses Emergency Department (ED) General ED population for Level 2 Trauma including chest pain/cardiac events, stroke, trauma such as gunshot wounds, stabbings, motor vehicle collisions, falls, respiratory illnesses, seizures, abdominal illnesses and infections, alcohol withdrawal (ETOH/CIWA), intravenous drug abuse (IVDA), and mental health cases Medical-Surgical Floors 3 MedSurg (Overflow & difficult to place patients – 27 beds): Syncope, fever and chills, intractable nausea/vomiting, failure to thrive, cellulitis, vascular dementia, cerebrovascular disease, history of CVA 3 North (Oncology – 20 beds): Immunocompromised patients, cancer patients, end-of-life care, respite, palliative care, chemotherapy infusions (unit relocating soon) 4 East (Orthopedics – 16 beds): Medical and surgical orthopedic patients including fractures (open & closed), motor vehicle collisions, trauma, Buck’s traction 4 South (General Surgery & Trauma – 36 beds): Ureteral stones, goiter, hernia, uterine fibroids, renal mass, diverticulitis with perforation, MVC, trauma, bowel obstruction, breast cancer for mastectomy, hematuria (irrigation), fetal demise, dilation and curettage (DNC) 4 Central (Pulmonology – 22 beds): Acute respiratory failure, hyperglycemia, sepsis, metabolic encephalopathy, dementia, COPD, acute kidney injury, failure to thrive, pneumonia (uses Glucommander) 6 Central (Vascular & Bariatric Surgery – 19 beds): End-stage renal disease, foot ulcers, peripheral vascular disease, morbid obesity (vascular and gastric bypass surgeries, also uses Glucommander) Critical Care Units 4 West (Neurology Stepdown – 23 beds): Stroke, seizures, back pain, lumbar surgery, post-craniotomy, lumbar drains, altered mental status, aphasia (uses Glucommander, cardiac titratable drips) 5 West (Cardiac Stepdown – 34 beds): Chest pain, post-cardiac angiography with or without PTCA, CHF, cardiomyopathy, pneumonia, palpitations, syncope, arrhythmias, angioedema, hyponatremia, altered mental status, sepsis, acute coronary syndrome, atrial fibrillation, heart block (uses Glucommander, cardiac titratable drips, and aquapheresis) Observation Unit (Decision Unit & overflow for 5 West – 11 beds): Facial numbness, CAD, atrial fibrillation with rapid ventricular response, stroke‑like symptoms, chest pain, right or left-sided weakness, acute respiratory failure (uses cardiac titratable drips, bedside cardiac monitors in all rooms) ICU (Medical, Surgical, Neuro, Cardiac – combined 26 beds): Drug overdose, psychosis, myocardial infarction, subarachnoid hemorrhage, MVC, sepsis, acute renal failure, abdominal aortic aneurysm, acute hypoxic respiratory failure, hypoglycemia, pneumonia, suicide attempts (patients on Life Link, continuous renal replacement therapy (CRRT), intra‑aortic balloon pump). Travelers are not assigned CRRT and IABPs. Licenses and Certifications Required ED RN: ACLS, BLS, NIHSS, TNCC, and CPI (CPI training provided if not currently certified) ICU RN: ACLS, BLS, NIHSS, CPI (CPI training provided if not currently certified); TNCC preferred PCU and Med/Tele RN: ACLS, BLS, NIHSS, CPI (CPI training provided if not currently certified) Required Skills ED RN: Emergency room skills including arrhythmia monitoring, sedation, paralytics, titratable drips knowledge, central venous pressure (CVP) monitoring, care for post-craniotomy patients, TPA administration; TNCC certification mandatory; CEN preferred ICU RN: ICU skills including arrhythmia monitoring, sedation, paralytics, titratable drips knowledge, CVP monitoring, care for post-craniotomy patients, TPA administration; CCRN and TNCC preferred PCU RN: PCU skills including arrhythmia monitoring and knowledge of cardiac titratable drips Med/Tele RN: Basic arrhythmia interpretation, Foley catheter irrigation, patient-controlled analgesia (PCA), epidural, continuous passive motion (CPM), Buck’s traction, drains and chest tube management General nursing skills with knowledge of cardiac drips, neurological, cardiac, pulmonary, orthopedic, trauma, and surgical patient care Note: Two nurses are required to place Foley catheters Staffing Ratios MedSurg: Day shift 1:5 (may increase to 1:6 during staffing shortages), night shift 1:6 ICU: Days and nights 1:2 (may increase to 1:3 depending on acuity) High Acuity Unit (PCU level): 1:3 Department Support Certified Nursing Assistants (CNA) / Nurse Technicians Respiratory Therapists Phlebotomists Educator Staffing Specialist Timekeeper / Payroll Specialist Safety Sitters Virtual Patient Observers (VPO) Virtual RN (currently on 4 West) Security Technology and Equipment Electronic Medical Record (EMR): EPIC Department-specific equipment varies by unit and includes Glucommander, cardiac monitors, Precision BBG monitor, specialty beds, alarms, bed and chair alarms, BiPAP, ventilators, Alaris pumps, Virtual RN, and Virtual Patient Observer Floating Policy Floating occurs across all medical‑surgical and critical care areas, including ED boarders. ICU and ER staff also float within those units. Orientation Process First week: New Employee Orientation (Monday – Friday, 8:00 am – 4:30 pm) Second week: 2‑3 days of departmental orientation on the floor Scheduling Details Weekend rotation: Every other weekend On‑call: Rarely required, only if census is low Holiday coverage: Expected to work 70% of holidays Return to Office (RTO) requests: Up to 7 days approved if participating in clinical interviewing and contract extension accordingly Shift times: 7:00 am – 7:00 pm and 7:00 pm – 7:00 am for med surg and critical care; ER shift times may vary Schedule cycle length: 13 weeks Additional Information Scrub color: Navy Parking: Free Department culture emphasizes teamwork, unity, speaking up when help is needed, proactive assistance, timely response to call lights and rover phones, and prioritizing telemetry monitoring with prompt patient response #J-18808-Ljbffr SoftPath Medical