RN (Registered Nurse)

SICU Registered Nurse

Certifications required: ACLS, BLS, and NIHSS; preferred: TNCC.

Local rate: Candidates living within 80 miles of the facility. Client rates reduced by #/hour.

Beds: 16, plus 2 additional procedural beds.

Nurse:Patient Ratios: 1:2, 1:1 higher acuity pts (ex. CRRT, immediate post-op hearts, MTP, OPO), 1:3 medsurg/floor status pts.

Common diagnoses/Types of patients: Cardiovascular surgery (CABG, AVR, MVR, AAA), traumas (level 2 trauma center), NSTEMI/STEMI, vascular surgery, neurosurgery, general surgery, ortho surgery, ENT surgery, any other surgical pts needing ICU.

Experience or 'Must have' skills: Must have experience with our patient populations and high acuity, we are the tertiary care center for MCHS. CRRT, IABP, Impella, and ECMO experience are not required but certainly desired/helpful. All our nurses take care of POD 1 heart patients, immediate postop heart patients cared for 1:1 by specifically trained nurses.

Are RNs required to titrate drips? Yes.

Common titratable &/or set rate drips: Epi, norepi, propofol, precedex, vaso, dobutamine, heparin, insulin, dopamine, neo, milrinone.

Charge Nurse/House Supervisor? Does the charge nurse take an assignment? Charge nurse on every shift, model to not take patients but sometimes must based on census/need. Nursing House Supervisor available 24/7.

Are there nurse aids on this unit/Ratios? Yes, one NA for entire unit during day shift. Not typical to have NA on night shift.

Hospitalist or Intensivist in house: Yes, intensivist in house 24/7.

RT in ICU 24/7: Yes.

RT Equipment (vents, Cpap, BiPap, etc): Any and all including vents, bipap, vapotherm, etc.

Are there Tele/Monitor Techs on this unit? Are RNs required to read their own strips? What brand are the tele monitors? No, tele techs on our unit, RNs monitor own patients telemetry. RNs read and document their patient rhythm strips. GE monitors.

Shifts & Scheduling: 0700-1930 or 1900-0730. Our staff self-schedule, but agency I always schedule to our needs accounting for their approved RTO. Manager will try to accommodate as best she can while still meeting unit staffing needs.

Weekend Requirements: Every other weekend (or more if willing/able).

Holiday Requirements: Every other holiday (or more if willing/able).

Is there a call or standby requirement? Only during scheduled shift if low census (per agency allowed hours).

Floating Requirements: If not needed in SICU for a scheduled shift, able to staff in MICU. If not needed in either SICU or MICU, able to be patient observer within hospital (ex. Suicide direct observation or bipap safety, etc.).

Scrub Color/Dress Code: No specific color required, clean and professional.

Unit/Department specific orientation: One day system onboarding/CBT completion, followed by two orientation shifts on the unit. Must complete skills checklist. MUST note in submission if clinician has ever worked for Marshfield. If clinician previously worked with Marshfield, they must have an end date 6 months prior to their submission date.