RN (Registered Nurse)

NICU Level II Nurse

***LEVEL II NICU EXPERIENCE REQUIRED*** Minimum 2 years of experience - must be recent, within the past 6 months. A pass/fail Sim Lab (re: foley catheter insertion) is required on Day 1 of orientation. Unit: NICU - Level II EQ & SCN (Special Care Nursery) - # beds: NICU: 12 Private Rooms SCN: 18 beds (3 rooms - POD based - 6 babies in each room) Sometimes they do go over capacity until they are able to move a baby to newborn. Certs: BLS & NRP required. STABLE preferred would be a plus. Ratios: NICU 2:1 SCN 3:1. Charge Nurse: Yes, on occasion take assignment based on census. Nurse Aides: No. Weekend Requirement: 4 weekend shifts in a 4 week schedule (SAT & SUN are considered weekend for days & FRI, SAT, SUN for nights). Holidays: Will work in with perm staff holiday rotation (put into a group - groups are planned for 3 years out). Schedules: Self-scheduling. Nurse puts schedule request in then scheduler will review & balance out the schedule fairly between staff. Don't usually do block scheduling but she is not opposed to this as long as the needs of the unit are fulfilled. Scrub Color: Navy. Tele: GE Monitors. Vents: Puritan Bennett 840, Draeger, Vision Bipap, V60s. Hospitalist or Intensivist in house: NNPs (Neonatal Nurse Practitioner) 24/7 Neonatologist in house during the day. RT 24/7: Yes, manage vents. Pharmacy 24/7: Yes & tube system in L&D which is next door to NICU. Shifts: 12 hr shifts. 7-7. Shift huddle starts @ 7 & the nurses are usually on the floor within a few minutes...then bedside report. Floating: Travelers will not be floated out of the NICU. Floor specific orientation: 2 Shifts with a preceptor. Common diagnosis / Types of patients: NICU takes babies 28 weeks & above. High level care, a lot of respiratory complications, vents, CPAP, RAM & Vapotherm nasal cannulas. Types of patients: hyperbilirubinemia, meconium aspiration, respiratory distress syndrome, PPHN (Persistent Pulmonary HTN), IGUR (Intrauterine Growth Restriction), Chorioamnionitis, PICC lines, TTN (Transient Tachypnea), chest tubes, passive cooling, exchange transfusions, pneumos, UAC (Umbilical Artery Catheters) & UVC (Umbilical Venous Catheters), & sepsis. SCN will see lower level of the NICU dx. A lot of CPAP, blood transfusions, a lot of NAS (Neonatal Abstinence Syndrome). Surgicals & babies less than 28 weeks they transfer to St.