Registered Nurse - MICU

Job Title

Offering up to 26 weeks, please notate preference in submittal. Available 36 or 48 hours available. Must be available first 8 days of assignment.

Position Requirements & Unit Information:

• BLS (AHA)
• ACLS (AHA)
• NIH
• Michigan RN License in hand
• 1 year experience ICU
• 1st timer ok!

Patient Ratios:

• 1:1-4
• Our ICU is PCU and ICU patients mix.
• PCU and Gen med/Transfer status can be in a 4:1 group based on acuity.
• PCU can also be in a 4-3:1 based on acuity.
• ICU and PCU can be in a mix of 3:1 based on acuity.
• Vent patients are in a 2:1.
• Cooling/CRRT/or High Acuity will be in a 1:1 group.
• Will work every other weekend.

Will float to other ICU and Med Surg units - floating to med-surg as needed as census in the ICU flexes. The agency RN's will float in rotation with the Bronson MICU RN's to med-surg units. Typical nurse to patient ratio's are approx. 5-6 pts per RN on the med-surg areas.

Must be available the entire week of orientation.

Patient Diagnoses:

• COPD
• Encephalopathy
• Drug Overdose
• DKA
• AKI
• Respiratory Failure
• Cardiac Arrest
• HF
• A-fib

Special Procedures/Unit Details:

• CRRT
• HD
• A-Line placement
• CVC Placement
• Trach placement
• Chest tube placement

Special Equipment:

• Cooling Machine
• Bair Huggers
• Massive transfusions
• CRRT

Required Skills:

• Cardiac Monitoring and Emergency response:
• Interpretation/management of dysrhythmias
• Multi system organ failure

• Endocrine/Metabolic:
• IV insulin protocols

• Gastrointestinal:
• GI surgery

• Genitourinary/Renal:
• Chronic/Acute Renal failure
• CVVHD/CRRT

• IV therapy:
• Arterial line management
• Blood Product Administration
• Central line care/management
• PICC line management
• Starting IVs

• Medications:
• Continuous IV sedation
• Emergency Medications
• Procedural Sedation Administration
• Titrate Cardiac drips
• Titrate Vasoactive drips

• Neurological:
• CVA/Acute Stroke management

• Respiratory/Thoracic:
• Assist with management of BiPAP
• Assist with management of CPAP
• Care of Ventilated Patient
• High Flow Nasal Cannula (HFNC)
• Interpretation of ABGs
• Suctioning (ETT, NT)
• Ventilator Management

Our unit has an average of 3 vents a day. Our ICU Dr will keep a patient ICU if they feel they do not want to hand off the patient, even though their Acuity level is low. In those cases we will put an ICU pat with a group of 3 or 4 if the patient is stable.