RN - ICU

ICU Registered Nurse (RN)Location: Olympia, WAFacility Type: 107 beds with a Combined ICU/PCU UnitICU nurses will care for PCU patients; most of the contract time may be spent in PCU. PCU nurses are not required to care for ICU patients. Floating to other departments, such as MedSurg and occasionally to Mother/Baby (only for post GYN surgical patients), occurs in a rotating manner.Patient TypesSepsisPneumoniaCOPDCHFGI BleedsETOH/IVDASuicidal Ideation (SI)PsychCOVIDNeuro: Stable CVA (no interventions), TBI (stable), will administer TPA at timesCVICU: Pacemaker management, angiograms, post-catheterization careSurgical Patients: Ortho and General Surgery, including manual proning and temporary pacemakersWork EnvironmentTravelers are not expected to care for:Balloon PumpsHypothermia Protocol (unless comfortable)COVID units in ICU, PCU, and MedSurg:Patient Ratios: ICU 1:2, PCU 1:4 (may increase to 1:4 in PCU during surges)Required Certifications & SkillsBasic Life Support (BLS)Advanced Cardiovascular Life Support (ACLS)National Institutes of Health Stroke Scale (NIHSS)Strong peripheral IV skills required (preferred)Cardiac rhythm interpretation skillsInvasive line management (CVP, arterial lines)IV medication titrationVentilator, trach, and high-flow BiPAP managementSupport on the UnitCNA ratio: 1:12Charge nurse typically manages a partial patient assignmentPhlebotomy conducts peripheral draws; nurses may assist if phlebotomy is short-staffedNurses are responsible for their own central line drawsRespiratory Therapy (RT) and Hospitalists available 24/7Intensivists on call 24/7Centralized monitoring with Tele tech available 24/7Charting System & EquipmentElectronic Medical Records (EMR): EPIC (preferred)IV Pumps: ICU Medical Plum Duo and Plum SingleMed Dispensing: PyxisUnit equipment: Philips monitorsFloating PolicyTravelers will float in rotation with the rest of the unitWhen assigned to the MedSurg department, patient ratios are 1:5-6Acceptance into the PCU is not considered floatingOrientationFour hours of orientation with the clinical educator (includes badge, login, unit tour, policies/procedures)Three additional shifts on the unit for further trainingTelemetry competency is required prior to startSchedulingSelf-scheduling with manager balancing needsCommitment of two weekends per month, but may