RN- ICU 12 hrs days and nights

Job Title

Nurse Patient Ratios: 1:1 or 1:2 (MedSurg ICU). If no vents/drips 1:3.

# of Beds: 42

Required Certifications: BLS, ACLS, NIHSS.

Common diagnoses/Types of patients: Cardiac-open heart, balloon, impella, tPA, TPE, core staff will do the specialties; keep small head bleeds, post tpa administration-if intervention-flown to Phoenix; Level 3 trauma- keep here. Not necessary to have trauma exp=core staff that MUST HAVE vent, sedation, sepsis, pressors, DKA, cardiac, CHF, respiratory.

Are RNs required to titrate drips: Yes

Common titratable &/or set rate drips: Below is a list of common drips for this ICU. Please make sure traveler has well rounded experience with a variety of critical ICU drips.

• Vasopressors: Epi, levophed, Phenylephrine, vasopressin.
• Inotropes: dopamine, dobutamine, primacor.
• Antiarrhythmics: amiodarone, cardizem, esmelol, lidocaine, procainamide.
• Anti-hypertensives: Clevidipine, labetalol, cardene, Nipride, nitro.
• Beta Adrenergic: Isuprel.
• Sedatives: Ketamine, Precedex, propofol, Versed.
• Paralytics: Vecuronium, Nimbex, rocuronium.
• Analgesics: Fentanyl, morphine.
• Anticoagulants: Aggrastat, tPA, Argatroban, Heparin, Integrilin.
• Additional: Insulin.

Is there a Charge Nurse on each shift: Charge-free on both shift-go to codes, condition help (RRT).

Are there nurse aids/patient care techs on this unit: PCA's. Ratios typically 1-10. PCA's can assist with: EKG, Blood sugar, procedures set up, I/O, ADL, lab draws (they are phlebs as well).

Hospitalist &/or Intensivist in house 24/7: Intensivist 24 hours/day. Days: 2 MD's and 1 NP. Nights: 1 NP/1 MD.

RT in ICU 24/7: Yes, RT will do vents settings, intubate, and all abgs.

RT Equipment: Vents, Cpap, BiPap, High Flow. RT and RN will assist MD with bedside trachs.

Are there Telemetry/Monitor Techs on this unit: USR- Unit support person- does unit clerk and monitors Telemetry. Have centralized Telemetry monitoring, in each nurses station. Monitor in rooms as well.

Shifts & Scheduling: 6:45-7:15 (3 min before and after grace period to clock in and out) MUST CLOCK OUT FOR LUNCH. Self-schedule, 4 requested days off in a 4 week period, blocks not guaranteed, but try to work with traveler as much as possible to accommodate requests.

Weekend Requirements: 4 weekend shift days in 4 week period required.

Holiday Requirements: 2 major holidays required. Only require the holiday (not the eve) if Xmas.

Is there a call or standby requirement?: No

Floating Requirements: Yes, float to other units, only 4 patients instead of 6 patients though.

Scrub Color: Navy Blue

Alto Health Care Staffing is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or geographical laws.