RN - PICU

RN - PICU

● About Facility:

247 Licensed Beds

▪ Level 1 Pediatric Trauma Center

▪ Teaching Hospital

▪ Chest Pain Center

▪ Certified Stroke Center

▪ Radius rule: Traveler’s permanent address must be 50 miles outside of home unit

● Unit Information:

o Beds: 24; 21-23 patient census on average

o Required Experience: 2 years of strong high acuity Pediatric ICU experience – must be comfortable in a high acuity, fast paced environment

o Will you accept a first-time traveler? Yes

● Patient Types/Common Diagnoses:

o Respiratory, Trauma (which includes penetrating and non-accidental trauma, NAT), DKA, Seizures, Neurosurgical, Acute/Chronic Renal Failure, Orthopedic, Surgical, Transplants (Kidney and whole/partial Liver), complex Medical, Blood Disorders

● Patient Ratios:

o RN: Varies on acuity: 2:1, 1:1, 1:2

● Required Licensure & Certifications:

o RN: BLS, PALS

● Skills required:

o EPIC experience, experience with Artic Sun, EVDs, Camino device (ICP and temp monitoring device), Belmont Rapid Infuser, management of critical care vasoactive drip titration, management of invasive lines – ART lines/CVP, aseptic and sterile techniques, basic dressing changes, ventilator and trach management, HOFV management, oral/nasal suctioning, g-tube/j-tube management, feeding tubes, chest tubes, epidurals, PCAs, sedation and analgesic drip management, Foley insertion and management, Alaris & Medfusion pump management, bedside procedures with providers, discharge skills, CRRT experience 

o Ability/Competency to float to Pediatric CVICU – discussed during interview

● Support within the Department:

o CNA - 1 Health Care tech per day to support unit secretary duties and nursing support needs throughout the shift (runners, bathing, etc.)

o Unit Secretary every shift

o Charge nurse, 24/7

o Phlebotomy, 24/7

o IV/VAT Team, 24/7

o Resource Nurse

o RT, 24/7

o Intensivist, 24/7

o Residents, in house

o APP, in house

o Telemetry monitoring Tech? No

▪ Centralized and bedside monitoring

● Technology/Equipment:

o EMR: EPIC

o IV Pump: Alaris and Medfusion syringe pumps

o Med dispensing: Omnicell

o Monitors: Phillips

o Equipment: Belmont Rapid Infuser, Accuvein, PIV Ultrasound, Artic Sun, Camino, EV-1000 Vigileo, I-stat and Accuryn

● Floating: If yes, where?

o Pediatric CVICU, NICU, Neonatal PCU, Gen Peds – will float as needed

● Orientation (facility and unit) :

o NEO

o 2 days departmental

Scheduling:

o Weekend rotation: will be required to work 2 Fridays, 2 Saturdays, 2 Sundays and 2 Mondays every 6-week schedule

▪ The combination of the 2 Fridays, Saturdays, Sundays, and Mondays can be grouped together or worked separately as long as those eight (8) shifts occur within the 6-week period

o No call for travelers, if the PICU cannot utilize them, they may be floated to PCVICU, Peds Progressive, NICU or general Peds units within LCH

o Holiday Expectations: Travelers will work 75% of holidays, Unit requirement is the eve and day of every other holiday while contracted

o RTO: Manager approval

o Shift times: 0645 – 1915, 1845 - 0715

o Schedule cycle: every 6 weeks

● Other notes:

o Scrub Color: Navy

o Parking: Free? Yes

o Unit Culture: Teamwork, Trust, Accountability, Respect, compassionately hard working