RN - ICU

RN - ICUOpen to 6, 8, 10, or 13 week contract
• About Facility:


o 304 Turner McCall Blvd, Rome, GA 30165


o 361 licensed beds


o Level 2 Trauma Designation


o Teaching Hospital? Yes, Residency Program


o Chest Pain Center


o Stroke Center
• Department Information:


o Minimum Years of Experience required? 2 years in requested specialty


o Will you accept a first-time traveler? Will consider, not preferred
• Patient Types/Common Diagnoses:

ED:


o General ED population for Level 2 Trauma - Chest Pain/Cardiac events, Stroke, Trauma - GSW, Stabbings, MVC, Falls, etc.; Respiratory illnesses, Seizures, Abdominal illnesses and infections, ETOH/CIWA, IVDA, Mental Health


Medical-Surgical Floors:


o 3 MedSurg (Overflow & Difficult to place patients - 27 beds): Syncope, Fever and Chills, Intractable N/V, Failure to thrive, Cellulitis, Vascular dementia, Cerebrovascular disease, History of CVA.


o 3 North (Oncology - 20 beds): Immunocompromise patients, Cancer pts', end of life care, respite, palliative care patients, do chemo infusions (This floor will be moving to 2 MedSurg on Northeast building soon).


o 4 East (Ortho - 16 beds): Medical and surgical ortho patients including fractures of different bones and joints (open & closed), MVC, trauma, Buck's traction.


o 4 South (General Surgery & Trauma - 36 beds): Ureteral stone, Goiter, Hernia, Uterine Fibroids, Renal Mass, Diverticulitis with perforation, MVC, trauma, Bowel Obstruction, Breast Cancer for Mastectomy, Hematuria (irrigation), Fetal demise, DNC.


o 4 Central (Pulmonology - 22 beds): Acute respiratory failure, Hyperglycemia, Sepsis, Metabolic Encephalopathy, Dementia, COPD, Acute Kidney Injury, Failure to thrive, Pneumonia (This floor takes glucommander).


o 6 Central (Vascular & Bariatric Surgery - 19 beds): End stage renal disease, Foot ulcer, Peripheral Vascular Disease, Morbid Obesity (take vascular and gastric bypass surgeries, also take glucommander).

Critical Care Areas:


o 4 West (Neurology Stepdown - 23 beds ): Stroke, Seizures, Back pain, Lumbar surgery, s/p craniotomy, lumbar drains, AMS, Aphasia (This floor takes glucommander, Cardiac titratable drips).


o 5 West (Cardiac Stepdown - 34 beds): Chest pain, S/p Cardiac angiography with or without PTCA, CHF, Cardiomyopathy, Pneumonia, Palpitations, Syncope, Arrythmias, Angioedema, Hyponatremia, AMS, Sepsis, Acute Coronary Syndrome, A-Fib, Heart Block (takes glucommander, cardiac titratable drips, also do aqua pheresis).


o Observation unit (Decision Unit & Overflow for 5 West - 11 beds): Facial numbness, CAD, A-Fib with RVR, Stroke-like symptoms, Chest pain, right or left sided weakness, Acute respiratory failure (takes cardiac titratable drips, bedside cardiac monitors in all rooms).


o ICU (Medical, Surgical, Neuro, Cardiac - all combined - 26 beds): Drug overdose, Psychosis, MI, Subarachnoid hemorrhage, MVC, Sepsis, ARF, AAA, Acute hypoxic respiratory failure, Hypoglycemia, Pneumonia, Suicide attempt (has pts' on Life link, CRRT, Intra-aortic balloon pump). Travelers not assigned CRRT and IABPs.
• Required License, National Certification, Certifications (BLS, ACLS, NIHSS, etc.), or other position specific requirements such as Driver's License and/or Insurance:


o ED RN: ACLS, BLS, NIHSS, TNCC and CPI (we will offer this if they do not have CPI) for all nurses


o ICU RN: ACLS, BLS, NIHSS, and CPI (we will offer this if they do not have CPI) for all nurses; TNCC (preferred)


o PCU and Med/Tele RN: ACLS, BLS, NIHSS, and CPI (we will offer this if they do not have CPI) for all nurses
• Skills required:


o ED RN: ER skills - arrhythmia monitory, sedation, paralytics, titratable drips knowledge, CVP monitoring, caring for s/p craniotomy pt, TPA administration, TNCC is a must , CEN preferred


o ICU RN: ICU skills - arrhythmia monitory, sedation, paralytics, titratable drips knowledge, CVP monitoring, caring for s/p craniotomy pt, TPA administration, CCRN & TNCC preferred


o PCU RN: PCU skills - arrhythmia monitoring, knowledge of cardiac titratable drips


o Med/Tele RN: Basic arrythmia interpretation, Foley catheter irrigation, PCA, Epidural, CPM, Buck's traction, Drains & chest tube management


o Nursing skills, with knowledge of cardiac drips, neuro, cardiac, pulmonary, ortho, trauma, and surgical patients.
• At our facility, we require 2 nurses to place foley catheter
• Ratios:


o MedSurg: Days 1:5 but can increase to 1:6 in staffing crisis. Nights 1:6.


o ICU: Days and Nights 1:2. Can go up to 1:3 depending on acuity


o HAU (High Acuity Unit, PCU level): 1:3
• Support within the Department:


o CNA/ Nurse techs


o Respiratory Therapists


o Phlebotomists


o Educator


o Staffing specialist


o Timekeeper/ Payroll specialist


o Safety sitters


o Virtual Patient Observers (VPO)


o Virtual RN (currently on 4 West)


o Security
• Technology/Equipment:


o EMR: EPIC


o Department specific Equipment- depends on the units, Glucommander, cardiac monitors, Precision BBG monitor, specialty beds, alarms, bed and chair alarms, BiPap, ventilators, Alaris pumps, Virtual RN, Virtual Patient Observer.
• Floating: If yes, where?


o All med surg and Critical Care Areas (including ED boarders). If ICU or ER, we do use those as well.
• Orientation (facility and unit) :


o 1st week: NEO (Monday - Friday 8:00am-4:30 pm)


o 2nd week: 2-3 days departmental (on the floor)
• Scheduling:


o Weekend rotation: Every other


o On call? If so, what is that schedule? If census is low, you may be asked to be on call, but this is rare.


o Holiday Expectations: 70% of holidays


o RTO Requests: If participating in SimpliFi Clinical Interviewing - can we approve up to 7 days of RTO on your behalf, if traveler extends contract to accommodate? Yes


o Shift times: 7a-7p and 7p-7a for med surg and critical care, ER may vary


o Schedule cycle (how many weeks): 13
• Other notes:


o Scrub Color: Navy


o Parking: Free? Yes


o Department Culture: Teamwork, work as 1 group, speak up if you need help, assist when you see someone that needs help, answer call lights and rover phones timely. Telemetry is a priority and should be answered quickly and respond to the patient quickly.