RN - ICU

RN - ICU

● About Facility:

o 637 licensed beds

o Level 1 Trauma Designation

o Teaching Hospital

o Chest Pain Center

o Stroke Center

● Unit Information:

o Beds: 14

▪ Census? 14

o Minimum Years of Experience required? 2 years ICU RN experience

o Will you accept a first-time traveler? Yes

● Patient Types/Common Diagnoses:

o Medical ICU patients

o Common diagnoses: respiratory failure, renal failure, sepsis, GI Bleed, DKA, hypotension, hypertension, stroke, pneumonia, cancer, ARDS, overdoses

o Chronic ventilators and chronic trachs

o Hemodynamically unstable patients requiring invasive monitoring and/or close observation

● Patient Ratios:

o RN: 1:1-2 (rarely but possible 3)

o CNA: 1-2 per shift

● Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance:

o NIHSS, BLS, and ACLS certification required 

o CCRN (critical care nursing certification) preferred but not required

● Skills required:

o trach chare, chest tube management, PIV starts, glucommander, insulin drips, heparin drips, drips to titrate to HR and BP

o Management of vasoactive medications

o Monitoring and management of invasive lines i.e. arterial lines, central venous lines, pulse oximetry, intracranial pressure monitoring

o Assist/management of a variety of bedside procedures i.e. chest tube placement/management, tracheostomy, peg tube placement

o TABLO

o Management of patients on ventilator support

● Support within the Department:

o CNA? Duties? Yes - assist with VS, Glucose Checks, baths, feeding, ambulating patients, assisting turning patients, hourly rounding, transporting patients as needed (Hospital has designated Transport Team); obtain blood from blood bank

o Receptionist/HUC? Unit secretary on unit 7a-11p; then house wide call secretary 11p-7a

o Charge nurse – may have patients

o Phlebotomy? Most units are lab collect phlebotomy; nurses drawn from CVLs

o IV/VAT Team? Not an IV team - do have a PICC team

o Resource Nurse? Yes, we have discharge nurses, resource team floats to all units

o RT 24/7? yes

o Hospitalist 24/7? yes

o Intensivist 24/7? yes

o Telemetry monitoring/tech? Central Telemetry Unit

● Technology/Equipment:

o EMR: EPIC

o IV Pump: Alaris

o Med dispensing: Pyxis

o Monitors: Phillips

o Unit specific equipment:

▪ VS3 vital sign monitors, Nova Glucose Stat Strips

▪ Belmont Rapid Infuser

▪ TABLO

▪ PCA pain management

▪ SCD’s (sequential compression devices)

▪ Cooling and heating blankets-devices

● Floating: If yes, where?

o All adult ICU units in house including PCU

● Orientation (facility and unit) :

o 1 day orientation with work on educational modules

o 2 days departmental

● Other notes:

o Scrub Color: RN- Navy

o Parking: Free? Have free parking around campus or can pay to park in parking decks

o Unit Culture: busy but work as team