RN (Registered Nurse)

Unit Notes
*** Pre-Screens, if clinical recommends, sends to manager for approval to offer, no 2nd interview
Advanced Dysrhythmia Exam Required PRIOR to sending the contract, 2 attempts, if failed, candidate is DNU with CS AZ and Sacramento for 6 months
50 MILE RADIUS RULE - NO LOCAL RATE - DL IS SOURCE OF TRUTH, PLEASE INCLUDE IN SUBMISSION
*Travel Teams must have their own vehicles
*must have natural hair color and no facial piercings
*men must clean shave

Must be able and willing to work the M/S Tele patients as well. This way as patients are either upgraded or downgraded the travelers are still able to work and get their hours. ICU person should be comfortable in tele also and have the expectation that at westgate, you will be likely to have 50% in a non-ICU environment. They also can float downtown to their ICU, so should be comfortable there also

PASS FAIL DAY 1 SIMs Lab: All RNs will be expected to complete SIMs Lab for Foley catheter insertion & central line dressing changes, with the exception of NyICU & ED. NyICU only has to do Foley catheter insertion. ED does Foley catheter insertion but does port-a-cath insertion instead of central line dressing change. This is for travelers going to St. Joseph main campus &/or St. Joseph Westgate campus. NOTE - SIMs lab is pass/fail & nurses have been termed during SIMs Lab for breaking sterile field. Those travelers that understand sterile field typically pass SIMs Lab skills (See separate notes for the specific checklist IF traveler asks for additional details). The hospital expects that every nurse is competent in these areas, especially maintaining sterile field, as these are nursing skills that are performed frequently. NOTE: if a candidate indicates that they are not competent in either of these areas, they are probably not a good fit. In addition to SIMs Lab, they will also go through lifts, restraints, & wound care, but these are just educational based since the equipment & policies can be different facility to facility.


- Unit: ICU/MOSU (Multi-Operational Service Unit) this is on the same floor as
- # beds: 5 Beds
- Certs: BLS & ACLS
- Ratios: 1 to 2 if ICU patients; 1 to 3 if MedSurg patients. The acuity of the patients on this unit is less than the acuity of the ICU patients at SJHMC. Typically staffed with 2 nurses for 4+ patients. Will flex to tele, ratio 1:4 if no ICU patients.
- EMR: Cerner
- Charge Nurse: Yes - Same charge nurse for both MedSurg & ICU/MOSU. Takes a light patient load depending on census. There is also a 'Resource Nurse' for the hospital.
- Nurse Aides: 1 tech per shift (shared with MedSurg unit)
- Weekend Requirement: 4 weekend shifts for 4 week schedule.
- Holidays: based on unit coverage
- Scrub Color: Navy
- Tele: Phillips - RNs are required to interpret EKGs
- Vents: Yes
- Hospitalist or Intensivist in house: Hospitalist during the day.
- IV Team: SWAT RN for rapid response, PICC lines.
- RT 24/7: Yes
- Pharmacy 24/7: Pharmacy open 6a-5pm. Nights use main campus if needed but mix their own meds at night.
- Shifts: 12 hr shifts.: 7a-7p; 7p-7a
- Floating: Float to MedSurg or possibly to MICU @ SJHMC
- Floor specific orientation: 2 shifts
- Common diagnosis / Types of patients: Vasoactive drips, vent weaning per protocol, some CHF (unstable), Sepsis,
Neuro - Seizure (non-complex/non-status)
Cardiac - NSTEMI (case by case), Atrial Fib, Hemodynamic monitoring (Swan possibly to transfer)
Pulmonary - pneumonia (criteria for ARDS for transfer to SJHMC), pleural effusions, simple pneumothorax, PE (TPA case by case)
Endocrine - DKA, acute tubular necrosis, pyelonephritis (can have HD on MOSU), acute kidney infection
OD (case by case)
- Types of procedures performed by Critical Care: Bronchs, CL insertion (including Cordis), intubations, thoracentesis, paracentesis, pericardiocentesis, femoral art line insertions (radial by RT), CT - pigtail & large bore, LP, Hemodialysis Cath (temporary/venous only).
- Diagnosis/Types of patients that will be transferred to SJHMC: If a patient becomes too critical they would be transferred to SJHMC: Neuro - CVA, Seizure (status/uncontrolled), meningitis, GBS
Cardiac - STEMI, possible NSTEMI, endocarditis, pericarditis, cardiogenic shock, Cardiac arrest - All cases
Pulmonary - difficult airway, ARDS (criteria based), PE
GI - all cases, OD (case by case)
Renal - CRRT
Hemodynamics - if pt on 2 pressors, going on 3rd (case by case)
- Requirements: Positive attitude is a must with very strong teamwork. No pass culture. Must be proficient with vasoactive drips. Must be independent, as there could be times that they would be the only RN on this unit with only the resource nurse & a tech. Must have strong general Medical & Surgical ICU experience.
- Additional Notes: MOSU is a Multi-Operational Services Unit that is licensed to take any level of care within this space. It will be the ICU unit but to maximize productivity they may bed non-ICU patients in this space.

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