RN - ICU

RN - ICU

● About Facility:

o 301 Yadkin St, Albemarle, NC 28001

o 109 Licensed Beds

o No Trauma Designation

o Not a Teaching Hospital – no residents/students

o Advanced Primary Stroke Center

● Unit Information:

o Beds: 10 ICU and 4 PCU beds – PCU is only used in surge capacity

▪ Average Census: 7.3 patients per day

o Minimum Experience required: 18 months to 2 years of ICU RN exp

o Will you accept a first-time traveler? Yes

● Patient Types/Common Diagnoses:

o Sepsis, COPD, CHF, Chest Pain, MI, NSTEMI, Stroke, TIA, new onset cardiac arrhythmia, uncontrolled DM and DKA, minor trauma, ETOH withdrawal, ARDS, Respiratory illnesses – Flu, COVID, PNA

● Patient Ratios:

o RN: 1:2-3, acuity dependent – often will have 3 patients within assignment

▪ Could be a mix of ICU and Med/Tele patients

o CNA: not available overnight; 1:10 for dayshift only

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

o BLS, ACLS, NIHSS

● Skills required:

o Stroke experience/NIH assessments, Cardiac rhythm interpretation, ART lines and CVPs, experience with critical care drips, chest tubes, PIV starts, TNK administration (if not given in ED), vent management (RT will manage settings), trach care, NGT placement, drain/tube management (Dobhoff, PEG tubes, Hemovac, JP drains, flexiseals, foley insertion/management, etc), PCA pumps, wound care, ability to complete 12-lead EKG (will do STATs)

o Medication gtt management to include : Critical care gtts (titration), Cardiac drips (titration), Heparin, blood products, IVF

● Support within the Department:

o House Supervisor

o CNA – not available overnight

o Charge nurse – will be in staffing

o Phlebotomy – for any

o IV/VAT Team, only on dayshift

o RT, 24/7

o Hospitalist, 24/7

▪ First call for intubation – if Hospitalist cannot intubate, CRNA is called, ED is 3 rd line for intubation

o Intensivist – (1) physician that will round Mon-Fri around 6am (Night RN will provide report to him on their patients)

▪ In urgent situations – VCC will be who they will contact overnight

o Bedside and Central Tele Monitoring – RNs will monitor/read tele for the unit

● Technology/Equipment:

o EMR: EPIC

o IV Pump: Alaris

o Med dispensing: Omnicell

o Monitors: Phillips

● Floating: If yes, where?

o Within Stanly - Med/Tele (1:4), ICU, PCU (if open), ED holds – may be a task RN or take ICU – Med/Tele holds; Behavioral Health unit (only to pass medications/charting of med pass)

o Within region and scope of practice

o Will be required to float per region needs – will require floating to all facilities listed below, as needed, within scope of practice – DECLINE if not agreeable

▪  Region 1 - Cabarrus, University City, Stanly, Lake Norman, Central Division (CMC Main + Mercy + LCH (peds only) -- could float to any of the facilities within region if the need arises

▪ If floating mid-shift, Traveler will be paid for the time traveling between facilities (will remain on the clock)

● Orientation (facility and unit) :

o NEO

o 2-3 days departmental

● Scheduling:

o Weekend rotation: at minimum, every other

o No call for Travelers

o Holiday Expectations: Travelers will work 75% of holidays

o RTO: Manager approval

o Shift times: must be clocked in before 1845, but not before 1838.

o Schedule cycle: every 6 weeks

● Other notes:

o Scrub Color: Navy

▪ No T-shirts

▪ Undershirt must be White or Navy

▪ No Crocs allowed

o Parking: Free

o Unit Culture: Teamwork oriented; Communication is key – must be open to constructive feedback