Stepdown Registered Nurse

Critical Illness Recovery Hospital Registered Nurse (RN)

Custom Healthcare Solutions is seeking experienced Registered Nurses (RNs) for a 13-week night-shift contract assignment at a Critical Illness Recovery Hospital in Newport News, VA 23601! Locals and Travelers Welcome!

Assignment Details:

• Location: Newport News, VA 23601
• Contract Length: 13 weeks
• Start Dates: June / ASAP
• Shift: Nights 7P-7A | 3x12 schedule, every other weekend required
• Pay Rate: $54/hour (weekly pay)
• Benefits available

Facility Overview:

We are a Critical Illness Recovery Hospital our patients are high acuity and must have had at least a 3-night ICU stay prior to admission. We prepare patients for Rehabilitation, Skilled Nursing, Home discharge, or Palliative Care.

Patients may present with:

• Stroke, TBI, spinal cord injuries
• Trauma and surgical complications
• Respiratory failure and ventilator dependence
• Cardiac failure and cardiogenic shock
• Non-healing wounds and complex medical conditions

Acuity:

• Highest acuity: patients on vents with vasoactive drips titrated upward
• Lower acuity: extended IV antibiotic therapy patients

Nurse Patient Ratios:

• Typical: 45: 1
• Higher acuity: 23: 1

Systems:

• EPIC EMR
• Omnicell medication dispensing

Orientation:

One 12-hour orientation shift, after which nurses assume patient assignments. Successful nurses for this engagement typically have strong experience managing vents, drips, and multiple oxygen delivery modalities (Vents, HHF, Vapotherm, etc.). Stepdown experience is beneficial, and nurses must be able to manage a 5-patient assignment while delivering organized, high-quality care.

Registered Nurses (RN) Responsibilities:

• Perform nursing assessments and develop individualized care plans
• Provide direct patient care using the nursing process
• Monitor ventilated patients and vasoactive drips
• Communicate patient status changes to physicians and care teams
• Provide discharge planning and patient/family education
• Delegate tasks appropriately and supervise ancillary staff
• Maintain accurate documentation in the medical record
• Promote patient and employee safety in accordance with hospital standards

Why Apply?

• Weekly pay
• Benefits available
• High-acuity clinical experience
• Multiple openings available bring a colleague or referral