RN - ICU

ICU Registered Nurse (RN)

This position is within a healthcare facility that includes a combined ICU/PCU unit, featuring a total of 107 beds, with 10 dedicated ICU beds and 22 PCU beds. The average census in the ICU is around 5 patients, with ICU nurses also responsible for caring for PCU patients when necessary. Floating to other departments may occur, including Med/Surg and occasionally Mother/Baby, specifically for post-GYN surgical patients.

Responsibilities:

• Caring for patients with various conditions including Sepsis, Pneumonia, COPD, CHF, GI Bleeds, ETOH/IVDA, Substance Induced conditions, Psychiatric conditions, and COVID-19.
• Managing stable CVA patients, TBI patients, and surgical patients from different specialties, including Ortho and General Surgery.
• Performing manual proning and managing patients on temporary pacemakers as required.
• Participating in the care of patients undergoing angiograms and post-cardiac catheterization, as well as the management of invasive lines and IV medication titration.
• Providing care in accordance with established patient-to-nurse ratios:
• ICU: 1:2
• PCU: 1:4
• Collaborating with a multidisciplinary team including Respiratory Therapists, Intensivists, and Hospitalists who are available 24/7.

Qualifications:

• Minimum of 2 years of experience in an ICU setting.
• First-time travelers may be considered based on experience.
• If applying for a Charge Nurse position, candidates must have significant charge nurse experience.
• Required certifications include BLS, ACLS, and NIHSS.
• Strong skills in Peripheral IV placement and management of cardiac rhythms are preferred.
• Knowledge and experience in invasive line management (CVP, A-lines), IV medication titration, and management of ventilators or BiPAP is expected.

Support on the Unit:

• A CNA will be available at a ratio of 1:12 to assist nursing staff.
• The charge nurse will maintain a partial patient assignment depending on unit staffing needs.
• Phlebotomy services will handle peripheral draws; however, nurses may be asked to assist during high demand periods.
• Nurses are responsible for their own central line blood draws.
• Centralized monitoring will be provided by telemetry technicians available 24/7.

Charting and Equipment:

• Electronic Medical Records (EMR) system: EPIC (preferred).
• IV Pumps utilized include ICU Medical Plum Duo and Plum Single.
• Medications are dispensed via Pyxis.
• Monitoring equipment includes Philips monitors.

Orientation and Scheduling:

• Initial orientation consists of 4 hours with a clinical educator, followed by 3 shifts on the unit.
• Telemetry competency is required before starting the position.
• Self-scheduling is available, with management balancing the schedule as needed, typically requiring 2 weekends a month.
• Time-off requests can be approved up to 7 days.
• Holiday coverage may require working 1-2 holidays per season.

Other Notes:

• Scrub color for the position is navy blue.
• Free parking is available on-site.
• Mandatory breaks include 3 fifteen-minute breaks and a thirty-minute lunch.
• Preferred traits include teamwork, strong communication skills, positivity, and a can-do attitude.
• The work environment fosters a small, family-like culture where staff are valued as integral team members.