RN - ICU

RN - ICU
• About Facility:


o Charlotte, NC


o 874 licensed beds


o Level 1 Trauma Designation


o Level 1 Pediatric Trauma attached - Levine Children's Hospital


o Teaching Hospital


o Chest Pain Center


o Stroke Center


o Magnet Designation
• Unit Information:


o Beds: 29
• Census? Average patients/day? 29


o Minimum Years of Experience required? 2 years in Adult ICU


o Will you accept a first-time traveler? Must have completed at least (1) 13-week assignment
• Patient Types/Common Diagnoses:


o Neuro ICU to include but not limited to ischemic and hemorrhagic strokes, subarachnoid hemorrhage, traumatic brain injuries, seizures/status epilepticus, spinal cord injuries, EVD drains/ICP monitoring, post op Crani's (straight from OR), IR (straight from procedure), TNK patients - 50% of administrations will be done on the unit vs. ED


o Some off-service Trauma or Medical ICU patients
• Patient Ratios:


o RN: 1:2; sometimes will be tripled, if patients have downgrade orders


o CNA - not consistently staffed on this unit
• Required Certifications:


o BLS, ACLS, NIHSS
• Skills required:


o Epic experience is required


o Management of external ventricular drains (EVD), intracranial pressure monitoring, Ventilator Management, Management to vasoactive drips, tracheostomy care, central line maintenance, post monitor TNK and IR


o CRRT is sometimes seen, and traveler could take this if competent
• Support within the Department:


o Supervisor


o Stroke Response Nurse


o Clinical Educator


o Charge nurse: free floating


o Phlebotomy: Nurse Draw


o RT 24/7: Yes


o Intensivist, 24/7: Yes, NP or PA is in-house for any emergency as part of the Neurocritical Care Team


o Pharmacist - shared pharmacy team after 2300


o PT/OT/ST - 7 days a week


o Case Management/Social Work
• Technology/Equipment:


o EMR: Epic - Required


o IV Pump: Alaris


o Med dispensing: Omnicell


o Monitors: Philips


o Unit specific equipment: Artic Sun (Targeted Temperature Management) - occasionally, Vigilance Monitor, CRRT, ICP Monitoring/EVD drains
• Floating: If yes, where?


o Adult Critical care units, as needed (MICU, STICU, Dixon Heart, CTICU)


o PCU 1:3 max ratio
• Orientation (facility and unit) :


o NEO


o 2 days departmental - dependent on skillset and comfort level
• Scheduling:


o Weekend rotation: every other (Fri/Sat/Sun)


o On call? If so, what is that schedule? No call


o Holiday Expectations: Travelers will work 75% of holidays


o RTO: Manager approval


o Shift times: 1845 - 0715


o Schedule cycle: every 6 weeks
• Other notes:


o Scrub Color: Navy Blue


o Parking: Free? Yes


o Unit Culture: Teamwork oriented; retention focused