Travel ICU RN - Night Shift RN

American Traveler is seeking an experienced ICU RN for a 13-week night shift travel contract in Arizona, requiring strong critical care skills including EKG interpretation, vent management, and drip titration.

Job Details

• Acute care hospital ICU setting with a Critical Care service line encompassing a 12-bed CVICU, 8-bed COVID ICU, 8-bed MS ICU, and a 16-bed PCU (up to 20 with double occupancy),
• Patient population includes COVID requiring manual proning, low-level neuro, EVD, DKA, sepsis, ARF, CRRT, rhabdomyolysis, post-MI, detox, chest tubes, art lines, SWAN, post-surgical, Impella, TAVR, cardiac surgical, VAD devices, STEMI, PCI, CEA, and IABP,
• Nurse-to-patient ratio is 1:1-2 in the ICU based on acuity and staffing; PCU ratio is 1:3-4,
• Charting is performed in Cerner,
• Nihon Kohden telemetry monitors are used; RNs are responsible for reading their own telemetry strips,
• Respiratory equipment in use includes ventilators, BiPAP, CPAP, HFNC, Vapotherm, and Glidescopes (used during intubation),
• RNs are required to titrate all critical care drips including pressors (levophed), paralytics, sedation (propofol), anti-arrhythmics, dopamine, heparin, and argatroban,
• 12-hour night shifts (7p-7a), with schedules made 4 weeks in advance; some self-scheduling available subject to manager approval,
• Every other weekend (EOW) requirement; weekend nights include Friday, Saturday, and/or Sunday nights depending on rotation,
• Holiday coverage is required - travelers are expected to work 1 winter holiday and the eve of another holiday,
• First to float; may float to the PCU, MST, or East Campus ICU/PCU per staff rotation,
• Low-census call may occur approximately once every 6 weeks; no scheduled on-call requirement,

Job Requirements

• Active AZ RN license or Compact (NLC) RN license required; pending licenses will not be accepted,
• Current BLS and ACLS certifications required; pending certifications will not be accepted,
• Minimum 2 years of ICU experience required,
• Strong EKG/dysrhythmia interpretation skills required,
• Ability to troubleshoot and assist with weaning ventilators required,
• Experience with drip titration of critical care medications required,
• Ability to interpret ABGs required,
• IABP and Prismaflex CRRT experience preferred,
• Experience with EVD, chest tubes, art lines, and SWAN catheter strongly preferred,
• Travelers with open heart surgery experience may be assigned to fresh open heart patients if skills are verified,
• BSN not required,
• Must reside more than 50 miles from the facility (driver's license used to verify permanent address),
• Candidates may not have been directly employed (full-time, part-time, or PRN) by any CommonSpirit, CHI, or Dignity-affiliated facility within the past year (PRN through outside staffing firms will be considered),
• Driver's license copy required for consideration,
• 2 professional references required: one supervisor from within the last 12 months, and one peer or supervisor from within the last 3 years - both must include dates of employment and eligibility for rehire,

Additional Information

• Travelers will rotate across all ICU areas within the Critical Care service line and should have broad critical care experience,
• Travelers with verified open heart surgery skills may be assigned fresh post-op open heart patients,
• Orientation consists of 8 hours of general hospital orientation, one 12-hour precepted shift on the unit, and a second 12-hour shift with a buddy nurse available for questions; additional orientation may be provided for specialized skills such as open heart or CRRT,
• Candidates must pass the Relias Dysrhythmia exam with a score of 80% or higher within two attempts prior to contract confirmation; failure to do so results in a 6-month DNU status for CommonSpirit Arizona facilities,
• A pass/fail sterile technique test for Foley catheter insertion and central line dressing changes is administered on the first day of orientation,
• Intensivists are in-house 24/7 with NP support; RT covers all areas but is not dedicated to the ICU around the clock; no nurse aides on the unit,
• Scrubs of any professional color are acceptable (no camouflage); the unit is transitioning to navy scrubs in October,
• RTO of fewer than 7 days is acceptable; holiday requests are not approved for this position,
• First-time travelers will not be considered for this position given the broad critical care skill set and independent practice required