Registered Nurse - ICU

Lamb Staffing; Albemarle (NC); On-site; USD 90,000 - 110,000; Full time

Job summary

Lambstaffing seeks an experienced ICU RN for an urgent travel assignment in Albemarle, North Carolina. You will care for ICU and PCU patients, respond to emergencies, and collaborate with a hospitalist team and RT staff to maintain patient safety.

The role requires 18 months to 2 years ICU experience, BLS/ACLS/NIHSS, and ability to float across units as needed. First-time travelers are welcome; nurses are supported through a dedicated supervisor.

Qualifications

• RN with 18 months to 2 years ICU RN experience.
• BLS, ACLS, NIHSS certifications required.
• First-time travelers welcome.

Responsibilities

• Float across ICU/Med/Tele as region needs.
• Monitor critical patients and manage lines and drips.
• Respond to rapid changes per unit protocol.
• Collaborate with hospitalists and RT staff.

Skills

Stroke experience

Cardiac rhythm interpretation

Critical care drips

Vent management

12-lead EKG

Education

RN License

Tools

EPIC

Omnicell

Alaris

Phillips Monitors

Job description

The Manager needs a candidate than can start ASAP

About Facility:

• 301 Yadkin St, Albemarle, NC 28001
• 109 Licensed Beds
• No Trauma Designation
• Not a Teaching Hospital – no residents/students
• Advanced Primary Stroke Center

Unit Information:

• Beds: 10 ICU and 4 PCU beds – PCU is only used in surge capacity
• Average Census: 7.3 patients per day
• Minimum Experience required: 18 months to 2 years of ICU RN exp
• First-time travelers welcome

Patient Types/Common Diagnoses:

• 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:

• RN: 1:2-3, acuity dependent – often will have 3 patients within assignment
• Could be a mix of ICU and Med/Tele patients
• 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:

• BLS, ACLS, NIHSS

Skills required:

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

Support within the Department:

• House Supervisor
• CNA – not available overnight
• Charge nurse – will be in staffing
• Phlebotomy – for any
• IV/VAT Team, only on dayshift
• RT, 24/7
• Hospitalist, 24/7
• First call for intubation – if Hospitalist cannot intubate, CRNA is called, ED is 3 rd line for intubation
• 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
• Bedside and Central Tele Monitoring – RNs will monitor/read tele for the unit

Technology/Equipment:

• EMR: EPIC
• IV Pump: Alaris
• Med dispensing: Omnicell
• Monitors: Phillips

Floating:

• 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)
• Within region and scope of practice
• 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 - Cab Active state license in good standing; minimum 1 year of recent experience in the specialty; BLS, ACLS required for clinical roles; references upon request