RN - ICU
About Facility:
- o 637 licensed beds
- o Level 1 Trauma Designation
- o Teaching Hospital
- o Chest Pain Center
- o Stroke Center
Unit Information:
- o Beds: 14
- Average census: 14
- o Experience: 2+ years ICU RN experience
- o First-time travelers welcome
Patient Types/Common Diagnoses:
- o Medical ICU patients
- o Common diagnoses: respiratory failure, renal failure, sepsis, GI Bleed, DKA, hypotension, hypertension, stroke, pneumonia, cancer, ARDS, overdoses
- o Chronic ventilators and chronic trachs
- o Hemodynamically unstable patients requiring invasive monitoring and/or close observation
Patient Ratios:
- o RN: 1:1-2 (rarely but possible 3)
- o CNA: 1-2 per shift
Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance:
- o NIHSS, BLS, and ACLS certification required
- o CCRN (critical care nursing certification) preferred but not required
Skills required:
- o trach chare, chest tube management, PIV starts, glucommander, insulin drips, heparin drips, drips to titrate to HR and BP
- o Management of vasoactive medications
- o Monitoring and management of invasive lines i.e. arterial lines, central venous lines, pulse oximetry, intracranial pressure monitoring
- o Assist/management of a variety of bedside procedures i.e. chest tube placement/management, tracheostomy, peg tube placement
- o TABLO
- o Management of patients on ventilator support
Support within the Department:
- o CNA duties: Yes - assist with VS, Glucose Checks, baths, feeding, ambulating patients, assisting turning patients, hourly rounding, transporting patients as needed (Hospital has designated Transport Team); obtain blood from blood bank
- o Unit secretary/HUC: Unit secretary on unit 7a-11p; then house wide call secretary 11p-7a
- o Charge nurse - may have patients
- o Phlebotomy: Most units are lab collect phlebotomy; nurses drawn from CVLs
- o IV/VAT team: Not an IV team - do have a PICC team
- o Resource nurse: Yes, we have discharge nurses, resource team floats to all units
- o RT 24/7: yes
- o Hospitalist 24/7: yes
- o Intensivist 24/7: yes
- o Telemetry monitor tech: Central Telemetry Unit
Technology/Equipment:
- o EMR: EPIC
- o IV Pump: Alaris
- o Med dispensing: Pyxis
- o Monitors: Phillips
- o Unit specific equipment:
- VS3 vital sign monitors, Nova Glucose Stat Strips
- Belmont Rapid Infuser
- TABLO
- PCA pain management
- SCD's (sequential compression devices)
- Cooling and heating blankets-devices
Floating:
- o All adult ICU units in house including PCU
Orientation (facility and unit):
- o 1 day orientation with work on educational modules
- o 2 days departmental
Active state license in good standing; minimum 1 year of recent experience in the specialty; BLS, ACLS required for clinical roles; references upon request