Registered Nurse - PICU

Lamb Staffing; Charlotte (NC); On-site; USD 83,000 - 124,000; Full time

Job summary

Lambstaffing is seeking an experienced RN for a PICU traveler assignment in Charlotte, NC. The unit is a Level 1 Pediatric Trauma Center with 24 beds and a 2:1 to 1:2 nurse-to-patient ratio depending on acuity.

Requirements include active RN licensure with BLS and PALS, and 2+ years in a high-acuity pediatric ICU. First-time travelers are welcome. Exposure to EPIC, Artic Sun, and vasoactive drips is expected.

Qualifications

• Active RN license in good standing.
• 2+ years of high-acuity pediatric ICU experience.
• Comfortable in a fast-paced, high-acuity environment.
• First-time travelers welcome.

Responsibilities

• Provide high-acuity pediatric ICU nursing care.
• Manage ventilators, lines, and vasoactive drips.
• Float to Pediatric CVICU as needed.
• Collaborate with multidisciplinary care team.

Skills

EPIC experience

Ventilator management

Vasoactive drip titration

Invasive lines management

Aseptic technique

Trach care

G-tube care

PIV Ultrasound

Bedside procedures

Discharge skills

Education

RN licensure

BLS certification

PALS certification

Tools

Alaris pumps

Medfusion syring pumps

Omnicell

ED/ICU monitors (Phillips)

Artic Sun

Camino device

Job description

RN - PICU

About Facility:

• 247 Licensed Beds
• Level 1 Pediatric Trauma Center
• Teaching Hospital
• Chest Pain Center
• Certified Stroke Center
• Radius rule: Traveler's permanent address must be 50 miles outside of home unit

Unit Information:

• Beds: 24; 21-23 patient census on average
• Required Experience: 2 years of strong high acuity Pediatric ICU experience - must be comfortable in a high acuity, fast paced environment
• First-time travelers welcome

Patient Types/Common Diagnoses:

• Respiratory, Trauma (which includes penetrating and non-accidental trauma, NAT), DKA, Seizures, Neurosurgical, Acute/Chronic Renal Failure, Orthopedic, Surgical, Transplants (Kidney and whole/partial Liver), complex Medical, Blood Disorders

Patient Ratios:

• RN: Varies on acuity: 2:1, 1:1, 1:2

Required Licensure & Certifications:

• RN: BLS, PALS

Skills required:

• EPIC experience, experience with Artic Sun, EVDs, Camino device (ICP and temp monitoring device), Belmont Rapid Infuser, management of critical care vasoactive drip titration, management of invasive lines - ART lines/CVP, aseptic and sterile techniques, basic dressing changes, ventilator and trach management, HOFV management, oral/nasal suctioning, g-tube/j-tube management, feeding tubes, chest tubes, epidurals, PCAs, sedation and analgesic drip management, Foley insertion and management, Alaris & Medfusion pump management, bedside procedures with providers, discharge skills, CRRT experience
• Ability/Competency to float to Pediatric CVICU - discussed during interview

Support within the Department:

• CNA - 1 Health Care tech per day to support unit secretary duties and nursing support needs throughout the shift (runners, bathing, etc.)
• Unit Secretary every shift
• Charge nurse, 24/7
• Phlebotomy, 24/7
• IV/VAT Team, 24/7
• Resource Nurse
• RT, 24/7
• Intensivist, 24/7
• Residents, in house
• APP, in house
• Telemetry monitor tech: No
• Centralized and bedside monitoring

Technology/Equipment:

• EMR: EPIC
• IV Pump: Alaris and Medfusion syringe pumps
• Med dispensing: Omnicell
• Monitors: Phillips
• Equipment: Belmont Rapid Infuser, Accuvein, PIV Ultrasound, Artic Sun, Camino, EV-1000 Vigileo, I-stat and Accuryn

Floating:

• Pediatric CVICU, NICU, Neonatal PCU, Gen Peds - will float as needed

Orientation (facility and unit):

• NEO
• 2 days departmental

Scheduling:

• Weekend rotation: every other weekend
• No call for travelers, if the PICU cannot utilize them, they may be floated to PCVICU, Peds Progressive, NICU or general Peds units within LCH
• Holiday Expectations: 75%
• RTO: Manager approval
• Shift times: 0645 - 1915, 1845 - 0715
• Schedule cycle: every 6 weeks

Active state license in good standing; minimum 1 year of recent experience in the specialty; BLS, ACLS, PALS required for clinical roles; references upon request