RN - ICU

Cynet Health; Albemarle (NC); On-site; USD 80,000 - 110,000; Part time

Job summary

Cynet Health is seeking an RN for ICU on a 13‑week assignment in Albemarle, NC. Night shift, 12‑hour schedule, 36 hours per shift, with weekend rotations.

The ICU unit supports 10 ICU beds and 4 PCU beds, treating sepsis, COPD, MI, stroke and ARDS among others, with RN-to-patient ratios of 1:2–3.

Must have 18–24 months ICU RN experience, current RN license, and BLS, ACLS and NIHSS certifications; knowledge of EPIC, arterial lines, and ventilator care is required.

Qualifications

• Minimum 18 months to 2 years ICU RN experience
• Current RN License
• BLS, ACLS, NIHSS certifications

Responsibilities

• Provide ICU nursing care with patient load of 1:2–3 depending on acuity
• Monitor arterial lines and CVP; manage critical care drips and ventilator care
• Collaborate with the house staff and hospitalist for rounds and handoffs

Skills

Stroke experience

Cardiac rhythm interpretation

Arterial lines

Critical care drips

Chest tube management

Peripheral IV starts

TNK administration

Ventilator management

Tracheostomy care

Nasogastric tube placement

Drain management

PCA pump management

Wound care

12-lead EKGs

Tools

EPIC EMR

Alaris IV pumps

Omnicell

Phillips monitors

Job description

RN - ICU

Profession: RN

Specialty: ICU

Duration: 13 weeks

Shift: 12hr Night Shift

Hours per Shift: 36

Experience: 18 months to 2 years of ICU RN experience

License: Current RN License

Certifications: BLS, ACLS, NIHSS

Must-Have:

• Minimum 18 months to 2 years of ICU RN experience
• BLS, ACLS, NIHSS certifications

Description:The facility has 109 licensed beds with no trauma designation.It is not a teaching hospital and does not have residents or students.The unit includes 10 ICU beds and 4 PCU beds, with the PCU utilized mainly in surge capacity.The average census is approximately 7.3 patients per day.Patient types and common diagnoses include sepsis, COPD, CHF, chest pain, MI, NSTEMI, stroke, TIA, new onset cardiac arrhythmia, uncontrolled DM and DKA, minor trauma, alcohol withdrawal, ARDS, and respiratory illnesses such as flu, COVID, and pneumonia.Patient ratios are typically 1:2-3, depending on acuity, and RNs may often have 3 patients in their assignment.There is no CNA available overnight, with a 1:10 ratio only during the day shift.

Skills required include:

• Stroke experience and NIH assessments
• Cardiac rhythm interpretation
• Management of arterial lines and central venous pressures
• Experience with critical care drips
• Chest tube management
• Peripheral intravenous starts
• TNK administration
• Ventilator management supervised by respiratory therapy
• Tracheostomy care
• Nasogastric tube placement
• Drain and tube management including Dobhoff, PEG tubes, Hemovac, JP drains, and foley management
• PCA pump management
• Wound care
• Ability to complete 12-lead EKGs on demand

Medication management includes titration of critical care drips, cardiac drips, heparin, blood products, and intravenous fluids.Support within the department includes a house supervisor and a charge nurse on duty.Phlebotomy services are available for any necessary procedures.The IV/VAT team is only available during the day shift.A hospitalist is on duty 24/7, and if intubation is required, the hospitalist will be first in line, followed by a CRNA and then the emergency department if needed.There is one intensivist who rounds Monday to Friday around 6 AM, with night RNs providing reports to him.In urgent situations, there is a contact for overnight issues.Bedside and central telemetry monitoring RNs will oversee telemetry for the unit.

Technology and equipment used include EPIC for electronic medical records, Alaris for IV pumps, Omnicell for medication dispensing, and Phillips for monitors.Floating may occur within the facility to Med/Tele, PCU, or ED holds as a task RN.Regional floating may also be required within the scope of practice.

Weekend rotations are expected at a minimum of every other weekend.Travelers will work 75% of holidays, with requests for time off needing manager approval.Shift times require being clocked in before 1845 but not before 1838.Schedules are on a 6-week cycle.Unit culture emphasizes teamwork and open communication, with an openness to constructive feedback.