Facility Overview
This healthcare facility is located in Albemarle, NC, and features 109 licensed beds. It is not designated as a trauma center and does not serve as a teaching hospital, meaning there are no residents or students on site. The facility is recognized as an Advanced Primary Stroke Center.
Unit Details
- Unit beds: 10 ICU beds and 4 PCU beds (PCU beds utilized only during surge capacity)
- Average daily census: approximately 7.3 patients
- Required experience: 18 months to 2 years of ICU nursing experience
- First-time travel nurses are welcome to apply
Patient Population and Common Diagnoses
- Sepsis, Chronic Obstructive Pulmonary Disease (COPD), Congestive Heart Failure (CHF), Chest Pain, Myocardial Infarction (MI), Non-ST Elevation MI (NSTEMI)
- Stroke, Transient Ischemic Attack (TIA), new onset cardiac arrhythmias
- Uncontrolled Diabetes Mellitus and Diabetic Ketoacidosis (DKA)
- Minor trauma and alcohol withdrawal
- Acute Respiratory Distress Syndrome (ARDS), respiratory illnesses including influenza and COVID-19
Staffing Ratios
- Registered Nurse (RN): Patient assignments range from 1:2 to 1:3 depending on acuity, with 3 patients often assigned. Assignments may include a combination of ICU and Medical/Telemetry patients
- Certified Nursing Assistant (CNA): Available only during day shifts with a 1:10 ratio; no overnight CNA support
Licensure and Certifications
- Basic Life Support (BLS)
- Advanced Cardiovascular Life Support (ACLS)
- National Institutes of Health Stroke Scale (NIHSS) certification
Required Clinical Skills
- Experience with stroke care and performing NIH stroke scale assessments
- Cardiac rhythm interpretation
- Management of arterial lines and central venous pressure lines
- Proficiency with critical care drips, chest tubes, and peripheral IV insertions
- Administration of TNK (if not administered in the Emergency Department)
- Ventilator management (settings managed by respiratory therapists)
- Care of tracheostomies and nasogastric tube placement
- Management of drains and tubes including Dobhoff, PEG tubes, Hemovac, JP drains, flexiseals, and Foley catheters
- Operation of PCA pumps and wound care
- Ability to perform 12-lead EKGs, including STAT EKGs
- Medication drip management including titration of critical care and cardiac drips, heparin, blood products, and intravenous fluids
Departmental Support
- House Supervisor available
- CNA support during day shifts only
- Charge nurse included in staffing
- Phlebotomy services available
- IV/VAT team available during day shifts
- Respiratory Therapy available 24/7
- Hospitalist coverage 24/7
- Intubation protocol: Hospitalist is first call; if unsuccessful, CRNA is called; Emergency Department is third line
- One intensivist physician rounds Monday through Friday around 6am; night shift RN provides report
- Urgent overnight situations managed by Virtual Critical Care (VCC)
- Bedside and central telemetry monitoring performed by RNs
Technology and Equipment
- Electronic Medical Record system: EPIC
- IV Pumps: Alaris
- Medication dispensing system: Omnicell
- Patient monitors: Phillips
Floating Requirements
- Floating within the local area to Medical/Telemetry (1:4 ratio), ICU, PCU (if open), Emergency Department holds (task RN or ICU/Med-Tele holds), and Behavioral Health unit (medication pass/charting only)
- Floating within the region as needed and within scope of practice
- Floating to multiple facilities within the region is required; candidates must agree to this
- Travel time between facilities during mid-shift floating will be compensated as paid time
Orientation
- New Employee Orientation (NEO)
- 2 to 3 days of departmental orientation
Scheduling Details
- Weekend rotation required at least every other weekend
- No on-call duties for travel nurses
- Travel nurses expected to work 75% of holidays
- Return to Office (RTO) requires manager approval
- Shift start time: clock-in between 18:38 and 18:45
- Schedule cycles every 6 weeks
Additional Information
- Scrub color: Navy only
- No T-shirts allowed under scrubs
- Undershirts must be white or navy
- No Crocs permitted
- Free parking available
- Unit culture emphasizes teamwork and open communication; openness to constructive feedback is essential
Shift Requirements
- 18 months to 2 years of ICU nursing experience required
- Required certifications: BLS, ACLS, NIHSS