RN - ICU

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

▪        Census? 14

o   Minimum Years of Experience required? 2 years ICU RN experience

o   Will you accept a first-time traveler? Yes

●       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   Receptionist/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 monitoring/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: IF YES, WHERE?

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

●       SCHEDULING:

o   Weekend rotation: 5-6 weekend shifts out of 12 (on a 6-week schedule)

o   On call? If so, what is that schedule? No call

o   Holiday Expectations: work one shift of each major holiday (Thanksgiving Day or day after + 12/24 or 12/25 + 12/31 or 1/1

o   RTO Requests: Manager approval

o   Shift times: 12-hour shifts   7A-7P or 7P-7A

o   Schedule cycle: every 6 weeks