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
● Other notes:
o Scrub Color: RN- Navy
o Parking: Free? Have free parking around campus or can pay to park in parking decks
o Unit Culture: busy but work as team
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