CCU Registered Nurse
Carroll, IA
American Traveler
3x12 hrs, Nights

Job Description

American Traveler is seeking an experienced RN for a CCU/ICU position at a Critical Access Hospital, requiring a minimum of 3 years of CCU experience and an active IA or compact RN license.

Responsibilities

• 13-week contract in the CCU (Coronary Care Unit) of an acute care Critical Access Hospital (CAH) with a Trauma Level 4 designation
• 6-bed CCU that may flex to accommodate MedSurg/Peds patients as needed
• Common diagnoses include CHF, pneumonia, COPD, sepsis, and DKA
• Procedures performed in the unit include central line insertions, thoracentesis, and paracentesis (performed by provider)
• Goal nurse-to-patient ratio is 1:2, but may be up to 1:4 depending on acuity and MedSurg/Peds needs
• RNs are required to titrate drips; common drips include Cardizem, insulin, and norepinephrine
• CCU nurses are responsible for monitoring telemetry on the unit and managing BiPAP, vents, and respiratory treatments during nights and weekends when RT is not available
• RT equipment includes CPAP, BiPAP (V60), Vapotherm, and Hamilton ventilator
• Night shift, 3x12-hour shifts per week with 7 PM start time
• Every third weekend required, covering Fri/Sat/Sun (flexibility for Sat/Sun/Mon if needed)
• 6-week cyclic scheduling with efforts to accommodate schedule preferences
• Floating to the MedSurg/Peds unit is required; cross-training to behavioral health and ER is optional
• EMR: MEDITECH
• Orientation consists of two 12-hour shifts (24 hours total)
• Charge Nurse oversees both MedSurg/Peds and CCU sides but is not always CCU-trained; House Supervisor (based in the ED) oversees the entire hospital and covers CCU breaks and lunches
• No in-house hospitalist or intensivist; patients are followed by private physicians, with ER physicians responding to emergencies and codes
• Holiday coverage required — one major and one minor holiday per season depending on contract timing
• Scrub colors: grey, black, pink, or white in any combination
• Candidates are expected to be aware of and contribute to active quality improvement projects on the unit
• Medication drawer keys are not individually issued to contract staff; 4 shared keys are stored in the Pyxis and must be checked out at the start of each shift and returned at the end
• The unit emphasizes a positive work culture and expects candidates to be engaged team members

Requirements

• Active IA or compact RN license required
• Current AHA certifications: BLS and ACLS
• Preferred certifications: TNCC, NIHSS, and PALS (facility will support obtaining PALS if candidate is willing)
• Minimum 3 years of CCU experience required
• Minimum 1 year of travel nursing experience required
• CAH experience preferred but not required
• BSN not required
• Must reside within a 50-mile radius of the facility
• Experience titrating drips required
• Experience with respiratory equipment (BiPAP, ventilators) preferred given RT coverage limitations

Benefits

• High Pay and Bonuses
• Medical, Dental and Vision Insurance with Day 1 Options
• 401(k) Plan
• Weekly Payroll Deposit
• Free Online CEUs
• Generous Housing Allowance
• Travel and Licensure Reimbursements
• Non-taxed Per Diem and Subsidy
• Traveler Rewards and Discounts