ICU RN
Olympia, WA
Thrive Staffing
3x12 hrs, Nights

ICU Registered Nurse (RN)

General Information

Location: Olympia, WA

Unit: Combined ICU/PCU Unit

• ICU: 10 Beds (Average census of ICU patients is around 5)
• PCU: 22 Beds (ICU nurses will care for PCU patients; please note that the majority of the contract may involve caring for PCU level patients)
• Travelers may float to other departments, which includes Medsurg, ER, and occasionally Mother-Baby (for post GYN surgical patients only)

Qualifications

• Minimum of 2 years of experience in an ICU setting
• First-time travelers may be considered based on experience
• If applying for Charge Nurse position, applicants must have extensive experience

Patient Types

• Common Conditions: Sepsis, Pneumonia, COPD, CHF, GI Bleeds, ETOH/IVDA, SI, Psych, COVID
• Neuro Conditions: Stable CVA (no interventions), TBI (stable)
• Cardiac: Pacemakers, Angiograms, Post Cath (TR Bands Radial and Femoral), Fem-Pop Bypass
• Surgical Patients: Ortho and General Surgery
• Specific Procedures: Manual Proning, Temporary Pacemakers
• No open heart surgeries, neuro interventions, or CRRT treatments

COVID-19 Protocol and PPE

• Census includes COVID patients at various levels of care (PCU, Med/Surg, ICU)
• The staffing ratio is 1:3 for PCU or Med/Surg, which may increase to 1:4 during peak periods

Patient Ratios

• ICU: 1:2
• PCU: 1:4

Required Certifications

• BLS
• ACLS
• NIHSS

Skills Required

• Strong peripheral IV skills (preferred)
• Cardiac rhythm interpretation
• Management of invasive lines (CVP, A-lines)
• IV medication titration
• Knowledge of ventilation, trach, and high-flow BiPap management (RT manages these devices)

Support on the Unit

• CNA: 1:12 ratio
• Charge Nurse: Freely floating but will take a partial patient assignment
• Phlebotomy staff available for peripheral draws; RNs may assist if needed
• Centralized monitoring with Tele tech available 24/7
• RT and Hospitalist in-house 24/7
• Intensivists available on-call 24/7

Charting System and Equipment

• EMR: EPIC (preferred)
• IV Pumps: ICU Medical Plum Duo and Plum Single
• Medication Dispensing: Pyxis
• Unit Equipment: Philips monitors

Floating Policy

• Travelers will float in rotation with the unit, including to MedSurg
• Taking an assignment in the PCU is not considered floating

Orientation

• 4 hours with clinical educator (includes badge, login info, unit tour, policies/procedures)
• Three shifts on the unit for practical training
• Telemetry competency is required and must be passed prior to starting

Scheduling

• Self-scheduling with management balancing staffing needs
• Expected to work 2 weekends each month (may vary based on staffing)
• Scheduling is provided