ICU Registered Nurse
Marianna, FL
Host Healthcare
3x12 hrs, Nights
Referral Bonus

ICU RN Position - Marianna, Florida

Job Overview

• ICU RN role in a small 88-bed hospital with a 7-bed Main ICU (Special Care Unit) and a 22-bed COVID ICU.
• Possible float to Med Surg.
• Weekend rotation: every other weekend.
• No on-call required.
• 12-hour shifts (7a-7p and 7p-7a).
• ASAP start.

Contract Length

• 13 weeks.

Required Certifications

• Florida RN license.
• BLS (Basic Life Support).
• ACLS (Advanced Cardiovascular Life Support).
• PALS (Pediatric Advanced Life Support) required within the earliest reasonable offering.
• Ventilator and tracheostomy experience mandatory.
• NIHSS and TNCC preferred.

Experience Requirements

• Must have experience with ventilators and tracheostomies.
• Experience with all critical care drips, including sedation.
• Prior travel experience is not explicitly required.

Patient Population & Unit Details

• Main ICU: 7 beds, all ventilated, typically full.
• COVID ICU: 22 beds, includes MedSurg COVID-positive and vented patients.
• PCU (Progressive Care Unit): 8 beds, no vents but requires vent and trach experience due to patient acuity.
• Patient diagnoses include primarily COVID, DKA, Sepsis, Pulmonary Edema, CHF, COPD, Flu, acute abdomen, abdominal perforation, post-op care, minor traumas, and hypertensive crisis.

Staffing & Ratios

• ICU/COVID ICU goal ratio: 1:2; rarely up to 1:3 with low acuity patients.
• PCU/Regular COVID ratio: typically 1:4, occasionally 1:5.
• No CNAs in ICU or COVID ICU; CNAs used in PCU and Regular COVID units.
• RNs may be required to perform CNA duties if overstaffed.

Work Environment & Support

• EMR system: CPSI - Evident Thrive.
• House Supervisor available 24/7 but less present on COVID units.
• ICU Director/Manager is a "working manager" and available 24/7.
• No dedicated IV team; some staff PICC and Midline certified assist with difficult IVs.
• Respiratory Therapists available 24/7 managing vents, EKGs, breathing treatments, and ABGs.
• Pharmacy available 24/7 with Omnicell system.
• Monitor techs usually present, but RNs must be able to read and interpret cardiac strips.

Orientation & Floating

• Orientation includes training on Omnicell, CPSI, and SCU.
• Floating required between ICU, PCU, and COVID units; director aims for consistent and equitable floating.
• Preference for nurses willing to float between ICU and PCU.

Additional Notes

• Scrub colors: Navy/Black generally; green scrubs provided for COVID units and must be returned after shifts.
• Flexibility and adaptability are essential due to fluctuating patient volumes and COVID-related challenges.
• No PICU patients except occasional pediatrics sent out if critically ill.
• LTAC RNs with strong LTAC/ICU experience may be considered.

Summary:
This ICU RN position requires strong critical care skills, especially with ventilators, tracheostomies, and critical drips. The role involves working in a high-acuity environment with COVID and non-COVID patients, floating between units, and working 12-hour shifts with weekend rotations. Certifications in BLS, ACLS, and PALS are mandatory. Flexibility and teamwork are key due to the dynamic nature of the patient population and staffing needs.