ICU Registered Nurse
Yuma, AZ
Access Healthcare
3x12 hrs, Nights

ICU Nurse Opportunity - Yuma, Arizona

Position Details

• Specialty: ICU
• Location: Yuma, Arizona
• Contract Length: 13 weeks
• Start Date: Fixed, not flexible
• Shift Hours: 6:45 AM - 7:15 PM (includes 3-minute grace period before and after shift)
• Scheduling: Self-scheduled with up to 4 requested days off per 4-week period; no guaranteed blocks but accommodations are made when possible
• Weekend Requirement: 4 weekend shifts per 4-week period
• Holiday Requirement: 2 major holidays per contract (holiday only, not the eve, for Christmas)
• Call/Standby: None
• Floating: Required; float to other units with a reduced patient load (4 patients instead of 6)

Unit & Patient Care

• Unit Type: MedSurg ICU, 42 beds
• Nurse-to-Patient Ratios:

  • 1:1 or 1:2 typical
  • 1:3 if no ventilators or drips
• Patient Types: Cardiac (open heart, balloon, Impella), tPA administration, TPE, Level 3 trauma (core staff handle vent, sedation, sepsis, pressors, DKA, cardiac, CHF, respiratory cases)
• Trauma Experience: Trauma Level I/II recent hospital experience required but not mandatory for trauma cases
• Charge Nurse: No charge nurse on shift; nurses respond to codes and provide condition help (RRT)
• Support Staff: Patient Care Assistants (PCAs) with a ratio of about 1:10; PCAs assist with EKGs, blood sugar checks, procedure setup, I/O, ADLs, and lab draws (phlebotomy)

Clinical Requirements & Skills

• Certifications Required: BLS, ACLS, NIHSS
• EMR: Epic proficiency required and recent experience
• Nurse Responsibilities:

  • Titrate drips (vasopressors, inotropes, antiarrhythmics, antihypertensives, beta-adrenergics, sedatives, paralytics, analgesics, anticoagulants, insulin)
• Common Drips Include:

  • Vasopressors: Epinephrine, Levophed, Phenylephrine, Vasopressin
  • Inotropes: Dopamine, Dobutamine, Primacor
  • Antiarrhythmics: Amiodarone, Cardizem, Esmolol, Lidocaine, Procainamide
  • Antihypertensives: Clevidipine, Labetalol, Cardene, Nipride, Nitro
  • Beta Adrenergic: Isuprel
  • Sedatives: Ketamine, Precedex, Propofol, Versed
  • Paralytics: Vecuronium, Nimbex, Rocuronium
  • Analgesics: Fentanyl, Morphine
  • Anticoagulants: Aggrastat, tPA, Argatroban, Heparin, Integrilin
  • Additional: Insulin

Team & Support

• Physician Coverage: Intensivist coverage 24/7 (Days: 2 MDs + 1 NP; Nights: 1 MD + 1 NP)
• Respiratory Therapy: RT available 24/7; manages vent settings, intubations, ABGs, and assists with bedside trachs
• RT Equipment: Ventilators, CPAP, BiPAP, High Flow
• Tele/Monitor Techs: Unit Support Person (USR) handles unit clerk duties and tele monitoring; centralized tele monitoring at nurse stations and in patient rooms

Orientation & Training

• One day New Employee Orientation (NEO)
• One day with educator for skills, competencies, and procedures
• One day unit/department-specific floor orientation

Additional Information

• 100-mile radius rule applies
• No 48-hour shift guarantees
• No blocked scheduling requests
• No more than 5 days of Return to Office (RTO)
• Scrub color: Navy Blue