MICU Registered Nurse
Seattle, WA
Access Healthcare
3x12 hrs, Nights

ICU Registered Nurse (Travel/Contract)

Location: Seattle, Washington Employment Type: Travel/Contract Contract Length: 13 weeks Shift: Night, 3x12 hours (19:00-7:30) Hours: 12 hours per day, 36 hours per week

Unit and Assignment

• Department: Critical Care Department (MICU, SICU)
• Patient populations: Care for all types of patient populations except CV and Neuro. Staff move among units.
• Patient mix: Sepsis, respiratory failure, thoracic surgery, vascular surgery, GI bleed, and liver transplant. About 50% of patients are specialized liver cases, including multi-system organ failure.
• Nurse-to-patient ratio: 1:4
• Float scope: IMC/Tele (Telemetry) and other campuses in the system. Floating to one of the other campuses is very rare.

Schedule

• Block scheduling for 3 days is allowed, but a 6-on/8-off pattern cannot be guaranteed.
• Holiday RTO OK.
• Weekends: at least every other weekend, possibly more to meet unit needs.
• Every 6 weeks: a mix of self-scheduling and traveler shifts, with travelers flexible to meet unit needs.
• Up to 7 days are approved for auto offer, with no holidays. Anything beyond that does not qualify for auto offer.

Required Qualifications

• Valid RN license in Washington
• MICU - Medical Intensive Care Unit experience within the last year (1 year of experience)
• ACLS - Advanced Cardiac Life Support issued by American Heart Association or Canadian Heart & Stroke Foundation
• BLS (Basic Life Support) issued by American Heart Association or Canadian Heart & Stroke Foundation
• NIHSS
• Associate of Science in Nursing / Associate Degree in Nursing
• Experience with Epic

Clinical Skills and Medications

• Procedures and equipment: Chest tube setup and care, CPAP/BiPAP, RSI drugs, trach care, vents, blood and blood product administration, cardioversion/defibrillation, cooling/warming blankets, CRRT/dialysis, CVP and PA lines, rapid infuser, sheath removal, PCA pumps, PICC/central lines, port-a-cath/vascular access care, syringe pumps, triple lumen catheter, wound VAC, drains, epidural pumps, feeding tubes, fistula, CRRT/Arctic Sun
• Medications: Amiodarone, antiarrhythmics, antipsychotics, antiseizure medications, atropine, beta blockers, Cardizem, dobutamine, dopamine, epinephrine, heparin, hydralazine, insulin, ketamine, Lasix, Levophed, magnesium sulfate, milrinone, Neo-Synephrine, nicardipine, nitroglycerin, nitroprusside, norepinephrine, TPA, vasopressin

Onboarding Requirements

• Background: Background check within 90 days of start, updated annually. Also required: sex offender search, education verification for nursing degree, and a Washington State Patrol (WATCH) search within 90 days of start.
• Screening: 9-panel drug screen within 12 months of start. Physical exam within 1 year of start, signed by an MD, NP, PA, DO, or APRN.
• Immunizations and TB: Tdap within 10 years (declination accepted). MMR (measles, mumps, rubella), hepatitis B, and varicella documentation (vaccines, positive titer, or declination). Negative TB test (IGRA/TSPOT, QuantiFERON, or 2 PPDs) within 12 months of start.
• Flu and COVID: Flu vaccine or declination during flu season. COVID vaccination record preferred, or declination.
• Respirator clearance: RespSafety clearance, medically cleared annually for respirator use.
• Employment history: Application covering at least the last 5 years of employment. Minimum of 2 references covering 1 year of employment within the last 3 years in a comparable specialty.
• Annual training: Annual regulatory modules (about 3.5 hours) and specialty-specific modules.