CVICU RN
Rochester, NY
Access Healthcare
3x12 hrs, Nights

Registered Nurse - CVICU

Assignment Overview

• Contract length: 13 weeks
• Shift: Night, 7:00 PM to 7:00 AM, 3 x 12-hour shifts (36 hours per week)
• Weekends: Every other weekend
• Holidays: Must be available to work every other holiday, if needed
• Scheduling requests: RTO, block, and special scheduling requests must be submitted upon submission
• Call-off: Up to three shifts may be canceled during the 13-week contract period
• Radius rule: RNs living within 75 miles of the facility are not accepted

Unit Details

• Setting: Cardio Vascular Intensive Care Unit (CVICU) providing care for critically ill cardiac surgery patients, with 24/7 provider coverage and transition to step-down units for cardiac rehabilitation
• Beds: 16
• Ratios: 1:2; Impella nurse ratio 1:2 with occasional 1:1 based on acuity
• Patient population: Sepsis, ARDS, renal failure, heart failure, pre-VAD workups, alcohol withdrawal, overdose, multi-organ failure, post-cardiac arrest/targeted temperature management, respiratory failure/shock, CRRT, EKOS, IABP, ECMO
• Floating: Required to float within skillset
• Scrubs: Any combination of navy blue and white

Required Qualifications

• Valid RN license in New York
• CVICU experience of at least 1 year, with experience within the last year
• ACLS (Advanced Cardiac Life Support)
• BLS issued by the American Heart Association
• NIHSS
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Experience with arterial lines
• Experience with central line management
• PICC line management
• Experience with ventilator management
• Experience with HFNC (high-flow nasal cannula)
• Experience with BiPAP/CPAP support
• Experience with continuous IV sedation and paralytics
• Experience caring for CABG patients
• Experience with Impella
• Experience with intra-aortic balloon pump (IABP)
• Experience with Epic

Clinical Skills

• Arterial line, central line, and PICC line management; blood product administration
• Ventilator management, HFNC, BiPAP/CPAP support, chest tube insertion/removal assistance, care of ventilated patients, ABG interpretation
• Continuous IV sedation and paralytics, emergency medications, procedural sedation administration and monitoring, titration of cardiac and vasoactive drips
• CABG, Impella, IABP, LVAD/RVAD, Swan-Ganz monitoring
• CVVHD/CRRT, dysrhythmia interpretation and management, 12-lead EKG acquisition, infection prevention, PPE use, wound vac care, management of multisystem organ dysfunction/failure

Other Certifications and Competencies (As Required by Unit)

• PALS, NRP, TNCC, EFM, as required by unit description
• Medication/pharmacology competency exam and general competency exam, as required by profession/specialty
• Color blind test (online), required for all candidates, not annually

Onboarding and Compliance

• Health requirements and lab work: Must be completed within 5 days of signing the contract
• Physical exam: Within 1 year of start, updated annually
• Fit test: Within 1 year of start, updated annually. Acceptable masks: duckbill 1870+1860 Regular, 1860 Small. If the candidate fails, proof of failed test is accepted and a PAPR is worn onsite.
• TB: Negative QuantiFERON, T-SPOT, or 2-step PPD within 1 year of start. Positive results require proof, a negative chest X-ray within 10 years, and an annual TB questionnaire, which is accepted in place of annual renewal.
• Measles (rubeola), mumps, rubella, varicella: Positive titer or vaccination required; low or equivocal titers require additional vaccines or boosters
• Hepatitis B: Positive surface antibody titer, completed series, or declination required
• Drug screen: Within 30 days of start (includes amphetamines, cocaine, ecstasy, fentanyl, heroin, opiates); not annual
• Flu vaccination: Vaccination or signed declination required during flu season
• Eye exam (Snellen): Within 1 year of start, not annual
• COVID: Copy of vaccination preferred, not required
• Background checks: 7-year criminal background check, EPLS/GSA/SAM, and HHS/OIG within 3 months of start (EPLS/GSA/SAM and HHS/OIG rerun monthly); education verification, with transcripts or foreign education evaluation if no verification is on file
• Primary source verification and NURSYS verification: Within 30 days of start
• References: 2 within 3 years of start
• Employment application and work history verification: Required
• Skills checklist: Required annually
• Badge photo: Clear, passport-style photo with a solid background
• Parking pass form: Required for all candidates during orientation
• State requirements (New York):

  • NYS Nurse Aide Registry within 3 months of start for Long Term Care, ElderOne, Home Care, and Hospice
  • Fingerprinting, DOH-102 form, and disciplinary action search for Mental Health, Behavioral Health, Home Health Aide, and LTC units (per facility request)
  • Sex offender registry search within 30 days of start
  • NYS Medicaid Exclusion List within 30 days of start, then monthly