ICU RN
Martinsburg, WV
Access Healthcare
3x12 hrs, Nights

ICU RN

Location: Martinsburg, West Virginia

Assignment Overview

• Specialty: ICU (MICU/SICU/Neuro)
• Contract length: 13 weeks
• Shift: Nights, 12-hour shifts (7:00 AM to 7:30 PM), 48 hours per week
• Weekends: Every other weekend. Nights work Friday/Saturday; days work Saturday/Sunday.
• Holidays: The facility tries not to schedule travelers on holidays.

Required Qualifications

• BLS
• ACLS
• NIHSS
• COVID-19 vaccination required. Fully vaccinated means two doses of Moderna or Pfizer, or one dose of J&J. Travelers who decline for medical or religious reasons must submit the facility's Exemption Form as soon as possible, because it requires council approval.

Preferred Qualifications

• PALS
• TNCC

Submission Requirements

• Candidates can be submitted to only one position at a time across the health system.
• Only two candidates may be submitted per opening. If the position is at maximum, the submission is held until a spot opens.
• Travel teams must be submitted together in one email.
• Driver's license address must be more than 50 miles from the facility.
• Previous permanent candidates must have been gone for 2 years.
• Previous travelers who worked there for 1 full year must have been gone for 2 years.
• Any background hits must be disclosed at the time of submission.
• Blocked requests will not be considered.

Unit Details

• Beds: 20
• Census: Average daily census is currently 16–17 per day (14 per day before COVID). Six rooms can be designated for COVID if needed.
• Ratios: 1:1–2 in the ICU; 1:3 in Stepdown. The unit supports the facility's Stepdown needs. The PCU is not a traditional Stepdown unit.
• Telemetry: Telemetry does not titrate any drips.
• Monitoring: Philips cardiac monitors with a central monitor station and hardwired rooms. There are no monitor technicians. Monitor, vent, and other data flows directly into the electronic medical record.
• Charge nurse: A designated charge nurse is on duty 24/7. The charge nurse is intended to be free but will take one patient if necessary. The charge nurse responds to all rapid responses and codes.
• Students: Capstone students, nursing students, and externs may be present. Externs are assigned to specific staff and are not counted in staffing numbers.
• Scrub color: Navy blue. Wear a navy or white jacket and a white or navy undershirt. Hair must be a natural color. No pink or blue. Distasteful tattoos must be covered.

Clinical Environment

• Drips: ICU Medical IV pumps. All typical drips, including moderate conscious sedation.
• Ventilators: Servo and Hamilton, managed 100% by RT. RNs may silence an alarm once RT is notified but otherwise do not manage vents.
• Physician coverage: Pulmonary critical care intensivist in-house during the day; hospitalist at night.
• Respiratory therapy: RT is in-house 24/7.
• Pharmacy: In-house 24/7 and on the unit during the day.
• IV team: None.
• Thoracic surgery: Thoracic surgeon on site twice a month, every other Thursday.
• Patient types: Post-cath lab patients through balloon pump patients. No open hearts. Ventrics, but no bolts. CRRT is available but usually prioritized with core staff. Common ground between MICU and SICU with some cardiac patients and CCU acuity.
• Balloon pumps: Usually given to permanent staff, but the unit will consider a traveler with this experience.

Floating

• Travelers typically do not float outside the ICU. Permanent staff do get floated.
• Travelers on a float pool assignment may float.

Scheduling

• Schedule requests are entered at least 2 weeks in advance, for 4 weeks at a time.

Orientation

• Day 1 is general hospital orientation. If finished early, go to the unit.
• Unit orientation is 1–2 shifts with a preceptor.