Travel Nurse RN - ICU - Intensive Care Unit
Yuma, AZ
Talent4Health
3x12 hrs, Nights

ICU Unit Profile – EPIC System Facility

General Requirements

• Start dates: Not flexible
• 100-mile radius rule: Enforced
• EMR: EPIC proficiency required (must be recent)
• No 48-hour guarantees
• No blocked scheduling
• RTO limit: Maximum 5 days
• Trauma experience: Recent Level I/II hospital experience required

Unit Details

• Unit Type: Med-Surg ICU
• Nurse–Patient Ratios:
  • 1:1 or 1:2 typical
  • 1:3 only if no vents/drips
• Total Beds: 42
• Required Certifications: BLS, ACLS, NIHSS

Patient Population / Common Diagnoses

• Cardiac (including open heart), balloon pump, Impella
• tPA patients (post admin; if interventional → flown to Phoenix)
• TPE
• Level III trauma patients kept in-house
• Not required: trauma specialty experience
• Required experience: vents, sedation, sepsis, pressors, DKA, cardiac/CHF, respiratory failure

Drips & Clinical Skills

RNs must be able to independently titrate a wide range of ICU drips.

Common Titrated / Set-Rate Drips

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

Staffing Structure

• Charge Nurse: Yes, charge-free; responds to codes/RRTs
• PCA Support: Yes; PCA ratio ~1:10
  • PCA skills: EKGs, blood sugars, procedure setup, I&Os, ADLs, lab draws (trained phlebotomists)
• Providers:
  • 24/7 Intensivist coverage
  • Days: 2 MDs + 1 NP
  • Nights: 1 MD + 1 NP
• Respiratory Therapy:
  • 24/7 coverage
  • Manages vents, performs ABGs, intubations, assists with bedside trachs
  • Equipment: Vents, CPAP, BiPAP, High Flow
• Monitoring:
  • Unit Support Representative (USR) handles monitoring + unit clerk duties
  • Centralized monitoring at stations; monitors also in patient rooms

Scheduling

• Shift Times: 06:45–19:15 (grace period: 3 minutes before/after)
• Mandatory: Must clock out for lunch
• Scheduling model: Self-scheduling
• RTO: Up to 4 days per 4-week schedule (max 5 days total for contract)
• Weekends: 4 weekend shifts per 4-week period
• Holidays: 2 major holidays required (for Christmas—day only, not Eve)
• Call: No call or standby
• Floating: Yes; may float to other units (ratio on float units = 1:4 instead of 1:6)
• Scrubs: Navy blue

Orientation

• 1 day NEO
• 1 day educator-led skills/competencies/procedures
• 1 day unit orientation on the floor