ICU Registered Nurse
Martinsburg, WV
LanceSoft
3x12 hrs, Nights

CU Registered Nurse (MICU / SICU / Neuro ICU)

Cost Code: 20

Unit Overview

• Unit Type: ICU (Medical ICU / Surgical ICU / Neuro ICU)
• Number of Beds: 20
• Average Daily Census:
  • Current: 16–17 patients/day
  • Pre-COVID: ~14 patients/day
• COVID Capability:
  • 6 rooms can be designated for COVID patients if needed

Patient Ratios

• ICU: 1:1–2
• Stepdown: 1:3
• Unit supports Stepdown needs for the facility
• Tele does not titrate drips
• PCU present but not a traditional Stepdown unit

Certifications

Required:

• BLS
• ACLS
• PALS
• NIHSS

Preferred:

• TNCC

Electronic Medical Record (EMR)

• EPIC

Staffing & Support

• Charge Nurse / House Supervisor:
  • Designated Charge Nurse available 24/7
  • Intended to be free charge; may take 1 patient if necessary
  • Responds to all Rapid Responses and Codes
• Nurse Aides / Support Staff:
  • Capstone students (education support)
  • Nursing students (observation only)
  • Nurse externs assigned to specific staff (not counted in staffing)

Scheduling

• Shift Length: 12-hour shifts (7:00 AM–7:30 PM / 7:00 PM–7:30 AM)
• Weekend Requirement: Every other weekend
  • Days: Saturday / Sunday
  • Nights: Friday / Saturday
• Holidays:
  • Travelers generally not scheduled unless necessary
• Scheduling System:
  • Kronos used for schedule requests
  • Clinical Coordinator builds schedules
  • Manager approval required
  • Schedules posted at least 2 weeks in advance (4 weeks at a time)
  • Block scheduling allowed if stated in contract (nights typically blocked)
• Work Week: Sunday – Saturday

Floating

• Travelers typically do not float outside the ICU
• Permanent staff may float
• Exception: Travelers on float pool assignments

Orientation

• Day 1: General hospital orientation
• Unit Orientation:
  • 1–2 shifts with a preceptor
  • May report to unit early if hospital orientation ends early

Equipment & Technology

• Telemetry / Monitoring:
  • Philips cardiac monitors
  • No monitor techs
  • Central monitor station with hardwired rooms
  • Monitor, ventilator, and device data flows directly into EPIC
• IV Pumps: Braun IV pumps
  • All standard ICU drips
  • Includes moderate conscious sedation
• Ventilators: Servo & Hamilton
  • Managed 100% by Respiratory Therapy
  • RN may silence alarms after notifying RT

Clinical Support Services

• Respiratory Therapy: In-house 24/7
• Pharmacy: In-house 24/7
  • Unit-based during the day
  • Omnicell system
• IV Team: None

Providers

• Day Shift: Pulmonary Critical Care Intensivist in-house
• Night Shift: Hospitalist in-house

Dress Code

• Scrubs: Navy blue
• Jackets: Navy or white
• Undershirts: White or navy
• Hair: Natural hair colors only (no pink/blue)
• Tattoos: Distasteful tattoos must be covered

Common Diagnoses & Patient Population

• MICU / SICU with some cardiac acuity (CCU-level)
• Post–Cath Lab patients
• Balloon pumps (limited; usually assigned to perm staff unless traveler has experience)
• Ventric drains (no bolts)
• No Open Hearts
• No CRRT
• Thoracic surgeon on-site twice monthly (every other Thursday)